PMID- 36555121 OWN - NLM STAT- MEDLINE DCOM- 20230103 LR - 20230103 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 24 DP - 2022 Dec 7 TI - SARS-CoV-2 Spike Protein Induces Hemagglutination: Implications for COVID-19 Morbidities and Therapeutics and for Vaccine Adverse Effects. LID - 10.3390/ijms232415480 [doi] LID - 15480 AB - Experimental findings for SARS-CoV-2 related to the glycan biochemistry of coronaviruses indicate that attachments from spike protein to glycoconjugates on the surfaces of red blood cells (RBCs), other blood cells and endothelial cells are key to the infectivity and morbidity of COVID-19. To provide further insight into these glycan attachments and their potential clinical relevance, the classic hemagglutination (HA) assay was applied using spike protein from the Wuhan, Alpha, Delta and Omicron B.1.1.529 lineages of SARS-CoV-2 mixed with human RBCs. The electrostatic potential of the central region of spike protein from these four lineages was studied through molecular modeling simulations. Inhibition of spike protein-induced HA was tested using the macrocyclic lactone ivermectin (IVM), which is indicated to bind strongly to SARS-CoV-2 spike protein glycan sites. The results of these experiments were, first, that spike protein from these four lineages of SARS-CoV-2 induced HA. Omicron induced HA at a significantly lower threshold concentration of spike protein than the three prior lineages and was much more electropositive on its central spike protein region. IVM blocked HA when added to RBCs prior to spike protein and reversed HA when added afterward. These results validate and extend prior findings on the role of glycan bindings of viral spike protein in COVID-19. They furthermore suggest therapeutic options using competitive glycan-binding agents such as IVM and may help elucidate rare serious adverse effects (AEs) associated with COVID-19 mRNA vaccines, which use spike protein as the generated antigen. FAU - Boschi, Celine AU - Boschi C AD - MEPHI, Aix-Marseille Universite, Institut de Recherche Pour le Developpement (IRD), Assistance Publique-Hopitaux de Marseille (AP-HM), IHU Mediterranee Infection, 13005 Marseille, France. FAU - Scheim, David E AU - Scheim DE AUID- ORCID: 0000-0001-6841-7054 AD - US Public Health Service, Commissioned Officer, Inactive Reserve, Blacksburg, VA 24060, USA. FAU - Bancod, Audrey AU - Bancod A AD - MEPHI, Aix-Marseille Universite, Institut de Recherche Pour le Developpement (IRD), Assistance Publique-Hopitaux de Marseille (AP-HM), IHU Mediterranee Infection, 13005 Marseille, France. FAU - Militello, Muriel AU - Militello M AD - MEPHI, Aix-Marseille Universite, Institut de Recherche Pour le Developpement (IRD), Assistance Publique-Hopitaux de Marseille (AP-HM), IHU Mediterranee Infection, 13005 Marseille, France. FAU - Bideau, Marion Le AU - Bideau ML AD - MEPHI, Aix-Marseille Universite, Institut de Recherche Pour le Developpement (IRD), Assistance Publique-Hopitaux de Marseille (AP-HM), IHU Mediterranee Infection, 13005 Marseille, France. FAU - Colson, Philippe AU - Colson P AUID- ORCID: 0000-0001-6285-0308 AD - MEPHI, Aix-Marseille Universite, Institut de Recherche Pour le Developpement (IRD), Assistance Publique-Hopitaux de Marseille (AP-HM), IHU Mediterranee Infection, 13005 Marseille, France. FAU - Fantini, Jacques AU - Fantini J AUID- ORCID: 0000-0001-8653-5521 AD - INSERM UMR S 1072, Aix-Marseille Universite, 13015 Marseille, France. FAU - Scola, Bernard La AU - Scola B AUID- ORCID: 0000-0001-8006-7704 AD - MEPHI, Aix-Marseille Universite, Institut de Recherche Pour le Developpement (IRD), Assistance Publique-Hopitaux de Marseille (AP-HM), IHU Mediterranee Infection, 13005 Marseille, France. LA - eng GR - 10-IAHU-03/This work was supported by the French Government under the "Investments for the Future" programme managed by the National Agency for Research (ANR), Mediterranee-Infection 10-IAHU-03/ PT - Journal Article DEP - 20221207 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Antibodies, Viral) RN - 0 (Spike Glycoprotein, Coronavirus) RN - 0 (spike protein, SARS-CoV-2) RN - 0 (COVID-19 Vaccines) SB - IM MH - Humans MH - Antibodies, Viral MH - *COVID-19 MH - Endothelial Cells MH - *Hemagglutination MH - SARS-CoV-2 MH - *Spike Glycoprotein, Coronavirus MH - *COVID-19 Vaccines/adverse effects PMC - PMC9779393 OTO - NOTNLM OT - CD147 OT - COVID-19 OT - SARS-CoV-2 OT - electrostatic charge OT - glycophorin A OT - hemagglutination OT - sialic acid OT - spike protein COIS- The authors declare no conflict of interest. EDAT- 2022/12/24 06:00 MHDA- 2022/12/27 06:00 PMCR- 2022/12/07 CRDT- 2022/12/23 01:32 PHST- 2022/11/25 00:00 [received] PHST- 2022/12/02 00:00 [revised] PHST- 2022/12/03 00:00 [accepted] PHST- 2022/12/23 01:32 [entrez] PHST- 2022/12/24 06:00 [pubmed] PHST- 2022/12/27 06:00 [medline] PHST- 2022/12/07 00:00 [pmc-release] AID - ijms232415480 [pii] AID - ijms-23-15480 [pii] AID - 10.3390/ijms232415480 [doi] PST - epublish SO - Int J Mol Sci. 2022 Dec 7;23(24):15480. doi: 10.3390/ijms232415480.