Evidence map›Paper›PMID 34937699›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

SARS-CoV-2 spreads through cell-to-cell transmission.

Cong Zeng, John P Evans, Tiffany King, Yi-Min Zheng, Eugene M Oltz, Sean P J Whelan, Linda J Saif, Mark E Peeples, Shan-Lu Liu

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed
–field-weighted citation impact
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

151 citing papers in PubMed.

  1. Article
  2. Viral syncytia evolve to resist interferon.Nature communications · 2026
    Article
  3. Extra gene coding capacity of SARS-CoV-2 provides a virus engineering platform for in vitro and in vivo applications.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Spike destabilization attenuates Mink Cluster 5 SARS-CoV-2.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Spatially structured models of viral dynamics: a scoping review.Microbiology and molecular biology reviews : MMBR · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Direct Intercellular Transport Mode of Filovirus Nucleocapsids.International journal of molecular sciences · 2025
    Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Cong ZengCenter for Retrovirus Research, The Ohio State University, Columbus, OH 43210.ORCID https://orcid.org/0000-0003-4423-3634
John P EvansCenter for Retrovirus Research, The Ohio State University, Columbus, OH 43210.ORCID https://orcid.org/0000-0001-8644-5825
Tiffany KingCenter for Vaccines and Immunity, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH 43205.
Yi-Min ZhengCenter for Retrovirus Research, The Ohio State University, Columbus, OH 43210.
Eugene M OltzDepartment of Microbial Infection and Immunity, The Ohio State University College of Medicine, Columbus, OH 43210.
Sean P J WhelanDepartment of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO 63110.ORCID https://orcid.org/0000-0003-1564-8590
Linda J SaifCenter for Food Animal Health, Animal Sciences Department, Ohio Agricultural Research and Development Center, College of Food, Agricultural, and Environmental Sciences, The Ohio State University, Wooster, OH 44691.ORCID https://orcid.org/0000-0002-3224-9009
Mark E PeeplesCenter for Vaccines and Immunity, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH 43205.ORCID https://orcid.org/0000-0002-4582-317X
Shan-Lu LiuCenter for Retrovirus Research, The Ohio State University, Columbus, OH 43210; liu.6244@osu.edu.ORCID https://orcid.org/0000-0003-1620-3817

Funding

Project 3: Responding to Changing Serological and Viral Information around COVID-19 (RESPOND)U54CA260582 · NCI · OHIO STATE UNIVERSITY · PI MCALEARNEY, ANN SCHECK, OLTZ, EUGENE M · 2020 to 2024
$10.4M
High Precision System Analysis of Infant Immune ResponsesU01AI131386 · NIAID · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMILO, OCTAVIO, SANCHEZ, PABLO J · 2017 to 2021
$6.3M
The impact of vitamin A on the gut-mammary gland-secretory IgA axis during enteric viral infectionsR01HD095881 · NICHD · OHIO STATE UNIVERSITY · PI SAIF, LINDA J., VLASOVA, ANASTASIA NICKOLAEVNA · 2018 to 2022
$2.3M
IFITM-mediated Inhibition of HIV Infection and Viral CountermeasuresR01AI112381 · NIAID · UNIVERSITY OF MISSOURI-COLUMBIA · PI LIU, SHAN-LU · 2014 to 2018
$1.7M
TIM-mediated Inhibition of HIV Release: Cooperation with SERINC and Antagonism by NefR01AI150473 · NIAID · OHIO STATE UNIVERSITY · PI LIU, SHAN-LU · 2019 to 2021
$995k
NCI NIH HHS U54 CA260582NIAID NIH HHS R01 AI112381NIAID NIH HHS R01 AI150473NIAID NIH HHS U01 AI131386NICHD NIH HHS R01 HD095881
6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly transmissible coronavirus responsible for the global COVID-19 pandemic. Herein, we provide evidence that SARS-CoV-2 spreads through cell-cell contact in cultures, mediated by the spike glycoprotein. SARS-CoV-2 spike is more efficient in facilitating cell-to-cell transmission than is SARS-CoV spike, which reflects, in part, their differential cell-cell fusion activity. Interestingly, treatment of cocultured cells with endosomal entry inhibitors impairs cell-to-cell transmission, implicating endosomal membrane fusion as an underlying mechanism. Compared with cell-free infection, cell-to-cell transmission of SARS-CoV-2 is refractory to inhibition by neutralizing antibody or convalescent sera of COVID-19 patients. While angiotensin-converting enzyme 2 enhances cell-to-cell transmission, we find that it is not absolutely required. Notably, despite differences in cell-free infectivity, the authentic variants of concern (VOCs) B.1.1.7 (alpha) and B.1.351 (beta) have similar cell-to-cell transmission capability. Moreover, B.1.351 is more resistant to neutralization by vaccinee sera in cell-free infection, whereas B.1.1.7 is more resistant to inhibition by vaccinee sera in cell-to-cell transmission. Overall, our study reveals critical features of SARS-CoV-2 spike-mediated cell-to-cell transmission, with important implications for a better understanding of SARS-CoV-2 spread and pathogenesis.

Indexed as

Virus InternalizationAngiotensin-Converting Enzyme 2AnimalsAntibodies, NeutralizingAntibodies, ViralCell FusionChlorocebus aethiopsCOVID-19COVID-19 SerotherapyHEK293 CellsHumansImmunization, PassiveSARS-CoV-2Spike Glycoprotein, CoronavirusVero CellsACE2 protein, humanAngiotensin-Converting Enzyme 2Antibodies, NeutralizingAntibodies, ViralSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2cell–cell fusioncell-to-cell transmissionneutralizationSARS-CoV-2variants of concern

Identifiers

PMID34937699
PMCPMC8740724

What OpenQuestion holds

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LicenceCC BY
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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.