Evidence map›Paper›PMID 37555660›Full record

ArticleJournal of virology2023

SARS-CoV-2 Omicron entry is type II transmembrane serine protease-mediated in human airway and intestinal organoid models.

Anna Z Mykytyn, Tim I Breugem, Maarten H Geurts, Joep Beumer, Debby Schipper, Romy van Acker, Petra B van den Doel, Martin E van Royen, Jingshu Zhang, Hans Clevers and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of virology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
9.1field-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

37 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. TMPRSS2-mediated coronavirus spike activation and inhibition.Nature structural & molecular biology · 2026
    Article
  7. Integrated Evaluation ofPharmaceuticals (Basel, Switzerland) · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. An orally available MNature communications · 2025
    Article
  18. Article
  19. Article
  20. Article
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 3 institutions in 2 countries.

Anna Z MykytynViroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.ORCID 0000-0001-7188-6871
Tim I BreugemViroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.
Maarten H GeurtsOncode Institute, Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences and University Medical Center , Amsterdam, the Netherlands.
Joep BeumerOncode Institute, Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences and University Medical Center , Amsterdam, the Netherlands.
Debby SchipperViroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.
Romy van AckerViroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.
Petra B van den DoelViroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.
Martin E van RoyenDepartment of Pathology, Erasmus University Medical Center , Rotterdam, the Netherlands.
Jingshu ZhangViroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.
Hans CleversOncode Institute, Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences and University Medical Center , Amsterdam, the Netherlands.
Bart L Haagmans *Viroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.ORCID 0000-0001-6221-2015
Mart M Lamers *Viroscience Department, Erasmus Medical Center , Rotterdam, the Netherlands.ORCID 0000-0002-1431-4022
Royal Netherlands Academy of Arts and Sciences · NLDuke-NUS Medical School · SGErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 can enter cells after its spike protein is cleaved by either type II transmembrane serine proteases (TTSPs), like TMPRSS2, or cathepsins. It is now widely accepted that the Omicron variant uses TMPRSS2 less efficiently and instead enters cells via cathepsins, but these findings have yet to be verified in more relevant cell models. Although we could confirm efficient cathepsin-mediated entry for Omicron in a monkey kidney cell line, experiments with protease inhibitors showed that Omicron (BA.1 and XBB1.5) did not use cathepsins for entry into human airway organoids and instead utilized TTSPs. Likewise, CRISPR-edited intestinal organoids showed that entry of Omicron BA.1 relied on the expression of the serine protease TMPRSS2 but not cathepsin L or B. Together, these data force us to rethink the concept that Omicron has adapted to cathepsin-mediated entry and indicate that TTSP inhibitors should not be dismissed as prophylactic or therapeutic antiviral strategy against SARS-CoV-2. IMPORTANCE Coronavirus entry relies on host proteases that activate the viral fusion protein, spike. These proteases determine the viral entry route, tropism, host range, and can be attractive drug targets. Whereas earlier studies using cell lines suggested that the Omicron variant of SARS-CoV-2 has changed its protease usage, from cell surface type II transmembrane serine proteases (TTSPs) to endosomal cathepsins, we report that this is not the case in human airway and intestinal organoid models, suggesting that host TTSP inhibition is still a viable prophylactic or therapeutic antiviral strategy against current SARS-CoV-2 variants and highlighting the importance of relevant human

Indexed as

Serine ProteasesAntiviral AgentsCOVID-19HumansSARS-CoV-2Serine EndopeptidasesSpike Glycoprotein, CoronavirusVirus InternalizationAntiviral AgentsSerine EndopeptidasesSerine ProteasesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2TMPRSS2 protein, humanairway organoidscathepsincoronavirusCRISPR/Cas9intestinal organoidsOmicronSARS-CoV-2serine proteaseTMPRSS2

Identifiers

PMID37555660
PMCPMC10506477
OpenAlexW4385684131

What OpenQuestion holds

Textmetadata
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.