Key result
Sucralose cuts spike protein-induced endothelial gap formation ~43% in vitro by preserving ACE2.
Why the study?
SARS-CoV-2 spike protein triggers pulmonary vascular injury, but whether a T1R3 agonist protects the lung endothelium against this damage remained unknown.
Does T1R3 agonist prevent Sp1-induced endothelial barrier disruption in human pulmonary microvascular endothelial cells?
Does T1R3 agonist prevent Sp1-induced endothelial barrier disruption in human pulmonary microvascular endothelial cells?
Absolute Event Rate: 103.1% vs 180.3%
p-value: p=<0.05
T1R3 activation protects pulmonary endothelial cells from SARS-CoV-2 spike protein-induced barrier disruption by anchoring ACE2 at the cell surface, suggesting a potential therapeutic target for virus-induced lung injury.
Sucralose does not yet support clinical use against spike-induced endothelial injury; leaves open whether T1R3 agonism protects lungs in vivo.
The development of acute lung injury in COVID-19 patients is a major cause of lethality. Activation of the pulmonary vasculature, with inflammation, oxidative stress and barrier disruption, is initiated by the SARS-CoV-2 spike protein (Sp1) at the endothelial cell surface. We previously identified the presence of a novel G-Protein Coupled Receptor (GPCR) in the lung microvasculature, T1R3. The T1R3 agonist (T1R3-A) protects the endothelium from endotoxin-induced lung injury therefore we sought to investigate the effect of T1R3-A on Sp1-induced damage to the pulmonary endothelium. Sp1 induced significant disruption to the endothelium with elevated gap formation, monolayer leak and ROS accumulation. This damage was attenuated following exposure of the lung microvasculature to T1R3-A. We further demonstrated that this agonist promotes ACE2 expression at the endothelial cell surface. Using immunoprecipitation studies, we demonstrated that T1R3-A increases ACE2:T1R3 binding which may be a mechanism for protecting against Sp1-induced endothelial cell injury. Our findings highlight the protective effect of T1R3 activation in the pulmonary endothelium and that there is a close link between T1R3 and ACE2. We propose that T1R3 activation protects the endothelium by preventing Sp1-induced internalisation of ACE2, thereby blocking downstream ACE2 signalling leading to pulmonary vascular injury.
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Kertész et al. (2026) studied SARS-CoV-2 induced endothelial injury. T1R3 agonist (sucralose) vs. Vehicle + Sp1 was evaluated on Gap formation (%) (p=<0.05). The T1R3 agonist sucralose significantly attenuated SARS-CoV-2 spike protein 1-induced endothelial gap formation and monolayer permeability in vitro by preventing ACE2 internalization.
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