SARS-CoV-2 induces Alzheimer’s disease-related amyloid-β pathology in ex vivo human retinal explants and retinal organoids.

Publication date: Jul 04, 2025

While the etiology of Alzheimer’s disease remains unknown, there is growing support for the amyloid-β antimicrobial hypothesis. Amyloid-β, the main component of amyloid plaques in Alzheimer’s disease, has been shown to be generated in the presence of microbes. Entrapment of microbes by aggregated amyloid-β may serve as an innate immune response to pathogenic infections. To understand the association of amyloid-β plaques and pathogenic infections in the central nervous system, we obtained viable short-interval postmortem human retinal tissue and generated human retinal organoids that contain electrophysiologically active neurons. Here, we demonstrate that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) induces amyloid-β extracellular protein aggregates in human retinal explants and retinal organoids. Last, pharmacological inhibition of neuropilin-1 resulted in reduced amyloid-β deposition in human retinal explants treated with SARS-CoV-2 Spike 1 protein. These results suggest that Spike 1 protein, during infection with SARS-CoV-2, can induce amyloid-β aggregation, which may be associated with the neurological symptoms experienced in COVID-19.

Open Access PDF

Concepts Keywords
Alzheimer Alzheimer Disease
Amyloid Amyloid beta-Peptides
Coronavirus Amyloid beta-Peptides
Nervous COVID-19
Pharmacological Humans
Neuropilin-1
Neuropilin-1
Organoids
Plaque, Amyloid
Retina
SARS-CoV-2
Spike Glycoprotein, Coronavirus
Spike Glycoprotein, Coronavirus
spike protein, SARS-CoV-2

Semantics

Type Source Name
disease MESH Alzheimer’s disease
disease MESH etiology
disease MESH amyloid plaques
disease IDO innate immune response
disease MESH infections
disease IDO protein
disease IDO infection
disease MESH COVID-19
disease MESH dementia
disease IDO production
disease IDO bacteria
disease MESH fungal infections
disease MESH viral infection
disease MESH cytokine storm
pathway REACTOME Antimicrobial peptides
disease MESH memory loss
disease MESH Neurodegenerative Disease
drug DRUGBANK Trestolone
pathway KEGG Alzheimer disease

Original Article

(Visited 4 times, 1 visits today)