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Human PBMCs Form Lipid Droplets in Response to Spike Proteins

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22 July 2023

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25 July 2023

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Abstract
Intracellular lipid droplets (LDs) can occur in response to inflammation, metabolic stresses, and other physiological/pathological processes. Herein, we investigated whether spike proteins of SARS-CoV-2 induce LDs in human peripheral blood mononuclear cells (PBMCs) and in pulmonary microvascular endothelial cells (HPMEC). PBMCs or HPMEC were incubated alone or with endotoxin-free recombinant variants of trimeric spike glycoproteins (Alpha, Beta, Delta, and Omicron, 12 µg/ml). Afterwards, cells were stained with Oil Red O for LDs, cytokine release was determined by ELISA, and the gene expression was analyzed by real-time PCR using TaqMan assays. Our data show that spikes induce LDs in PBMCs but not in HPMEC. In line, in PBMCs spike proteins lower expression of genes involving lipid metabolism and LDs formation, such as SREBF1, HMGCS1, LDLR, and CD36. On the other hand, PBMCs exposed to spikes for 6 or 18 h did not increase in IL-1β, IL-6, IL-8, MCP-1, and TNFα release or expression as compared to non-treated controls. Thus, spike-induced LDs formation in PBMCs seems to be not related to cell inflammatory activation. Further detailed studies are warranted to investigate in which specific immune cells spikes induce LDs, and what are pathophysiological mechanisms and consequences of this induction in vivo.
Keywords: 
Subject: Biology and Life Sciences  -   Life Sciences

1. Introduction

Lipid droplets (LDs) are cytoplasmic organelles coated by structural proteins, perilipins and phospholipids, which covering a hydrophobic core composed by triacylglycerol and cholesteryl esters, and a variable content of proteins [1]. The accumulation of LDs within non-adipocyte cells, such as leukocytes, epithelial and endothelial cells, hepatocytes, and cancer, has been reported. According to the current knowledge, LDs are not only fat storing intracellular structures but also players in cell signaling, lipid metabolism, membrane trafficking, and in the production of inflammatory mediators [2]. LDs have also been linked to protein storage, for instance a temporal storage of unfolded membrane proteins before proteasomal degradation [3].
Lipid droplet biogenesis is a regulated process that involves various cellular and molecular mechanisms, like increased lipid uptake, de novo lipid synthesis and lipolysis. Nevertheless, mechanisms involved in LD formation are still not completely understood [4]. Various pathogen-associated molecular patterns, including lipopolysaccharide (LPS), can induce LDs. For example, LPS triggers LD formation in macrophages [5] and endothelial cell [6]. Recent studies demonstrate that type II pneumocytes and monocytes from COVID-19 patients are characterized by the pronounced accumulation of LDs [7], and that in multiple cell lines severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) induces LD accumulation to benefit viral replication [8,9]. However, how SARS-CoV-2 triggers LD accumulation remains unknown.
SARS-CoV-2 virus contains four structural proteins namely the spike, membrane, envelope, and nucleocapsid proteins. The trimer spike (S) glycoprotein is a sole SARS-CoV-2 viral membrane protein that binds to the angiotensin-converting enzyme 2 receptor on the target cell and mediates virus-cell fusion [10,11]. Typically, virions are decorated with 25-50 spike trimers although others can contain more than 90 trimers [12] which are very immunogenic [13]. As spike is the most immunogenic of coronaviruses proteins, it is in a major focus for vaccine, therapeutic and diagnostic development. New study reported that spike protein interferes with metabolic and autophagic pathways in host cells [14,15], and thus might affect LD formation. Herein, we aimed to investigate whether recombinant trimeric spike glycoproteins can induce LDs in human total peripheral blood mononuclear cells (PBMCs) and/or in lung microvascular endothelial cells (HPMEC).

2. Materials and Methods

2.1. Spike proteins

The widely spread SARS-CoV-2 variants were designated as Alpha (B.1.1.7), Beta (B.1.351), Gamma (P.1), Delta (B.1.617.2), and Omicron (B.1.1.529). We employed highly purified and endotoxin-free trimeric SARS-CoV-2 spike variants engineered for a high-yield production by ExcellGene, to be used for research hand the development of novel vaccines [16]. Secreted forms of a trimeric spike protein variants were produced in CHO cells based on the CHO-vector pXLG-6 by ExcellGene SA as described previously [17]. LAL (limulus amebocyte lysate) assay was used to detect bacterial endotoxins in proteins (Pierce™ chromogenes Endotoxin Quant Kit, Thermo Fisher Scientific, Rockford, USA).

2.2. PBMC isolation, treatments, and cytokine/chemokine analyses

PBMCs were isolated from fresh peripheral human donor blood by using Lymphosep (PL-15-M, c.c.pro, Oberdorla, Germany) discontinuous gradient centrifugation according to the protocol of the manufacturer. Isolated total PBMCs were suspended in serum-free RPMI Medium 1640 (Gibco/Thermo Fisher Scientific, Paisley, UK), and were incubated for 6 or 18 h alone or with spikes (12 µg/mL each) in multiwell plates with cell-repellent surface (Greiner Bio-One GmbH, Frickenhausen, Germany) at 37°C with 5% CO2. Cell supernatants were used for ELISA-based quantitative analysis of IL-1β (DY201, sensitivity: 3.91-250 pg/mL), TNF-α (DY210, sensitivity: 15.6-1000 pg/mL), IL-6 (DY206, sensitivity: 9.38-600 pg/mL), IL-8 (DY208, sensitivity: 31.2-2000 pg/mL), and CCL2/MCP-1 (DY279, Sensitivity: 15.6-1000 pg/mL). ELISA kits were purchased from R&D Systems (Minneapolis, US). Microplate reader Tecan Infinite M200 (Männedorf, Switzerland).

2.3. Primary human pulmonary microvascular endothelial cell culture

Human pulmonary microvascular endothelial cells (HPMEC; Promocell, Heidelberg, Germany) were cultured in MV-2 endothelial cell growth medium (Promocell) at 37°C with 5% CO2. HPMEC (passages 4–6, at 70–90% confluence) were incubated for 6 or 18 h alone or with spikes (12 µg/mL). Experiments were performed in serum-free cell growth medium.

2.4. Oil red O staining

Total PBMCs or HPMEC were incubated for determined time points on coverslips alone or with spikes (12 µg/mL) for 18 h. Afterwards, cells were fixed with 3% paraformaldehyde and stained with Oil Red O (O-0625, Sigma-Aldrich, Missouri, USA) for LDs and with hematoxylin for the nuclei. Number of cells positive for LDs were counted manually and the percentage was calculated based on the total number of cells per field (for each condition 10 different fields were evaluated). Images were taken at 1000-fold magnification using a 100× oil immersion objective (Leica, Germany).

2.5. RNA isolation and gene expression analysis by RT-PCR

Human PBMCs cultured for 6 h without or with addition on spikes (as above) were collected for gene expression analysis. Total RNA isolation, cDNA synthesis and target gene analysis were performed as previously described [18]. The following primers were purchased from Thermo Fisher Scientific: CD36 (Hs00169627_m1), PLIN2 (Hs00605340_m1), DDIT3 (Hs00358796_g1), CXCL8 (Hs00174103_m1), IL1B (Hs01555410_m1), TNFA (Hs00174128_m1), CCL2 (Hs00234140_m1), IL6 (Hs00985639_m1), SREBF1 (Hs01088691_m1), LDLR (Hs01092524_m1), HMGCS1 (Hs00266810_m1). HPRT1 (Hs02800695_m1) was used as a housekeeping gene in the same run. The measured gene expression was calculated according to the method 2∆Ct (Ct value of target gene − Ct value of reference gene).

2.6. Statistical analysis

Statistical analysis and graphical data presentation of ELISA and RT-PCR were performed by using GraphPad Prism (Version 9.1.2 (226), GraphPad Software). The one-way ANOVA was applied to compare between groups. Data were presented as mean and standard deviation if the normality test did not fail. If the normality test failed, the nonparametric Kruskal-Wallis one-way analysis followed by Mann-Whitney rank-sum test was performed. A p-value below 0.05 was considered as significant.

3. Results

3.1. Spike proteins are endotoxin free and do not induce cytokine/chemokine release and expression in PBMCs

Previous studies reported that spike proteins contaminated with LPS are pro-inflammatory [19] and that LPS can induce LD formation [6]. According to LAL assay, in all spike variants endotoxin levels were below detection limits. In concordance, in supernatants of PBMCs treated with spikes, the levels of all analyzed pro-inflammatory cytokines/chemokines (IL-1β, TNF-α, IL-6, IL-8, and CCL2/MCP-1) were below detection limits of ELISA assays (data not shown). As illustrated in Figure 1, these spike variants had no significant effects on the expression of analyzed cytokines/chemokines.

3.2. Spike proteins induce lipid droplet (LD) formation in PBMCs

As shown in Figure 2A,B, spike variants added to total PBMCs for 18 h to different extend induced LD formation. Notably, spike “Beta” showed lowers effect on LDs as compared to other variants. By contrast, spikes did not induce LD formation in HPMEC (Figure 2C) and we did not perform further analyses with these cells.
In parallel to LD formation, the expression of genes related to lipid-metabolism, such as sterol regulatory element-binding transcription factor 1 (SREBF1), 3-Hydroxy-3-Methylglutaryl-CoA Synthase 1 (HMGCS1), low-density lipoprotein receptor (LDLR) and DNA damage-inducible transcript 3 (DDIT3), also known as C/EBP homologous protein (CHOP), decreased significantly in spike-treated PBMCs. Moreover, spikes to different degree lowered the expression of fatty acid translocase, also known as (CD36), but did not affect perilipin 2 (PLIN2) expression (Figure 3).

4. Discussion

In this study we show that endotoxin-free spike variants of SARS-CoV-2 added to human PBMCs within 18 h induce LD formation. Cytoplasmic accumulation of LDs in leukocytes and other cells can be a hallmark of inflammation [20,21,22,23]. Although the molecular mechanisms that govern LD biogenesis are incompletely understood, it is thought that inducible LD may occur due to inflammatory stimuli-induced lipid uptake, lipolysis inhibition, and/or new lipid synthesis. For example, resting PBMCs show no LDs but can rapidly form LDs when activated through bacterial and/or host-generated cytokines and chemokines [23,24]. We therefore investigated effects of spike proteins on cytokines/chemokine production in human total PBMCs. According to previous studies, effects of spike proteins on inflammatory markers are sterility and time-dependent, with highest effect observed at 8 h post-stimulation [19,25]. Therefore, we first confirmed that our spike proteins are endotoxin-free and chosen to analyze cytokine/chemokine production in human PBMCs after exposure to spikes for 6 h. Under this experimental condition none of the spikes increased cytokine/chemokine (IL-1β, IL-6, IL-8, MCP-1 and TNF-α) release or expression. Likewise, spikes did not induce IL-1β or IL-6 after 18 h. Hence, our data imply that LDs formation in PBMCs is not solely depended on the amplified cytokine/chemokine production.
Intriguingly, in response to spikes, PBMCs formed LDs under complete lipid deprivation (serum-free medium) conditions. According to other studies, emerging formation of LDs might be necessary for the protection of cell integrity and function during the stress [4,26,27]. Hence, hypothetically, under nutrients limited conditions, an interaction between spike protein and cells, might induce stress-related LD formation in majority of PBMCs.
Spike proteins induced LD formation but also lowered the expression of genes known to be involved in lipid metabolism, such as HMGCS1, LDLR1, and SREBF1. The HMGCS1 is the rate-limiting enzyme of the cholesterol biosynthesis pathway whereas LDLR1 mediates cholesterol influx [28,29]. Hence, spike-induced reduction in HMGCS1 and LDLR1 expression in PBMCs support a notion that strong lipid deprivation may lead to LD formation. This latter might be also dependent on the reduction in expression of SREBF1, a key transcriptional factor that regulates the expression of HMGCS1 and LDLR.
Spike proteins did not affect the expression of PLIN2 gene that is the second Plin-family member encoding LD surface-coating protein [30]. Most cells have high PLIN2 mRNA but contain a modest amount of the protein because of its rapid proteasomal degradation that is not associated with LDs [31]. This latter may explain why spikes showed no effect on PLIN2 levels. Finally, as compared to controls, PBMCs treated with spikes showed slight reduction in expression of CD36. The CD36 is involved in the regulation of fatty acid storage or usage [32], and it is known as a fatty acid transporter protein, which belongs to the class B scavenger receptor family. Some studies show that the uptake of fatty acids is required for CD36-dependent LDs formation [33]. Since our experiments were performed under serum-free conditions, LDs formation probably was independent on CD36 expression.
The reduction in expression of lipid metabolism-related genes and LD formation in PBMCs cultured with spikes under deprivation of lipids can simply be associated with cellular stress-induced blockage of lipid release. This property might be very important for immune cells exposed to rapidly changing conditions of stress like feeding/starvation or hypoxia/reoxygenation [34,35]. In line, decreased DDIT3 expression in human PBMCs exposed to spikes, might be related to anti- damage and/or cell survival mechanisms [36].
Data from our study and other experimental models imply that spikes interfere with lipid metabolism pathways [14,15,37], and this warrants further investigations.

5. Conclusions

Our results show that under lipid-free culture conditions spike proteins of SARS-CoV-2 without triggering of inflammatory cytokines/chemokines induce LD deposition in human PBMCs. Whether this spike-induced LD formation is beneficial or detrimental remains to be investigated.

Author Contributions

S.J., F.M.W. and M.J.W. designed the study. P.P., G.R., S.A., Ch.M., and N.D. produced and characterized recombinant spike variants. K.S. and J.H. performed cell culture experiments. K.S. and S.W. analyzed the data and helped with manuscript preparation. M.J.W., F.M.W. and T.W. conducted writing-review and editing. All authors read and approved the final manuscript. All authors attest they meet the ICMJE criteria for authorship.

Funding

Study is supported by the project: “COVAAT – TP1: Alpha-1-Antitrypsin zur COVID-19 Therapie ZW7-85152684” from Enterprise Europe Network Niedersachsen (EEN) of the NBank. The funding body helped to obtain reagents for experiments.

Data Availability Statement

All data generated or analysed during this study are included in this published article.

Acknowledgments

No.

Conflicts of Interest

The authors declare no conflict of interest.

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Figure 1. Effects of spike variants on cytokine/chemokine gene expression. Total PBMCs from healthy donors were cultured for 6 h in the presence of 12 µg/ml of spike variants or alone. RNA was isolated and analyzed by a real-time qPCR. Data are shown as mean (SD) from N = 7 independent experiments. All analyses were carried out in duplicates. P-values were calculated with one-way ANOVA. A p-value below 0.05 was considered as a sig-nificant.
Figure 1. Effects of spike variants on cytokine/chemokine gene expression. Total PBMCs from healthy donors were cultured for 6 h in the presence of 12 µg/ml of spike variants or alone. RNA was isolated and analyzed by a real-time qPCR. Data are shown as mean (SD) from N = 7 independent experiments. All analyses were carried out in duplicates. P-values were calculated with one-way ANOVA. A p-value below 0.05 was considered as a sig-nificant.
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Figure 2. Effects of spike proteins on lipid droplet (LD) formation. A. PBMCs from healthy donors were cultured for 18 h alone or in the presence of spike variants. Lipid droplets were stained with Oil red O and nuclei with hematoxylin. Arrows indicate lipid droplets. Images were taken at 1000-fold magnification using 100x oil immersion objective (Leica). One representative image is shown out of ten images taken from three independent experiments. B. The number of cells positive for LDs were counted manually and the percentage was calculated based on the number of cells per field. Data are presented as mean (SD). P-values were calculated with one-way ANOVA. A p-value below 0.05 was considered as a significant. C. HPMEC were cultured for 18 h alone or in the presence of spike variants. Lipid droplets were stained with Oil red O and nuclei with hematoxylin. Images were taken at 1000-fold magnification using 100x oil immersion objective (Leica). Scale bars indicate 10 µm. One representative image is shown out of ten images taken from three independent experiments.
Figure 2. Effects of spike proteins on lipid droplet (LD) formation. A. PBMCs from healthy donors were cultured for 18 h alone or in the presence of spike variants. Lipid droplets were stained with Oil red O and nuclei with hematoxylin. Arrows indicate lipid droplets. Images were taken at 1000-fold magnification using 100x oil immersion objective (Leica). One representative image is shown out of ten images taken from three independent experiments. B. The number of cells positive for LDs were counted manually and the percentage was calculated based on the number of cells per field. Data are presented as mean (SD). P-values were calculated with one-way ANOVA. A p-value below 0.05 was considered as a significant. C. HPMEC were cultured for 18 h alone or in the presence of spike variants. Lipid droplets were stained with Oil red O and nuclei with hematoxylin. Images were taken at 1000-fold magnification using 100x oil immersion objective (Leica). Scale bars indicate 10 µm. One representative image is shown out of ten images taken from three independent experiments.
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Figure 3. Effect of spike variants on lipid gene expression. PBMCs from healthy donors were cultured for 6 hours alone or in the presence of spike proteins. RNA was isolated and analyzed by a real-time qPCR. Data are shown as a mean (SD) from N = 3 to N = 5 independent experiments. All analyses were carried out in duplicates. P-values were calculated with one-way ANOVA. A p-value below 0.05 was considered as a significant.
Figure 3. Effect of spike variants on lipid gene expression. PBMCs from healthy donors were cultured for 6 hours alone or in the presence of spike proteins. RNA was isolated and analyzed by a real-time qPCR. Data are shown as a mean (SD) from N = 3 to N = 5 independent experiments. All analyses were carried out in duplicates. P-values were calculated with one-way ANOVA. A p-value below 0.05 was considered as a significant.
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