RT Journal Article SR Electronic T1 Neuropilin-1 facilitates SARS-CoV-2 cell entry and provides a possible pathway into the central nervous system JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.07.137802 DO 10.1101/2020.06.07.137802 A1 Cantuti-Castelvetri, Ludovico A1 Ojha, Ravi A1 Pedro, Liliana D. A1 Djannatian, Minou A1 Franz, Jonas A1 Kuivanen, Suvi A1 Kallio, Katri A1 Kaya, Tuğberk A1 Anastasina, Maria A1 Smura, Teemu A1 Levanov, Lev A1 Szirovicza, Leonora A1 Tobi, Allan A1 Kallio-Kokko, Hannimari A1 Österlund, Pamela A1 Joensuu, Merja A1 Meunier, Frédéric A. A1 Butcher, Sarah A1 Winkler, Martin Sebastian A1 Mollenhauer, Brit A1 Helenius, Ari A1 Gokce, Ozgun A1 Teesalu, Tambet A1 Hepojoki, Jussi A1 Vapalahti, Olli A1 Stadelmann, Christine A1 Balistreri, Giuseppe A1 Simons, Mikael YR 2020 UL http://biorxiv.org/content/early/2020/07/15/2020.06.07.137802.abstract AB The causative agent of the current pandemic and coronavirus disease 2019 (COVID-19) is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)1. Understanding how SARS-CoV-2 enters and spreads within human organs is crucial for developing strategies to prevent viral dissemination. For many viruses, tissue tropism is determined by the availability of virus receptors on the surface of host cells2. Both SARS-CoV and SARS-CoV-2 use angiotensin-converting enzyme 2 (ACE2) as a host receptor, yet, their tropisms differ3-5. Here, we found that the cellular receptor neuropilin-1 (NRP1), known to bind furin-cleaved substrates, significantly potentiates SARS-CoV-2 infectivity, which was inhibited by a monoclonal blocking antibody against the extracellular b1b2 domain of NRP1. NRP1 is abundantly expressed in the respiratory and olfactory epithelium, with highest expression in endothelial cells and in the epithelial cells facing the nasal cavity. Neuropathological analysis of human COVID-19 autopsies revealed SARS-CoV-2 infected NRP1-positive cells in the olfactory epithelium and bulb. In the olfactory bulb infection was detected particularly within NRP1-positive endothelial cells of small capillaries and medium-sized vessels. Studies in mice demonstrated, after intranasal application, NRP1-mediated transport of virus-sized particles into the central nervous system. Thus, NRP1 could explain the enhanced tropism and spreading of SARS-CoV-2.Competing Interest StatementThe authors have declared no competing interest.