Zdenek Vrozina Profile picture
Jul 8 10 tweets 2 min read Read on X
Did you know SARS-CoV-2 uses the tetraspanin CD9 - the same membrane protein exploited by HIV - to infect human cells?
No, SARS-CoV-2 isn’t HIV.
But this surprising similarity reveals just how sophisticated this virus really is.
Let’s explore🧵
A new preprint (July 2025) shows that CD9 acts as a scaffold, gathering key entry factors SARS-CoV-2 needs:
ACE2 (main receptor)
NRP1 (boosts infectivity)
Furin and TMPRSS2 (spike-activating proteases)
CD9 clusters them at the membrane - like a viral docking station.
When researchers removed CD9 (via CRISPR) or blocked it with antibodies:
SARS-CoV-2 titers dropped 3–5×
NRP1 and ACE2 levels at the membrane fell
CD9 doesn’t just enable entry - it organizes and stabilizes the viral entry machinery!
HIV uses similar tactics.
It recruits tetraspanins (CD9, CD81) to form membrane microdomains that assemble entry and budding complexes.
These tetraspanin-enriched microdomains (TEMs) act like viral launchpads.
SARS-CoV-2 is now confirmed to use them too.
Why does this matter?
Because it suggests SARS-CoV-2 is not just a respiratory virus.
It’s a virus that manipulates host membrane architecture, trafficking, and immune signaling - like a chronic, systemic pathogen!
And here’s where it gets serious:
SARS-CoV-2 may induce a form of virus-triggered immunodeficiency.
So - is SARS-CoV-2 “like HIV”?
Partly.
It doesn’t integrate into the genome.
But it disrupts the immune system in lasting ways:
T cell depletion & exhaustion
Impaired B cell function
Suppressed interferon signaling
Disorganized lymphoid structures
That’s virus-induced immunodeficiency.
The fact that it co-opts CD9 - a protein also critical for HIV entry - adds weight to the idea that SARS-CoV-2 has complex host manipulation strategies, far beyond what’s expected from a seasonal virus.
Bonus: blocking CD9 reduced SARS-CoV-2 infection in cells.
Could tetraspanins like CD9 be viable antiviral targets?
They’re already under investigation for other viruses (HIV, HCV, IAV).
A potential new therapeutic frontier.
Rivero at al. 2025 preprint. The Tetraspanin CD9 Facilitates SARS-CoV-2 Infection and Brings Together Different Host Proteins Involved in Virus Entry preprints.org/manuscript/202…

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More from @ZdenekVrozina

Jul 8
Two years after a mild, non-hospitalized COVID infection, 1 in 10 people had measurable cognitive impairment.
They were younger. They never needed oxygen or ICU.
But they showed lasting deficits in memory, attention, or processing speed. COVID didn’t have to be severe to hurt your brain. Here’s what the new study found 🧵
A new study (Scientific Reports, 2025) followed 698 people from Matosinhos, Portugal:
COVID-positive and -negative
Hospitalized and non-hospitalized
All tested two years later with cognitive screening and full neuropsychological testing
The findings:
19.1% of patients hospitalized with COVID had cognitive impairment
10.7% of non-hospitalized COVID+ individuals
6.8% of hospitalized controls (no COVID)
3.2% of non-hospitalized controls.
COVID survivors were 3–5× more likely to show impairment.
Read 13 tweets
Jul 7
COVID & Depression. A new study (Ogando et al., 2025) shows how residual SARS-CoV-2 in the brain may contribute to depression and anxiety in post-COVID condition (PCC).
The mechanism involves IL-6-induced activation of monoamine oxidase (MAO), which disrupts neurotransmitter balance.🧵
What do we know about PCC?
Post-COVID condition (PCC) affects 10–30% of infected individuals.
A majority (incl kids) experience CNS-related symptoms:
depression,
anxiety,
sleep disturbance,
cognitive dysfunction (brain fog).
But how do these arise?
This new study reconstructs a mechanistic pathway

Residual SARS-CoV-2 RNA is detected in the brain.
This leads to activation of microglia.
Activated microglia secrete IL-6.
IL-6 increases MAO-A and MAO-B expression and activity in glial cells.
MAO degrades monoamines such as serotonin, dopamine, and norepinephrine.
Disruption of monoaminergic signaling results in depressive and anxiety-like behavior.
Read 13 tweets
Jul 5
SARS-CoV-2 can trigger Alzheimer’s-like pathology even without genetic predisposition.
New research confirms fears: even mild COVID can leave neurological footprints.
The virus induces amyloid-β formation in the retina - a window into the brain.🧵
Researchers from Yale and Harvard examined postmortem human retinas and 3D retinal organoids.
They found that the Spike protein of SARS-CoV-2 triggers the production of amyloid-β - the protein behind Alzheimer’s plaques.
This effect was seen even in the absence of Alzheimer’s mutations, including:
Ex vivo human retina
Healthy retinal organoids
Retinas from COVID-19 patients without any dementia history
Read 15 tweets
Jul 3
Viral proteins alone can rewire the brain. No infection needed.

New study: SARS-CoV-2 proteins alone - without RNA, without infection - significantly alter brain activity in mice.@dbdugger 🧵
Researchers used virus-like particles (VLPs) - non-replicating shells carrying the structural proteins of SARS-CoV-2:
Spike (S), Nucleocapsid (N), Membrane (M), and Envelope (E).
No RNA. No virus. No infection. Just proteins.
Two types of mice:
wild-type (WT)
and htau mice, engineered to express human tau protein (a model for Alzheimer’s disease)
Both groups received intraperitoneal VLP injections. Brain activity was tracked for 6 weeks using two-photon microscopy.
Read 11 tweets
Jul 2
Post-COVID cognitive decline is real - and visible in the brain.
A new study used brain imaging (PET) + EEG to analyze people with “brain fog” months after mild COVID-19.
They found:
suppressed brain metabolism
slowed brain waves
even in those never hospitalized.🧵
The study followed 28 adults (avg age 56) who had:
mild COVID (no hospitalization, no oxygen),
persistent symptoms like memory problems, fatigue, attention issues.
They were examined on average 5 months after infection.
Brain scans (FDG-PET) showed hypometabolism (reduced glucose use) in:
frontal lobes
temporal lobes
parietal lobes
and part of the occipital lobe
= clear evidence of reduced brain function
Read 13 tweets
Jun 29
Why does COVID-19 cause multiple waves per year while flu peaks only once?
A new Harvard preprint says: the key drivers are short-lived immunity and climate!
Not variants. Not human behavior.🧵
The authors analyzed US COVID data (2020–2023) using wavelet analysis and an epidemic model with gradually waning immunity.
Goal: explain why COVID produces 2–3 waves per year, sometimes in summer, sometimes in winter.
They found two dominant rhythms across US states:
One annual (winter wave)
One sub-annual (waves every 3–6 months)
The strongest predictor? Minimum winter temperature.
Read 15 tweets

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