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Impact of SARS-CoV-2 ORF6 and its variant polymorphisms on host responses and viral pathogenesis

View ORCID ProfileThomas Kehrer, Anastasija Cupic, Chengjin Ye, Soner Yildiz, Mehdi Bouhhadou, View ORCID ProfileNicholas A Crossland, Erika Barrall, Phillip Cohen, Anna Tseng, Tolga Çağatay, Raveen Rathnasinghe, Daniel Flores, Sonia Jangra, Fahmida Alam, Nacho Mena, Sadaf Aslam, Anjali Saqi, Arturo Marin, Magdalena Rutkowska, Manisha R. Ummadi, Giuseppe Pisanelli, R. Blake Richardson, Ethan C. Veit, Jacqueline M. Fabius, Margaret Soucheray, Benjamin J. Polacco, Matthew J. Evans, Danielle L. Swaney, View ORCID ProfileAna S. Gonzalez-Reiche, View ORCID ProfileEmilia M. Sordillo, View ORCID ProfileHarm van Bakel, Viviana Simon, Lorena Zuliani-Alvarez, Beatriz M. A. Fontoura, Brad R. Rosenberg, View ORCID ProfileNevan J. Krogan, Luis Martinez-Sobrido, View ORCID ProfileAdolfo García-Sastre, View ORCID ProfileLisa Miorin
doi: https://doi.org/10.1101/2022.10.18.512708
Thomas Kehrer
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
2Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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  • ORCID record for Thomas Kehrer
Anastasija Cupic
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
2Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Chengjin Ye
3Texas Biomedical Research Institute, San Antonio, Texas, USA
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Soner Yildiz
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Mehdi Bouhhadou
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Nicholas A Crossland
8National Emerging Infectious Diseases Laboratories, Boston University, Boston, Massachusetts, USA
9Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, Massachusetts, USA
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Erika Barrall
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
2Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Phillip Cohen
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
2Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Anna Tseng
8National Emerging Infectious Diseases Laboratories, Boston University, Boston, Massachusetts, USA
9Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, Massachusetts, USA
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Tolga Çağatay
10Department of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX
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Raveen Rathnasinghe
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
2Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Daniel Flores
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Sonia Jangra
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Fahmida Alam
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Nacho Mena
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Sadaf Aslam
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Anjali Saqi
12Department of Pathology and Cell Biology, Columbia University Medical Center, New York, New York, USA
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Arturo Marin
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Magdalena Rutkowska
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
2Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Manisha R. Ummadi
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Giuseppe Pisanelli
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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R. Blake Richardson
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
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Ethan C. Veit
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
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Jacqueline M. Fabius
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Margaret Soucheray
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Benjamin J. Polacco
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Matthew J. Evans
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
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Danielle L. Swaney
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Ana S. Gonzalez-Reiche
11Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Emilia M. Sordillo
16Department of Pathology, Molecular, and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
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Harm van Bakel
11Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
17Icahn Genomics Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
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Viviana Simon
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
14Department of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, New York, USA
16Department of Pathology, Molecular, and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
18Center for Vaccine Research and Pandemic Preparedness (C-VARPP), Icahn School of Medicine at Mount Sinai, New York, NY, USA
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Lorena Zuliani-Alvarez
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Beatriz M. A. Fontoura
10Department of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX
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Brad R. Rosenberg
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
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Nevan J. Krogan
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
4QBI COVID-19 Research Group (QCRG), San Francisco, CA 94158, USA
5Quantitative Biosciences Institute (QBI), University of California, San Francisco, San Francisco, CA 94158, USA
6J. David Gladstone Institutes, San Francisco, CA 94158, USA
7Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA
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Luis Martinez-Sobrido
3Texas Biomedical Research Institute, San Antonio, Texas, USA
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Adolfo García-Sastre
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
14Department of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, New York, USA
15Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
16Department of Pathology, Molecular, and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
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  • For correspondence: lisa.miorin@mssm.edu adolfo.garcia-sastre@mssm.edu
Lisa Miorin
1Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY
13Global Health Emerging Pathogens Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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  • ORCID record for Lisa Miorin
  • For correspondence: lisa.miorin@mssm.edu adolfo.garcia-sastre@mssm.edu
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ABSTRACT

We and others have previously shown that the SARS-CoV-2 accessory protein ORF6 is a powerful antagonist of the interferon (IFN) signaling pathway by directly interacting with Nup98-Rae1 at the nuclear pore complex (NPC) and disrupting bidirectional nucleo-cytoplasmic trafficking. In this study, we further assessed the role of ORF6 during infection using recombinant SARS-CoV-2 viruses carrying either a deletion or a well characterized M58R loss-of-function mutation in ORF6. We show that ORF6 plays a key role in the antagonism of IFN signaling and in viral pathogenesis by interfering with karyopherin(importin)-mediated nuclear import during SARS-CoV-2 infection both in vitro, and in the Syrian golden hamster model in vivo. In addition, we found that ORF6-Nup98 interaction also contributes to inhibition of cellular mRNA export during SARS-CoV-2 infection. As a result, ORF6 expression significantly remodels the host cell proteome upon infection. Importantly, we also unravel a previously unrecognized function of ORF6 in the modulation of viral protein expression, which is independent of its function at the nuclear pore. Lastly, we characterized the ORF6 D61L mutation that recently emerged in Omicron BA.2 and BA.4 and demonstrated that it is able to disrupt ORF6 protein functions at the NPC and to impair SARS-CoV-2 innate immune evasion strategies. Importantly, the now more abundant Omicron BA.5 lacks this loss-of-function polymorphism in ORF6. Altogether, our findings not only further highlight the key role of ORF6 in the antagonism of the antiviral innate immune response, but also emphasize the importance of studying the role of non-spike mutations to better understand the mechanisms governing differential pathogenicity and immune evasion strategies of SARS-CoV-2 and its evolving variants.

ONE SENTENCE SUMMARY SARS-CoV-2 ORF6 subverts bidirectional nucleo-cytoplasmic trafficking to inhibit host gene expression and contribute to viral pathogenesis.

Competing Interest Statement

The A.G.-S. laboratory has received research support from Pfizer, Senhwa Biosciences, Kenall Manufacturing, Blade Therapuetics, Avimex, Johnson & Johnson, Dynavax, 7Hills Pharma, Pharmamar, ImmunityBio, Accurius, Nanocomposix, Hexamer, N-fold LLC, Model Medicines, Atea Pharma, Applied Biological Laboratories and Merck, outside of the reported work. A.G.-S. has consulting agreements for the following companies involving cash and/or stock: This work was supported by CRIPT (Center for Research on Influenza Pathogenesis and Transmission), a NIAID funded Center of Excellence for Influenza Research and Response (CEIRR, contract # 75N93021C00014), and by NIAID grants U19AI142733 and U19AI135972, NCI Seronet grant U54CA260560, the JPB and OPP foundations and an anonymous philanthropic donor to A.G-S. This work was also supported by NIH grants U19AI171110, U19AI135990 to N.J.K and R01AI151029 to B.R.R.. S.Y. received funding from Swiss National Foundation (SNF) Postdoc Mobility fellowship (P400PB_199292). The Mount Sinai Pathogen Surveillance Program is supported, in part, by institutional funds. Castlevax, Amovir, Vivaldi Biosciences, Contrafect, 7Hills Pharma, Avimex, Vaxalto, Pagoda, Accurius, Esperovax, Farmak, Applied Biological Laboratories, Pharmamar, Paratus, CureLab Oncology, CureLab Veterinary, Synairgen and Pfizer, outside of the reported work. A.G.-S. has been an invited speaker in meeting events organized by Seqirus, Janssen, Abbott and Astrazeneca. A.G.-S. is inventor on patents and patent applications on the use of antivirals and vaccines for the treatment and prevention of virus infections and cancer, owned by the Icahn School of Medicine at Mount Sinai, New York. C.Y and L. M.-S are co-inventors on a patent application directed to reverse genetics approaches to generate recombinant SARS-CoV-2. The Krogan Laboratory has received research support from Vir Biotechnology, F. Hoffmann-La Roche, and Rezo Therapeutics. N.J.K. has financially compensated consulting agreements with the Icahn School of Medicine at Mount Sinai, New York, Maze Therapeutics, Interline Therapeutics, Rezo Therapeutics, GEn1E Lifesciences, Inc. and Twist Bioscience Corp. He is on the Board of Directors of Rezo Therapeutics and is a shareholder in Tenaya Therapeutics, Maze Therapeutics, Rezo Therapeutics, and Interline Therapeutics. The Icahn School of Medicine at Mount Sinai has filed patent applications relating to SARS-CoV-2 serological assays which list V.S. as co-inventor.

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Impact of SARS-CoV-2 ORF6 and its variant polymorphisms on host responses and viral pathogenesis
Thomas Kehrer, Anastasija Cupic, Chengjin Ye, Soner Yildiz, Mehdi Bouhhadou, Nicholas A Crossland, Erika Barrall, Phillip Cohen, Anna Tseng, Tolga Çağatay, Raveen Rathnasinghe, Daniel Flores, Sonia Jangra, Fahmida Alam, Nacho Mena, Sadaf Aslam, Anjali Saqi, Arturo Marin, Magdalena Rutkowska, Manisha R. Ummadi, Giuseppe Pisanelli, R. Blake Richardson, Ethan C. Veit, Jacqueline M. Fabius, Margaret Soucheray, Benjamin J. Polacco, Matthew J. Evans, Danielle L. Swaney, Ana S. Gonzalez-Reiche, Emilia M. Sordillo, Harm van Bakel, Viviana Simon, Lorena Zuliani-Alvarez, Beatriz M. A. Fontoura, Brad R. Rosenberg, Nevan J. Krogan, Luis Martinez-Sobrido, Adolfo García-Sastre, Lisa Miorin
bioRxiv 2022.10.18.512708; doi: https://doi.org/10.1101/2022.10.18.512708
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Impact of SARS-CoV-2 ORF6 and its variant polymorphisms on host responses and viral pathogenesis
Thomas Kehrer, Anastasija Cupic, Chengjin Ye, Soner Yildiz, Mehdi Bouhhadou, Nicholas A Crossland, Erika Barrall, Phillip Cohen, Anna Tseng, Tolga Çağatay, Raveen Rathnasinghe, Daniel Flores, Sonia Jangra, Fahmida Alam, Nacho Mena, Sadaf Aslam, Anjali Saqi, Arturo Marin, Magdalena Rutkowska, Manisha R. Ummadi, Giuseppe Pisanelli, R. Blake Richardson, Ethan C. Veit, Jacqueline M. Fabius, Margaret Soucheray, Benjamin J. Polacco, Matthew J. Evans, Danielle L. Swaney, Ana S. Gonzalez-Reiche, Emilia M. Sordillo, Harm van Bakel, Viviana Simon, Lorena Zuliani-Alvarez, Beatriz M. A. Fontoura, Brad R. Rosenberg, Nevan J. Krogan, Luis Martinez-Sobrido, Adolfo García-Sastre, Lisa Miorin
bioRxiv 2022.10.18.512708; doi: https://doi.org/10.1101/2022.10.18.512708

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