RT Journal Article SR Electronic T1 SARS-CoV-2-associated ssRNAs activate inflammation and immunity via TLR7/8 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.04.15.439839 DO 10.1101/2021.04.15.439839 A1 Valentina Salvi A1 Hoang Oanh Nguyen A1 Francesca Sozio A1 Tiziana Schioppa A1 Mattia Laffranchi A1 Patrizia Scapini A1 Mauro Passari A1 Ilaria Barbazza A1 Laura Tiberio A1 Nicola Tamassia A1 Cecilia Garlanda A1 Annalisa Del Prete A1 Marco A. Cassatella A1 Alberto Mantovani A1 Silvano Sozzani A1 Daniela Bosisio YR 2021 UL http://biorxiv.org/content/early/2021/04/15/2021.04.15.439839.abstract AB The inflammatory and IFN pathways of innate immunity play a key role in both resistance and pathogenesis of Coronavirus Disease 2019 (COVID-19). Innate sensors and SARS-CoV-2-Associated Molecular Patterns (SAMPs) remain to be completely defined. Here we identify single-stranded RNA (ssRNA) fragments from SARS-CoV-2 genome as direct activators of endosomal TLR7/8 and MyD88 pathway. The same sequences induced human DC activation in terms of phenotype and functions, such as IFN and cytokine production and Th1 polarization. A bioinformatic scan of the viral genome identified several hundreds of fragments potentially activating TLR7/8, suggesting that products of virus endosomal processing potently activate the IFN and inflammatory responses downstream these receptors. In vivo, SAMPs induced MyD88-dependent lung inflammation characterized by accumulation of proinflammatory and cytotoxic mediators and immune cell infiltration, as well as splenic DC phenotypical maturation. These results identify TLR7/8 as crucial cellular sensors of ssRNAs encoded by SARS-CoV-2 involved in host resistance and disease pathogenesis of COVID-19.Competing Interest StatementThe authors have declared no competing interest.