Glycan recognition by collectin-11 drives SARS-CoV-2 infectivity and membrane injury of respiratory epithelial cells

A Anastasia Polycarpou (Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College) T Tara Wagner-Gamble (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) R Roseanna Greenlaw (Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College) L Lauren O’Neill (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) V Varsha Kanabar (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) A Alanoud Alrehaili (Department of Respiratory Sciences, University of Leicester) Y Yusun Jeon (Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College) J Jonathan Baker (King’s Centre for Lung Health, School of Immunology and Microbial Sciences, King’s College London) M Mona Bafadhel (King’s Centre for Lung Health, School of Immunology and Microbial Sciences, King’s College London) H Hataf Khan (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) M Michael H. Malim (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) M Marco Romano (Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College) C Conrad A. Farrar (Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College) D Dorota Smolarek (Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College) R Rocio Martinez-Nunez (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) K Katie J. Doores (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) R Russell Wallis (Department of Respiratory Sciences, University of Leicester) L Linda S. Klavinskis (Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London) S Steven H. Sacks (Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College)

Abstract

SARS-CoV-2 respiratory-tract infection affects both vaccinated and unvaccinated persons suggesting factors besides adaptive immunity are operative. We investigated the role of collectin-11 (CL-11), an epithelial-secreted carbohydrate-binding lectin that drives innate immunity and eliminates pathogens by complement activation. SARS-CoV-2, despite binding CL-11 to activate complement, was resistant to lysis. Remarkably, opsonization by CL-11 enhanced virus production by infected respiratory epithelial cells independently of complement. Furthermore, infected cells expressing SARS-CoV-2 spike protein displayed enhanced vulnerability to CL-11 binding and membrane attack by complement. The mechanism of enhanced infectivity was ablated in the presence of L-fucose, which occupied the extended carbohydrate-binding cleft of CL-11 in a crystallographic analysis of complexes between L-fucose and CL-11. Our study suggests pathogenicity of SARS-CoV-2 is related to complement-resistance together with enhanced infectivity and injury of respiratory epithelial cells mediated by locally released CL-11.

Article Details

Volume / Issue Vol. 122, Issue 43
Published October 28, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (19)

A

Anastasia Polycarpou

Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College

T

Tara Wagner-Gamble

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

R

Roseanna Greenlaw

Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College

L

Lauren O’Neill

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

V

Varsha Kanabar

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

A

Alanoud Alrehaili

Department of Respiratory Sciences, University of Leicester

Y

Yusun Jeon

Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College

J

Jonathan Baker

King’s Centre for Lung Health, School of Immunology and Microbial Sciences, King’s College London

M

Mona Bafadhel

King’s Centre for Lung Health, School of Immunology and Microbial Sciences, King’s College London

H

Hataf Khan

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

M

Michael H. Malim

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

M

Marco Romano

Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College

C

Conrad A. Farrar

Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College

D

Dorota Smolarek

Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College

R

Rocio Martinez-Nunez

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

K

Katie J. Doores

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

R

Russell Wallis

Department of Respiratory Sciences, University of Leicester

L

Linda S. Klavinskis

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King’s College London

S

Steven H. Sacks

Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King’s College