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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Nat+Commun 2021 ; 12 (1): 1726 Nephropedia Template TP
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Alpha-1 antitrypsin inhibits TMPRSS2 protease activity and SARS-CoV-2 infection #MMPMID33741941
Nat Commun 2021[Mar]; 12 (1): 1726 PMID33741941show ga
SARS-CoV-2 is a respiratory pathogen and primarily infects the airway epithelium. As our knowledge about innate immune factors of the respiratory tract against SARS-CoV-2 is limited, we generated and screened a peptide/protein library derived from bronchoalveolar lavage for inhibitors of SARS-CoV-2 spike-driven entry. Analysis of antiviral fractions revealed the presence of alpha(1)-antitrypsin (alpha(1)AT), a highly abundant circulating serine protease inhibitor. Here, we report that alpha(1)AT inhibits SARS-CoV-2 entry at physiological concentrations and suppresses viral replication in cell lines and primary cells including human airway epithelial cultures. We further demonstrate that alpha(1)AT binds and inactivates the serine protease TMPRSS2, which enzymatically primes the SARS-CoV-2 spike protein for membrane fusion. Thus, the acute phase protein alpha(1)AT is an inhibitor of TMPRSS2 and SARS-CoV-2 entry, and may play an important role in the innate immune defense against the novel coronavirus. Our findings suggest that repurposing of alpha(1)AT-containing drugs has prospects for the therapy of COVID-19.