SARS-CoV-2 Spike Does Not Possess Intrinsic Superantigen-like Inflammatory Activity

Cells. 2022 Aug 15;11(16):2526. doi: 10.3390/cells11162526.

Abstract

Multisystem inflammatory syndrome in children (MIS-C) is a rare hyperinflammatory disease occurring several weeks after SARS-CoV-2 infection. The clinical similarities between MIS-C and the toxic shock syndrome, together with the preferential expansion of T cells with a T-cell receptor variable β chain (TCRVβ) skewing, suggested a superantigen theory of MIS-C. For instance, recent in silico modelling evidenced the presence of a highly conserved motif within SARS-CoV-2 spike protein similar in structure to the superantigenic fragment of staphylococcal enterotoxin B (SEB). However, experimental data on the superantigenic activity of the SARS-CoV-2 spike have not yet been provided. Here, we assessed the superantigenic activity of the SARS-CoV-2 spike by analysing inflammatory cytokine production in both Jurkat cells and the peripheral blood CD4+ T cells stimulated with the SARS-CoV-2 spike or SEB as a control. We found that, unlike SEB, the SARS-CoV-2 spike does not exhibit an intrinsic superantigen-like activity.

Keywords: CD4+ T cells; MIS-C; SARS-CoV-2 spike; SEB; superantigen.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19* / complications
  • Child
  • Humans
  • Receptors, Antigen, T-Cell, alpha-beta
  • SARS-CoV-2
  • Spike Glycoprotein, Coronavirus
  • Superantigens*
  • Systemic Inflammatory Response Syndrome

Substances

  • Receptors, Antigen, T-Cell, alpha-beta
  • Spike Glycoprotein, Coronavirus
  • Superantigens
  • spike protein, SARS-CoV-2

Supplementary concepts

  • pediatric multisystem inflammatory disease, COVID-19 related

Grants and funding

This research was funded by “Sapienza University of Rome, Progetto Ateneo” to L.T and M.T.F., “FISM—Fondazione Italiana Sclerosi Multipla—FISM 2020-R-Single/001” to L.T., AIRC (Italian Association for Cancer Research), grant number MFAG 20447 to A.P., and “Ceschina Foundation” to M.T.F.