Evidence map›Paper›PMID 33493182›Full record

ArticlePLoS pathogens2021

Furin cleavage of SARS-CoV-2 Spike promotes but is not essential for infection and cell-cell fusion.

Guido Papa, Donna L Mallery, Anna Albecka, Lawrence G Welch, Jérôme Cattin-Ortolá, Jakub Luptak, David Paul, Harvey T McMahon, Ian G Goodfellow, Andrew Carter and 2 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 236 papers.

0numbers the graph read from it
0cells of the map it votes in
236citing papers in PubMed
19.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

236 citing papers in PubMed, 349 citations in OpenAlex.

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  7. Viral syncytia evolve to resist interferon.Nature communications · 2026
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  11. Clade C MERS-CoV camel strains vary in protease utilization during viral entry.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  20. Article

176 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Guido PapaMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0002-5215-0014
Donna L MalleryMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0003-2713-5215
Anna AlbeckaMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.
Lawrence G WelchMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0001-8815-7579
Jérôme Cattin-OrtoláMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0002-8988-4265
Jakub LuptakMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0002-9527-8755
David PaulMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0002-6652-331X
Harvey T McMahonMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0001-8576-4541
Ian G GoodfellowDivision of Virology, Department of Pathology, University of Cambridge, Addenbrooke's Hospital, Hills Road, Cambridge, United Kingdom.ORCID 0000-0002-9483-510X
Andrew CarterMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0001-7292-5430
Sean MunroMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0001-6160-5773
Leo C JamesMRC Laboratory of Molecular Biology, Francis Crick Avenue, Cambridge, United Kingdom.ORCID 0000-0003-2131-0334
MRC Laboratory of Molecular Biology · GBUniversity of Cambridge · GB

Funding

Medical Research Council MC_U105178783Medical Research Council MC_U105181010Medical Research Council MC_UP_A025_1011Wellcome Trust 210711/Z/18/Z
6 · The paper itself

Abstract

Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infects cells by binding to the host cell receptor ACE2 and undergoing virus-host membrane fusion. Fusion is triggered by the protease TMPRSS2, which processes the viral Spike (S) protein to reveal the fusion peptide. SARS-CoV-2 has evolved a multibasic site at the S1-S2 boundary, which is thought to be cleaved by furin in order to prime S protein for TMPRSS2 processing. Here we show that CRISPR-Cas9 knockout of furin reduces, but does not prevent, the production of infectious SARS-CoV-2 virus. Comparing S processing in furin knockout cells to multibasic site mutants reveals that while loss of furin substantially reduces S1-S2 cleavage it does not prevent it. SARS-CoV-2 S protein also mediates cell-cell fusion, potentially allowing virus to spread virion-independently. We show that loss of furin in either donor or acceptor cells reduces, but does not prevent, TMPRSS2-dependent cell-cell fusion, unlike mutation of the multibasic site that completely prevents syncytia formation. Our results show that while furin promotes both SARS-CoV-2 infectivity and cell-cell spread it is not essential, suggesting furin inhibitors may reduce but not abolish viral spread.

Indexed as

Cell FusionVirus InternalizationAnimalsChlorocebus aethiopsCOVID-19CRISPR-Cas SystemsFurinGene Knockout TechniquesHEK293 CellsHumansProtein Structure, TertiarySARS-CoV-2Serine EndopeptidasesSpike Glycoprotein, CoronavirusVero CellsFurinFURIN protein, humanSerine EndopeptidasesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2TMPRSS2 protein, human

Identifiers

PMID33493182
PMCPMC7861537
OpenAlexW3124805424

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.