Evidence map›Paper›PMID 33563656›Full record

ArticleJournal of virology2021

The Polybasic Cleavage Site in SARS-CoV-2 Spike Modulates Viral Sensitivity to Type I Interferon and IFITM2.

Helena Winstone, Maria Jose Lista, Alisha C Reid, Clement Bouton, Suzanne Pickering, Rui Pedro Galao, Claire Kerridge, Katie J Doores, Chad M Swanson, Stuart J D Neil

Open access · hybridAbstract read
In one paragraph

Article in Journal of virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
9.4field-weighted citation impact, top 2% 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

112 citing papers in PubMed, 156 citations in OpenAlex.

  1. Trial
  2. Review
  3. TMPRSS2-mediated coronavirus spike activation and inhibition.Nature structural & molecular biology · 2026
    Article
  4. 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
    Article
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52 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

10 authors at 1 institution in 1 country.

Helena Winstone *Department of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Maria Jose Lista *Department of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Alisha C ReidDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Clement BoutonDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Suzanne PickeringDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Rui Pedro GalaoDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Claire KerridgeDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Katie J DooresDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.
Chad M SwansonDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom.ORCID 0000-0002-6650-3634
Stuart J D NeilDepartment of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom stuart.neil@kcl.ac.uk.ORCID 0000-0003-3306-5831
King's College London · GB

Funding

Medical Research Council MC_PC_14105Medical Research Council MC_PC_15068Medical Research Council MC_PC_19041Medical Research Council MR/S000844/1Wellcome Trust 207442/Z/17/Z
6 · The paper itself

Abstract

The cellular entry of severe acute respiratory syndrome-associated coronaviruses types 1 and 2 (SARS-CoV-1 and -2) requires sequential protease processing of the viral spike glycoprotein. The presence of a polybasic cleavage site in SARS-CoV-2 spike at the S1/S2 boundary has been suggested to be a factor in the increased transmissibility of SARS-CoV-2 compared to SARS-CoV-1 by facilitating maturation of the spike precursor by furin-like proteases in the producer cells rather than endosomal cathepsins in the target. We investigate the relevance of the polybasic cleavage site in the route of entry of SARS-CoV-2 and the consequences this has for sensitivity to interferons (IFNs) and, more specifically, the IFN-induced transmembrane (IFITM) protein family that inhibit entry of diverse enveloped viruses. We found that SARS-CoV-2 is restricted predominantly by IFITM2, rather than IFITM3, and the degree of this restriction is governed by route of viral entry. Importantly, removal of the cleavage site in the spike protein renders SARS-CoV-2 entry highly pH and cathepsin dependent in late endosomes, where, like SARS-CoV-1 spike, it is more sensitive to IFITM2 restriction. Furthermore, we found that potent inhibition of SARS-CoV-2 replication by type I but not type II IFNs is alleviated by targeted depletion of IFITM2 expression. We propose that the polybasic cleavage site allows SARS-CoV-2 to mediate viral entry in a pH-independent manner, in part to mitigate against IFITM-mediated restriction and promote replication and transmission. This suggests that therapeutic strategies that target furin-mediated cleavage of SARS-CoV-2 spike may reduce viral replication through the activity of type I IFNs.

Indexed as

ProteolysisVirus InternalizationVirus ReplicationA549 CellsHumansInterferon Type IMembrane ProteinsSARS-CoV-2Spike Glycoprotein, CoronavirusIFITM2 protein, humanInterferon Type IMembrane ProteinsSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2furin cleavageIFITM2innate immunitySARS-CoV-2spiketype 1 interferon

Identifiers

PMID33563656
PMCPMC8104117
OpenAlexW3128348678

What OpenQuestion holds

Textmetadata
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.