PMID- 35343786 OWN - NLM STAT- MEDLINE DCOM- 20220428 LR - 20240214 IS - 2150-7511 (Electronic) VI - 13 IP - 2 DP - 2022 Apr 26 TI - Viral Mimicry of Interleukin-17A by SARS-CoV-2 ORF8. PG - e0040222 LID - 10.1128/mbio.00402-22 [doi] LID - e00402-22 AB - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection triggers cytokine-mediated inflammation, leading to a myriad of clinical presentations in COVID-19. The SARS-CoV-2 open reading frame 8 (ORF8) is a secreted and rapidly evolving glycoprotein. Patients infected with SARS-CoV-2 variants with ORF8 deleted are associated with mild disease outcomes, but the molecular mechanism behind this is unknown. Here, we report that SARS-CoV-2 ORF8 is a viral cytokine that is similar to but distinct from interleukin 17A (IL-17A) as it induces stronger and broader human IL-17 receptor (hIL-17R) signaling than IL-17A. ORF8 primarily targeted blood monocytes and induced the heterodimerization of hIL-17RA and hIL-17RC, triggering a robust inflammatory response. Transcriptome analysis revealed that besides its activation of the hIL-17R pathway, ORF8 upregulated gene expression for fibrosis signaling and coagulation dysregulation. A naturally occurring ORF8 L84S variant that was highly associated with mild COVID-19 showed reduced hIL-17RA binding and attenuated inflammatory responses. This study reveals how SARS-CoV-2 ORF8 by a viral mimicry of the IL-17 cytokine contributes to COVID-19 severe inflammation. IMPORTANCE Patients infected with SARS-CoV-2 variants lacking open reading frame 8 (ORF8) have been associated with milder infection and disease outcome, but the molecular mechanism behind how this viral accessory protein mediates disease pathogenesis is not yet known. In our study, we revealed that secreted ORF8 protein mimics host IL-17 to activate IL-17 receptors A and C (IL-17RA/C) and induces a significantly stronger inflammatory response than host IL-17A, providing molecular insights into the role of ORF8 in COVID-19 pathogenesis and serving as a potential therapeutic target. FAU - Wu, Xin AU - Wu X AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Xia, Tian AU - Xia T AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Shin, Woo-Jin AU - Shin WJ AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. AD - Cleveland Clinicgrid.254293.bgrid.239578.2 Florida Research & Innovation Center, Port St. Lucie, Florida, USA. FAU - Yu, Kwang-Min AU - Yu KM AD - Center for Study of Emerging and Re-emerging Viruses, Korea Virus Research Institute, Institute for Basic Science (IBS), Daejeon, Republic of Korea. FAU - Jung, Wooram AU - Jung W AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Herrmann, Alexandra AU - Herrmann A AD - Institute for Clinical and Molecular Virology, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany. FAU - Foo, Suan-Sin AU - Foo SS AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Chen, Weiqiang AU - Chen W AUID- ORCID: 0000-0002-8840-1823 AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Zhang, Pengfei AU - Zhang P AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Lee, Jong-Soo AU - Lee JS AD - College of Veterinary Medicine, Chungnam National Universitygrid.254230.2, Daejeon, Republic of Korea. FAU - Poo, Haryoung AU - Poo H AD - Infectious Disease Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon, Republic of Korea. FAU - Comhair, Suzy A A AU - Comhair SAA AD - Respiratory Institute, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Jehi, Lara AU - Jehi L AD - Department of Neurology, Epilepsy Center, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. FAU - Choi, Young Ki AU - Choi YK AUID- ORCID: 0000-0002-0872-0147 AD - Center for Study of Emerging and Re-emerging Viruses, Korea Virus Research Institute, Institute for Basic Science (IBS), Daejeon, Republic of Korea. FAU - Ensser, Armin AU - Ensser A AUID- ORCID: 0000-0001-8873-3863 AD - Institute for Clinical and Molecular Virology, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany. FAU - Jung, Jae U AU - Jung JU AUID- ORCID: 0000-0003-4559-8774 AD - Cancer Biology Department, Infection Biology Program, and Global Center for Pathogen and Human Health Research, Lerner Research Institute, Cleveland Clinicgrid.254293.bgrid.239578.2, Cleveland, Ohio, USA. LA - eng GR - R21 DE027888/DE/NIDCR NIH HHS/United States GR - R01 AI140718/AI/NIAID NIH HHS/United States GR - R01 AI140705/AI/NIAID NIH HHS/United States GR - R35 CA200422/CA/NCI NIH HHS/United States GR - R00 DE028573/DE/NIDCR NIH HHS/United States GR - R01 DE023926/DE/NIDCR NIH HHS/United States GR - R01 CA251275/CA/NCI NIH HHS/United States GR - R01 AI152190/AI/NIAID NIH HHS/United States GR - R01 DE028521/DE/NIDCR NIH HHS/United States GR - K99 DE028573/DE/NIDCR NIH HHS/United States PT - Journal Article DEP - 20220328 PL - United States TA - mBio JT - mBio JID - 101519231 RN - 0 (IL17A protein, human) RN - 0 (Interleukin-17) RN - 0 (Viral Proteins) RN - SARS-CoV-2 variants SB - IM MH - *COVID-19 MH - Humans MH - Inflammation/genetics MH - Interleukin-17/genetics MH - Open Reading Frames MH - *SARS-CoV-2/genetics MH - Viral Proteins/metabolism PMC - PMC9040823 OTO - NOTNLM OT - COVID-19 OT - inflammation OT - viral IL-17 COIS- The authors declare no conflict of interest. EDAT- 2022/03/29 06:00 MHDA- 2022/04/29 06:00 PMCR- 2022/03/28 CRDT- 2022/03/28 12:15 PHST- 2022/03/29 06:00 [pubmed] PHST- 2022/04/29 06:00 [medline] PHST- 2022/03/28 12:15 [entrez] PHST- 2022/03/28 00:00 [pmc-release] AID - 00402-22 [pii] AID - mbio.00402-22 [pii] AID - 10.1128/mbio.00402-22 [doi] PST - ppublish SO - mBio. 2022 Apr 26;13(2):e0040222. doi: 10.1128/mbio.00402-22. Epub 2022 Mar 28.