Evidence map›Paper›PMID 38514841›Full record

ArticleNature cell biology2024

ACE2-dependent and -independent SARS-CoV-2 entries dictate viral replication and inflammatory response during infection.

Tianhao Duan, Changsheng Xing, Junjun Chu, Xiangxue Deng, Yang Du, Xin Liu, Yuzhou Hu, Chen Qian, Bingnan Yin, Helen Y Wang and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature cell biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
18.3field-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

30 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Targeting PANoptosis: a promising therapeutic strategy for ALI/ARDS.Apoptosis : an international journal on programmed cell death · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Molecular mechanisms of SARS-CoV-2 entry: implications for biomedical strategies.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  13. Article
  14. SARS-CoV-2 uptake and inflammatory response in senescent endothelial cells are regulated by the BSG/VEGFR2 pathway.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. TScience advances · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Review
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

11 authors at 1 institution in 1 country.

Tianhao Duan *Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-1737-6114
Changsheng Xing *Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Junjun Chu *Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-4916-5506
Xiangxue DengDepartment of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Yang DuDepartment of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Xin LiuDepartment of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-7949-1436
Yuzhou HuDepartment of Molecular Microbiology and Immunology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Chen QianDepartment of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0009-0006-2281-0719
Bingnan YinDepartment of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Helen Y WangDepartment of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Rong-Fu WangDepartment of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. rongfuwa@usc.edu.ORCID 0000-0002-8834-2763
University of Southern California · US

Funding

Transport Oncophysics CoreU54CA210181 · NCI · METHODIST HOSPITAL RESEARCH INSTITUTE · PI SHEN, HAIFA · 2016 to 2020
$9.3M
Novel Strategies for Intervention of Inflammatory Diseases and Cancer - Research Supplement to R01-CA101795R01CA101795 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI WANG, RONGFU · 2004 to 2022
$4.6M
CD4+ T cells and neoantigens in melanoma immunotherapy.R01CA246547 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI WANG, RONGFU · 2021 to 2025
$3.1M
U.S. Department of Defense (United States Department of Defense) BC151081U.S. Department of Defense (United States Department of Defense) LC200368U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA101795U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA246547U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U54CA210181
6 · The paper itself

Abstract

Excessive inflammation is the primary cause of mortality in patients with severe COVID-19, yet the underlying mechanisms remain poorly understood. Our study reveals that ACE2-dependent and -independent entries of SARS-CoV-2 in epithelial cells versus myeloid cells dictate viral replication and inflammatory responses. Mechanistically, SARS-CoV-2 NSP14 potently enhances NF-κB signalling by promoting IKK phosphorylation, while SARS-CoV-2 ORF6 exerts an opposing effect. In epithelial cells, ACE2-dependent SARS-CoV-2 entry enables viral replication, with translated ORF6 suppressing NF-κB signalling. In contrast, in myeloid cells, ACE2-independent entry blocks the translation of ORF6 and other viral structural proteins due to inefficient subgenomic RNA transcription, but NSP14 could be directly translated from genomic RNA, resulting in an abortive replication but hyperactivation of the NF-κB signalling pathway for proinflammatory cytokine production. Importantly, we identified TLR1 as a critical factor responsible for viral entry and subsequent inflammatory response through interaction with E and M proteins, which could be blocked by the small-molecule inhibitor Cu-CPT22. Collectively, our findings provide molecular insights into the mechanisms by which strong viral replication but scarce inflammatory response during the early (ACE2-dependent) infection stage, followed by low viral replication and potent inflammatory response in the late (ACE2-independent) infection stage, may contribute to COVID-19 progression.

Indexed as

COVID-19SARS-CoV-2Angiotensin-Converting Enzyme 2Host-Parasite InteractionsHumansNF-kappa BVirus ReplicationACE2 protein, humanAngiotensin-Converting Enzyme 2NF-kappa B

Identifiers

PMID38514841
OpenAlexW4393043600

What OpenQuestion holds

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Registered trials

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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.