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SARS-CoV-2 RBD and Its Variants Can Induce Platelet Activation and Clearance: Implications for Antibody Therapy and Vaccinations against COVID-19

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机构: [1]Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada [2]Department of Laboratory Medicine, Keenan Research Centre for Biomedical Science of St.Michael’sHospital, Toronto, ON, Canada [3]Toronto Platelet Immunobiology Group, Toronto, ON, Canada [4]Departmentof Physiology, University of Toronto, Toronto, ON, Canada [5]CCOA Therapeutics Inc.,Toronto, ON, Canada [6]Canadian Blood Services Centre for Innovation, Toronto, ON, Canada [7]The State Key Laboratory of RespiratoryDisease, Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou MedicalUniversity, Guangzhou, Guangdong, China [8]Department of Laboratory Medicine, The Second AffiliatedHospital of Guangzhou University of Chinese Medicine, Guangzhou, China [9]Advanced Pharmaceutics &Drug Delivery Laboratory, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada [10]Department of Medical Microbiology and Infectious Disease, Sunnybrook Health Science Centre, Toronto,ON, Canada [11]Department of Medicine, University of Toronto, Toronto, ON, Canada [12]Division of Cardiology,St.Michael's Hospital, Toronto, ON, Canada [13]Department of Anesthesiology and Pain Medicine and Divisionof Critical Care Medicine, University of Toronto, Toronto, ON, Canada [14]Interdepartmental Division of CriticalCare Medicine, University of Toronto, Toronto, ON, Canada [15]Department of Surgery, University of Toronto,Toronto, ON, Canada
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The COVID-19 pandemic caused by SARS-CoV-2 virus is an ongoing global health burden. Severe cases of COVID-19 and the rare cases of COVID-19 vaccine-induced-thrombotic-thrombocytopenia (VITT) are both associated with thrombosis and thrombocytopenia; however, the underlying mechanisms remain inadequately understood. Both infection and vaccination utilize the spike protein receptor-binding domain (RBD) of SARS-CoV-2. We found that intravenous injection of recombinant RBD caused significant platelet clearance in mice. Further investigation revealed the RBD could bind platelets, cause platelet activation, and potentiate platelet aggregation, which was exacerbated in the Delta and Kappa variants. The RBD-platelet interaction was partially dependent on the β3 integrin as binding was significantly reduced in β3-/- mice. Furthermore, RBD binding to human and mouse platelets was significantly reduced with related αIIbβ3 antagonists and mutation of the RGD (arginine-glycine-aspartate) integrin binding motif to RGE (arginine-glycine-glutamate). We developed anti-RBD polyclonal and several monoclonal antibodies (mAbs) and identified 4F2 and 4H12 for their potent dual inhibition of RBD-induced platelet activation, aggregation, and clearance in vivo, and SARS-CoV-2 infection and replication in Vero E6 cells. Our data show that the RBD can bind platelets partially though αIIbβ3 and induce platelet activation and clearance, which may contribute to thrombosis and thrombocytopenia observed in COVID-19 and VITT. Our newly developed mAbs 4F2 and 4H12 have potential not only for diagnosis of SARS-CoV-2 virus antigen but also importantly for therapy against COVID-19.Copyright © 2023 Xiaoying Ma et al.

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第一作者机构: [1]Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada [2]Department of Laboratory Medicine, Keenan Research Centre for Biomedical Science of St.Michael’sHospital, Toronto, ON, Canada [3]Toronto Platelet Immunobiology Group, Toronto, ON, Canada
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通讯机构: [1]Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada [2]Department of Laboratory Medicine, Keenan Research Centre for Biomedical Science of St.Michael’sHospital, Toronto, ON, Canada [3]Toronto Platelet Immunobiology Group, Toronto, ON, Canada [4]Departmentof Physiology, University of Toronto, Toronto, ON, Canada [5]CCOA Therapeutics Inc.,Toronto, ON, Canada [6]Canadian Blood Services Centre for Innovation, Toronto, ON, Canada [11]Department of Medicine, University of Toronto, Toronto, ON, Canada
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