RT Journal Article SR Electronic T1 Opposing activities of IFITM proteins in SARS-CoV-2 infection JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.08.11.246678 DO 10.1101/2020.08.11.246678 A1 Guoli Shi A1 Adam D. Kenney A1 Elena Kudryashova A1 Lizhi Zhang A1 Luanne Hall-Stoodley A1 Richard T. Robinson A1 Dmitri S. Kudryashov A1 Alex A. Compton A1 Jacob S. Yount YR 2020 UL http://biorxiv.org/content/early/2020/08/11/2020.08.11.246678.abstract AB Interferon-induced transmembrane proteins (IFITMs) restrict infections by many viruses, but a subset of IFITMs enhance infections by specific coronaviruses through currently unknown mechanisms. Here we show that SARS-CoV-2 Spike-pseudotyped virus and genuine SARS-CoV-2 infections are generally restricted by expression of human IFITM1, IFITM2, and IFITM3, using both gain- and loss-of-function approaches. Mechanistically, restriction of SARS-CoV-2 occurred independently of IFITM3 S-palmitoylation sites, indicating a restrictive capacity that is distinct from reported inhibition of other viruses. In contrast, the IFITM3 amphipathic helix and its amphipathic properties were required for virus restriction. Mutation of residues within the human IFITM3 endocytosis-promoting YxxΦ motif converted human IFITM3 into an enhancer of SARS-CoV-2 infection, and cell-to-cell fusion assays confirmed the ability of endocytic mutants to enhance Spike-mediated fusion with the plasma membrane. Overexpression of TMPRSS2, which reportedly increases plasma membrane fusion versus endosome fusion of SARS-CoV-2, attenuated IFITM3 restriction and converted amphipathic helix mutants into strong enhancers of infection. In sum, these data uncover new pro- and anti-viral mechanisms of IFITM3, with clear distinctions drawn between enhancement of viral infection at the plasma membrane and amphipathicity-based mechanisms used for endosomal virus restriction. Indeed, the net effect of IFITM3 on SARS-CoV-2 infections may be a result of these opposing activities, suggesting that shifts in the balance of these activities could be coopted by viruses to escape this important first line innate defense mechanism.Competing Interest StatementThe authors have declared no competing interest.