SARS-CoV-2 respiratory-tract infection affects both vaccinated and unvaccinated persons suggesting factors besides adaptive immunity are operative. We investigated the role of collectin-11 (CL-11), an epithelial-secreted carbohydrate-binding lectin that drives innate immunity and eliminates pathogens by complement activation. SARS-CoV-2, despite binding CL-11 to activate complement, was resistant to lysis. Remarkably, opsonization by CL-11 enhanced virus production by infected respiratory epithelial cells independently of complement. Furthermore, infected cells expressing SARS-CoV-2 spike protein displayed enhanced vulnerability to CL-11 binding and membrane attack by complement. The mechanism of enhanced infectivity was ablated in the presence of L-fucose, which occupied the extended carbohydrate-binding cleft of CL-11 in a crystallographic analysis of complexes between L-fucose and CL-11. Our study suggests pathogenicity of SARS-CoV-2 is related to complement-resistance together with enhanced infectivity and injury of respiratory epithelial cells mediated by locally released CL-11.
Journal article
2025-10-01T00:00:00+00:00
122
Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College, London SE1 9RT, United Kingdom.
Respiratory Mucosa, Cell Membrane, Epithelial Cells, Humans, Polysaccharides, Collectins, Complement Activation, Protein Binding, Complement System Proteins, Immunity, Innate, Spike Glycoprotein, Coronavirus, COVID-19, SARS-CoV-2