RT Journal Article SR Electronic T1 Furin cleaves SARS-CoV-2 spike-glycoprotein at S1/S2 and S2’ for viral fusion/entry: indirect role of TMPRSS2 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.12.18.423106 DO 10.1101/2020.12.18.423106 A1 Rachid Essalmani A1 Jaspreet Jain A1 Delia Susan-Resiga A1 Ursula Andréo A1 Alexandra Evagelidis A1 Rabeb Mouna Derbali A1 David N. Huynh A1 Frédéric Dallaire A1 Mélanie Laporte A1 Adrien Delpal A1 Priscila Sutto-Ortiz A1 Bruno Coutard A1 Claudine Mapa A1 Keith Wilcoxen A1 Étienne Decroly A1 Tram NQ Pham A1 Éric A. Cohen A1 Nabil G. Seidah YR 2020 UL http://biorxiv.org/content/early/2020/12/20/2020.12.18.423106.abstract AB The Spike (S)-protein of SARS-CoV-2 binds host-cell receptor ACE2 and requires proteolytic “priming” (S1/S2) and “fusion-activation” (S2’) for viral entry. The S-protein furin-like motifs PRRAR685↓ and KPSKR815↓ indicated that proprotein convertases promote virus entry. We demonstrate that furin and PC5A induce cleavage at both sites, ACE2 enhances S2’ processing, and their pharmacological inhibition (BOS-inhibitors) block endogenous cleavages. S1/S2-mutations (μS1/S2) limit S-protein-mediated cell-to-cell fusion, similarly to BOS-inhibitors. Unexpectedly, TMPRSS2 does not cleave at S1/S2 or S2’, but it can: (i) cleave/inactivate S-protein into S2a/S2b; (ii) shed ACE2; (iii) cleave S1-subunit into secreted S1’, activities inhibited by Camostat. In lung-derived Calu-3 cells, BOS-inhibitors and µS1/S2 severely curtail “pH-independent” viral entry, and BOS-inhibitors alone/with Camostat potently reduce infectious viral titer and cytopathic effects. Overall, our results show that: furin plays a critical role in generating fusion-competent S-protein, and indirectly, TMPRSS2 promotes viral entry, supporting furin and TMPRSS2 inhibitors as potential antivirals against SARS-CoV-2.Competing Interest StatementThe authors have declared no competing interest.