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How do NK cells notice SARS-CoV-2–infected cells?

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SARS-CoV-2 Nsp13 encodes HLA-E–presented peptide VMPLSAPTL that stabilizes HLA-E but blocks NKG2A inhibition, favoring NKG2A+ NK attack.

Source

SARS-CoV-2 Nsp13 encodes for an HLA-E-stabilizing peptide that abrogates inhibition of NKG2A-expressing NK cells

Hammer Q, Dunst J, Christ W, et al. · Cell reports · 2022

doi.org/10.1016/j.celrep.2022.110503Read the full paper ↗56 citationscc by

What they did

Predicted HLA-E–binding SARS-CoV-2 nonamers, tested peptide stabilization of HLA-E, assessed NKG2A binding/inhibition, and linked findings to NKG2A+ NK activation in COVID-19 and in vitro control of infected lung epithelial cells.

What they found

Nsp13 232–240 (VMPLSAPTL) was a top predicted binder. Unlike self-peptides, the viral peptide prevents HLA-E–NKG2A inhibitory binding, rendering targets susceptible to NK cells (missing-self). NKG2A-expressing NK cells are particularly activated in COVID-19 and can limit replication in vitro.

The limits

What it doesn't show

Does not prove this pathway alone determines COVID-19 severity in patients, or that boosting NKG2A+ NK cells is a safe therapy.

Key terms

NKG2A
Inhibitory NK receptor that binds HLA-E presenting self-peptides.
HLA-E
Non-classical MHC molecule presenting peptides to NKG2A/CD94.
Nsp13
SARS-CoV-2 non-structural protein 13 encoding the key peptide.
Missing self
NK activation when inhibitory self-ligands are absent or non-engaging.
VMPLSAPTL
Nsp13 residues 232–240 HLA-E–stabilizing peptide.

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Quiz yourself

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The HLA-E–presented SARS-CoV-2 peptide is encoded by:

Common questions

Which viral protein?

Non-structural protein 13 (Nsp13).

Peptide sequence?

VMPLSAPTL (Nsp13 232–240).

Key receptor effect?

Blocks inhibitory HLA-E–NKG2A binding.

Recognition mode?

Missing-self recognition by NK cells.