PMID- 34579572 OWN - NLM STAT- MEDLINE DCOM- 20211129 LR - 20211129 IS - 2150-7511 (Electronic) VI - 12 IP - 5 DP - 2021 Oct 26 TI - Antibody-Dependent Enhancement of SARS-CoV-2 Infection Is Mediated by the IgG Receptors FcgammaRIIA and FcgammaRIIIA but Does Not Contribute to Aberrant Cytokine Production by Macrophages. PG - e0198721 LID - 10.1128/mBio.01987-21 [doi] LID - e01987-21 AB - The coronavirus disease 2019 (COVID-19) pandemic has raised concerns about the detrimental effects of antibodies. Antibody-dependent enhancement (ADE) of infection is one of the biggest concerns in terms of not only the antibody reaction to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) upon reinfection with the virus but also the reaction to COVID-19 vaccines. In this study, we evaluated ADE of infection by using COVID-19 convalescent-phase plasma and BHK cells expressing human Fcgamma receptors (FcgammaRs). We found that FcgammaRIIA and FcgammaRIIIA mediated modest ADE of infection against SARS-CoV-2. Although ADE of infection was observed in monocyte-derived macrophages infected with SARS-CoV-2, including its variants, proinflammatory cytokine/chemokine expression was not upregulated in macrophages. SARS-CoV-2 infection thus produces antibodies that elicit ADE of infection, but these antibodies do not contribute to excess cytokine production by macrophages. IMPORTANCE Viruses infect cells mainly via specific receptors at the cell surface. Antibody-dependent enhancement (ADE) of infection is an alternative mechanism of infection for viruses to infect immune cells that is mediated by antibodies and IgG receptors (FcgammaRs). Because ADE of infection contributes to the pathogenesis of some viruses, such as dengue virus and feline coronavirus, it is important to evaluate the precise mechanism of ADE and its contribution to the pathogenesis of SARS-CoV-2. Here, using convalescent-phase plasma from COVID-19 patients, we found that two types of FcgammaRs, FcgammaRIIA and FcgammaRIIIA, mediate ADE of SARS-CoV-2 infection. Although ADE of infection was observed for SARS-CoV-2 and its recent variants, proinflammatory cytokine production in monocyte-derived macrophages was not upregulated. These observations suggest that SARS-CoV-2 infection produces antibodies that elicit ADE of infection, but these antibodies may not be involved in aberrant cytokine release by macrophages during SARS-CoV-2 infection. FAU - Maemura, Tadashi AU - Maemura T AD - Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA. AD - Division of Virology, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan. FAU - Kuroda, Makoto AU - Kuroda M AD - Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA. FAU - Armbrust, Tammy AU - Armbrust T AD - Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA. FAU - Yamayoshi, Seiya AU - Yamayoshi S AUID- ORCID: 0000-0001-7768-5157 AD - Division of Virology, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan. AD - The Research Center for Global Viral Diseases, National Center for Global Health and Medicine Research Institute, Tokyo, Japan. FAU - Halfmann, Peter J AU - Halfmann PJ AD - Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA. FAU - Kawaoka, Yoshihiro AU - Kawaoka Y AUID- ORCID: 0000-0001-5061-8296 AD - Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA. AD - Division of Virology, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan. AD - The Research Center for Global Viral Diseases, National Center for Global Health and Medicine Research Institute, Tokyo, Japan. AD - Department of Special Pathogens, International Research Center for Infectious Diseases, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan. LA - eng GR - HHSN272201400008C/AI/NIAID NIH HHS/United States GR - JP21wm0125002/Japan Agency for Medical Research and Development (AMED)/ GR - JP20fk0108527/Japan Agency for Medical Research and Development (AMED)/ PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20210928 PL - United States TA - mBio JT - mBio JID - 101519231 RN - 0 (Cytokines) RN - 0 (FCGR3A protein, human) RN - 0 (Fc gamma receptor IIA) RN - 0 (Receptors, IgG) SB - IM MH - Animals MH - Antibody-Dependent Enhancement/physiology MH - Cell Line MH - Cricetinae MH - Cytokines/*metabolism MH - Humans MH - Macrophages/*metabolism MH - Real-Time Polymerase Chain Reaction MH - Receptors, IgG/genetics/*metabolism MH - SARS-CoV-2/*pathogenicity PMC - PMC8546849 OTO - NOTNLM OT - ADE OT - COVID-19 OT - FcgammaRIIA OT - FcgammaRIIIA OT - SARS-CoV-2 OT - antibody-dependent enhancement OT - macrophages EDAT- 2021/09/29 06:00 MHDA- 2021/11/30 06:00 PMCR- 2021/09/28 CRDT- 2021/09/28 05:29 PHST- 2021/09/29 06:00 [pubmed] PHST- 2021/11/30 06:00 [medline] PHST- 2021/09/28 05:29 [entrez] PHST- 2021/09/28 00:00 [pmc-release] AID - mBio01987-21 [pii] AID - mbio.01987-21 [pii] AID - 10.1128/mBio.01987-21 [doi] PST - ppublish SO - mBio. 2021 Oct 26;12(5):e0198721. doi: 10.1128/mBio.01987-21. Epub 2021 Sep 28.