PMID- 36769357 OWN - NLM STAT- MEDLINE DCOM- 20230214 LR - 20231106 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 3 DP - 2023 Feb 3 TI - SARS-CoV-2 Spike Protein Activates Human Lung Macrophages. LID - 10.3390/ijms24033036 [doi] LID - 3036 AB - COVID-19 is a viral disease caused by SARS-CoV-2. This disease is characterized primarily, but not exclusively, by respiratory tract inflammation. SARS-CoV-2 infection relies on the binding of spike protein to ACE2 on the host cells. The virus uses the protease TMPRSS2 as an entry activator. Human lung macrophages (HLMs) are the most abundant immune cells in the lung and fulfill a variety of specialized functions mediated by the production of cytokines and chemokines. The aim of this project was to investigate the effects of spike protein on HLM activation and the expression of ACE2 and TMPRSS2 in HLMs. Spike protein induced CXCL8, IL-6, TNF-alpha, and IL-1beta release from HLMs; promoted efficient phagocytosis; and induced dysfunction of intracellular Ca(2+) concentration by increasing lysosomal Ca(2+) content in HLMs. Microscopy experiments revealed that HLM tracking was affected by spike protein activation. Finally, HLMs constitutively expressed mRNAs for ACE2 and TMPRSS2. In conclusion, during SARS-CoV-2 infection, macrophages seem to play a key role in lung injury, resulting in immunological dysfunction and respiratory disease. FAU - Palestra, Francesco AU - Palestra F AUID- ORCID: 0000-0001-6145-7475 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. FAU - Poto, Remo AU - Poto R AUID- ORCID: 0000-0002-4723-0167 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. AD - World Allergy Organization (WAO) Center of Excellence (CoE), 80131 Naples, Italy. FAU - Ciardi, Renato AU - Ciardi R AUID- ORCID: 0000-0003-3815-426X AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. FAU - Opromolla, Giorgia AU - Opromolla G AUID- ORCID: 0000-0001-8698-0238 AD - Translational Medical and Surgical Science, University of Campania Luigi Vanvitelli, 80131 Naples, Italy. FAU - Secondo, Agnese AU - Secondo A AUID- ORCID: 0000-0001-5054-4098 AD - Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy. FAU - Tedeschi, Valentina AU - Tedeschi V AUID- ORCID: 0000-0002-6540-4730 AD - Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy. FAU - Ferrara, Anne Lise AU - Ferrara AL AUID- ORCID: 0000-0003-1839-8873 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. AD - Institute of Experimental Endocrinology and Oncology (IEOS), National Research Council, 80131 Naples, Italy. FAU - Di Crescenzo, Rosa Maria AU - Di Crescenzo RM AUID- ORCID: 0000-0003-0404-0141 AD - Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy. FAU - Galdiero, Maria Rosaria AU - Galdiero MR AUID- ORCID: 0000-0002-8086-9130 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. AD - World Allergy Organization (WAO) Center of Excellence (CoE), 80131 Naples, Italy. AD - Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, 80131 Naples, Italy. FAU - Cristinziano, Leonardo AU - Cristinziano L AUID- ORCID: 0000-0002-7835-2212 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. FAU - Modestino, Luca AU - Modestino L AUID- ORCID: 0000-0003-2063-7124 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. FAU - Marone, Gianni AU - Marone G AUID- ORCID: 0000-0002-9849-4701 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. AD - World Allergy Organization (WAO) Center of Excellence (CoE), 80131 Naples, Italy. AD - Institute of Experimental Endocrinology and Oncology (IEOS), National Research Council, 80131 Naples, Italy. AD - Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, 80131 Naples, Italy. FAU - Fiorelli, Alfonso AU - Fiorelli A AUID- ORCID: 0000-0002-0628-613X AD - Translational Medical and Surgical Science, University of Campania Luigi Vanvitelli, 80131 Naples, Italy. FAU - Varricchi, Gilda AU - Varricchi G AUID- ORCID: 0000-0002-9285-4657 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. AD - World Allergy Organization (WAO) Center of Excellence (CoE), 80131 Naples, Italy. AD - Institute of Experimental Endocrinology and Oncology (IEOS), National Research Council, 80131 Naples, Italy. AD - Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, 80131 Naples, Italy. FAU - Loffredo, Stefania AU - Loffredo S AUID- ORCID: 0000-0002-5871-1898 AD - Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, Italy. AD - World Allergy Organization (WAO) Center of Excellence (CoE), 80131 Naples, Italy. AD - Institute of Experimental Endocrinology and Oncology (IEOS), National Research Council, 80131 Naples, Italy. AD - Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, 80131 Naples, Italy. LA - eng GR - Not available/CISI Lab Project (University of Naples Federico II)/ GR - Not available/TIMING Project (Regione Campania)/ GR - Not available/Campania Bioscience (Regione Campania)/ GR - (ID. project 25123)/MIUR PRIN 2017 M8Y MR8_005 and AIRC - MFAG 2020/ PT - Journal Article DEP - 20230203 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (spike protein, SARS-CoV-2) RN - 0 (Spike Glycoprotein, Coronavirus) RN - EC 3.4.17.23 (Angiotensin-Converting Enzyme 2) SB - IM MH - Humans MH - *COVID-19/metabolism MH - Spike Glycoprotein, Coronavirus/metabolism MH - SARS-CoV-2/metabolism MH - Angiotensin-Converting Enzyme 2/metabolism MH - Lung/metabolism MH - Macrophages/metabolism PMC - PMC9917796 OTO - NOTNLM OT - ACE2 OT - COVID-19 OT - TMPRSS2 OT - cytokines OT - macrophages OT - spike protein COIS- The authors declare no conflict of interest. EDAT- 2023/02/12 06:00 MHDA- 2023/02/15 06:00 PMCR- 2023/02/03 CRDT- 2023/02/11 01:26 PHST- 2023/01/16 00:00 [received] PHST- 2023/01/30 00:00 [revised] PHST- 2023/02/01 00:00 [accepted] PHST- 2023/02/11 01:26 [entrez] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/02/15 06:00 [medline] PHST- 2023/02/03 00:00 [pmc-release] AID - ijms24033036 [pii] AID - ijms-24-03036 [pii] AID - 10.3390/ijms24033036 [doi] PST - epublish SO - Int J Mol Sci. 2023 Feb 3;24(3):3036. doi: 10.3390/ijms24033036.