Abstract

Excessive inflammatory responses induced upon SARS-CoV-2 infection are associated with severe symptoms of COVID-19. Inflammasomes activated in response to SARS-CoV-2 infection are also associated with COVID-19 severity. Here, we show a distinct mechanism by which SARS-CoV-2 N protein promotes NLRP3 inflammasome activation to induce hyperinflammation. N protein facilitates maturation of proinflammatory cytokines and induces proinflammatory responses in cultured cells and mice. Mechanistically, N protein interacts directly with NLRP3 protein, promotes the binding of NLRP3 with ASC, and facilitates NLRP3 inflammasome assembly. More importantly, N protein aggravates lung injury, accelerates death in sepsis and acute inflammation mouse models, and promotes IL-1β and IL-6 activation in mice. Notably, N-induced lung injury and cytokine production are blocked by MCC950 (a specific inhibitor of NLRP3) and Ac-YVAD-cmk (an inhibitor of caspase-1). Therefore, this study reveals a distinct mechanism by which SARS-CoV-2 N protein promotes NLRP3 inflammasome activation and induces excessive inflammatory responses.

Highlights

  • Excessive inflammatory responses induced upon SARS-CoV-2 infection are associated with severe symptoms of COVID-19

  • As inflammasome-mediated mature IL1β induces the release of cytoplasmic proteins and factors, and plays an important role in initiating “cytokine storm”[18], we evaluated the effect of SARS-CoV-2 proteins on the production of mature IL-1β

  • Our results demonstrate that N protein induces IL-1β maturation and IL-6 production, and reveal that NLRP3 is required for N-induced IL-1β secretion and IL-6 production protein, thereby suggesting that N protein may play an important role in the activation of the NLRP3 inflammasome

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Summary

Introduction

Excessive inflammatory responses induced upon SARS-CoV-2 infection are associated with severe symptoms of COVID-19. Inflammasomes activated in response to SARS-CoV-2 infection are associated with COVID-19 severity. We show a distinct mechanism by which SARS-CoV-2 N protein promotes NLRP3 inflammasome activation to induce hyperinflammation. N protein aggravates lung injury, accelerates death in sepsis and acute inflammation mouse models, and promotes IL-1β and IL-6 activation in mice. This study reveals a distinct mechanism by which SARS-CoV-2 N protein promotes NLRP3 inflammasome activation and induces excessive inflammatory responses. SARS-CoV-2 infects human respiratory system and causes severe inflammatory responses[7,8]. Studies have reported that inflammasomes are induced upon SARS-CoV2 infection and are associated with COVID-19 severity[19,20].

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