Proteomic and Phosphoproteomic Characteristics of Multiple Brain Regions in Rhesus Macaques After SARS-CoV-2 Infection

Qiaochu Wang , Yanan Zhou , Tao Ding , Yan Sun , Yehong Yang , Yue Wu , Jiangfeng Liu , Shuaiyao Lu , Juntao Yang

MedComm ›› 2026, Vol. 7 ›› Issue (8) : e70906

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MedComm ›› 2026, Vol. 7 ›› Issue (8) :e70906 DOI: 10.1002/mco2.70906
ORIGINAL ARTICLE
Proteomic and Phosphoproteomic Characteristics of Multiple Brain Regions in Rhesus Macaques After SARS-CoV-2 Infection
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Abstract

The SARS-CoV-2 Omicron variant is more contagious than the original Alpha variant and can still cause neurological symptoms, including cognitive impairment. To gain a deeper understanding of the molecular mechanisms underlying these neurological effects, this study was conducted. Proteomic and phosphoproteomic analyses were carried out utilizing LC-MS/MS. Samples included brainstem, cerebellum, frontal lobe, occipital lobe, parietal lobe, and temporal lobe from SARS-CoV-2 Omicron-infected and noninfected control rhesus macaques. Infection with Omicron resulted in inflammatory responses across all six brain regions, and significant regional-specific molecular alterations were observed. Proteomic and phosphoproteomic analyses revealed extensive abnormalities in immune activation, synaptic function, DNA repair, and signaling pathways across different brain regions. We further predicted key kinases and identified candidate proteins with significantly altered expression. This study reveals region-specific inflammatory and signaling signatures in the brain following Omicron infection. The recognized kinases and proteins with abnormal regulation serve as potential candidates for drug discovery. This can aid in formulating new therapeutic approaches for neurological issues related to COVID-19.

Keywords

brain / proteomic / SARS-CoV-2 Omicron strain / neurological consequences / rhesus macaques

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Qiaochu Wang, Yanan Zhou, Tao Ding, Yan Sun, Yehong Yang, Yue Wu, Jiangfeng Liu, Shuaiyao Lu, Juntao Yang. Proteomic and Phosphoproteomic Characteristics of Multiple Brain Regions in Rhesus Macaques After SARS-CoV-2 Infection. MedComm, 2026, 7 (8) : e70906 DOI:10.1002/mco2.70906

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References

[1]

World Health Organization. WHO COVID-19 Dashboard. 25 September 2024, https://data.who.int/dashboards/covid19/cases?n=c.

[2]

Z. H. Sun, C. Y. Shi, and L. X. Jin, “Mechanisms by Which SARS-CoV-2 Invades and Damages the Central Nervous System: Apart From the Immune Response and Inflammatory Storm, What Else Do We Know?,” Viruses-Basel 16 (2024): 663.

[3]

L. Zhang, L. Zhou, L. L. Bao, et al., “SARS-CoV-2 Crosses the Blood-Brain Barrier Accompanied With Basement Membrane Disruption Without Tight Junctions Alteration,” Signal Transduction Therapy 6 (2021): 337.

[4]

L. Pellegrini, A. Albecka, D. L. Mallery, et al., “SARS-CoV-2 Infects the Brain Choroid Plexus and Disrupts the Blood-CSF Barrier in Human Brain Organoids,” Cell Stem Cell 27 (2020): 951–961.

[5]

F. Crunfli, V. C. Carregari, F. P. Veras, et al., “Morphological, Cellular, and Molecular Basis of Brain Infection in COVID-19 Patients,” Proceedings of National Academy of Science USA 119 (2022): e2200960119.

[6]

W. L. Kong, M. Montano, M. J. Corley, et al., “Neuropilin-1 Mediates SARS-CoV-2 Infection of Astrocytes in Brain Organoids, Inducing Inflammation Leading to Dysfunction and Death of Neurons,” MBio 13 (2022): e0230822.

[7]

S. R. Stein, S. C. Ramelli, A. Grazioli, et al., “SARS-CoV-2 Infection and Persistence in the human Body and Brain at Autopsy,” Nature 612 (2022): 758–763.

[8]

R. D. Jiang, M. Q. Liu, Y. Chen, et al., “Pathogenesis of SARS-CoV-2 in Transgenic Mice Expressing Human Angiotensin-Converting Enzyme 2,” Cell 182 (2020): 50–58.

[9]

A. Gupta, M. V. Madhavan, K. Sehgal, et al., “Extrapulmonary Manifestations of COVID-19,” Nature Medicine 26 (2020): 1017–1032.

[10]

N. Zhu, D. Zhang, W. Wang, et al., “A Novel Coronavirus From Patients With Pneumonia in China, 2019,” New England Journal of Medicine 382 (2020): 727–733.

[11]

Z. Xu, H. Wang, S. Jiang, et al., “Brain Pathology in COVID-19: Clinical Manifestations and Potential Mechanisms,” Neuroscience Bulletin 40 (2024): 383–400.

[12]

A. Varatharaj, N. Thomas, M. A. Ellul, et al., “Neurological and Neuropsychiatric Complications of COVID-19 in 153 Patients: A UK-Wide Surveillance Study,” Lancet Psychiatry 7 (2020): 875–882.

[13]

E. Normandin, N. Valizadeh, E. A. Rudmann, et al., “Neuropathological Features of SARS-CoV-2 Delta and Omicron Variants,” Journal of Neuropathology and Experimental Neurology 82 (2023): 283–295.

[14]

K. Keyhanian, R. P. Umeton, B. Mohit, et al., “SARS-CoV-2 and Nervous System: From Pathogenesis to Clinical Manifestation,” Journal of Neuroimmunology 350 (2020): 577436.

[15]

S. Spudich and A. Nath, “Nervous System Consequences of COVID-19,” Science 375 (2022): 267–269.

[16]

S. Szabo, O. Zayachkivska, A. Hussain, et al., “What Is Really ‘Long COVID’?,” Inflammopharmacology 31 (2023): 551–557.

[17]

F. Ceban, S. Ling, L. M. W. Lui, et al., “Fatigue and Cognitive Impairment in Post-COVID-19 Syndrome: A Systematic Review and Meta-analysis,” Brain, Behavior, and Immunity 101 (2022): 93–135.

[18]

A. J. Admon, T. J. Iwashyna, L. A. Kamphuis, et al., “Assessment of Symptom, Disability, and Financial Trajectories in Patients Hospitalized for COVID-19 at 6 Months,” JAMA Network Open 6 (2023): e2255795.

[19]

M. Taquet, R. Sillett, L. Zhu, et al., “Neurological and Psychiatric Risk Trajectories After SARS-CoV-2 Infection: An Analysis of 2-year Retrospective Cohort Studies Including 1 284 437 Patients,” Lancet Psychiatry 9 (2022): 815–827.

[20]

D. Mannar, J. W. Saville, X. Zhu, et al., “SARS-CoV-2 Omicron Variant: Antibody Evasion and Cryo-EM Structure of Spike Protein-ACE2 Complex,” Science 375 (2022): 760–764.

[21]

H. Guo, S. Ha, J. W. Botten, et al., “SARS-CoV-2 Omicron: Viral Evolution, Immune Evasion, and Alternative Durable Therapeutic Strategies,” Viruses 16 (2024): 697.

[22]

F. Ardito, M. Giuliani, D. Perrone, et al., “The Crucial Role of Protein Phosphorylation in Cell Signaling and Its Use as Targeted Therapy (Review),” International Journal of Molecular Medicine 40 (2017): 271–280.

[23]

L. Zhou, D. S. Ng, J. C. Yam, et al., “Post-Translational Modifications on the Retinoblastoma Protein,” Journal of Biomedical Science 29 (2022): 33.

[24]

M. Bouhaddou, D. Memon, B. Meyer, et al., “The Global Phosphorylation Landscape of SARS-CoV-2 Infection,” Cell 182 (2020): 685-712 e619.

[25]

J. Radke, J. Meinhardt, T. Aschman, et al., “Proteomic and Transcriptomic Profiling of Brainstem, Cerebellum and Olfactory Tissues in Early- and Late-Phase COVID-19,” Nature Neuroscience 27 (2024): 409–420.

[26]

L. Schweizer, T. Schaller, M. Zwiebel, et al., “Quantitative Multiorgan Proteomics of Fatal COVID-19 Uncovers Tissue-Specific Effects Beyond Inflammation,” EMBO Molecular Medicine 15 (2023): e17459.

[27]

T. Du, C. Gao, S. Lu, et al., “Differential Transcriptomic Landscapes of SARS-CoV-2 Variants in Multiple Organs From Infected Rhesus Macaques,” Genomics, Proteomics & Bioinformatics 21 (2023): 1014–1029.

[28]

P. P. Zhang, Z. C. He, X. H. Yao, et al., “COVID-19-Associated Monocytic Encephalitis (CAME): Histological and Proteomic Evidence From Autopsy,” Signal Transduction Target Therapy 8 (2023): 24.

[29]

J. F. Liu, W. J. Peng, Y. Wu, et al., “Proteomic and Phosphoproteomic Characteristics of the Cortex, Hippocampus, Thalamus, Lung, and Kidney in COVID-19-infected Female K18-hACE2 Mice,” EBioMedicine 90 (2023): 104518.

[30]

Y. Lu, Y. Cui, L. Cao, et al., “Macaque Brainnetome Atlas: A Multifaceted Brain Map With Parcellation, Connection, and Histology,” Science Bulletin (Beijing) 69 (2024): 2241–2259.

[31]

Q. Wang, A. M. Bode, and T. Zhang, “Targeting CDK1 in Cancer: Mechanisms and Implications,” NPJ Precision Oncology 7 (2023): 58.

[32]

M. H. Jin and D. Y. Oh, “ATM in DNA Repair in Cancer,” Pharmacology & Therapeutics 203 (2019): 107391.

[33]

S. Jain, S. Rego, S. Park, et al., “RNASeq Profiling of COVID19-infected Patients Identified an EIF2AK2 Inhibitor as a Potent SARS-CoV-2 Antiviral,” Clinical and Translational Medicine 12 (2022): e1098.

[34]

C. Bai, Q. Zhong, and G. F. Gao, “Overview of SARS-CoV-2 Genome-encoded Proteins,” Science China Life Sciences 65 (2022): 280–294.

[35]

Y. Zhou, Y. Liu, S. Gupta, et al., “A Comprehensive SARS-CoV-2-Human Protein-Protein Interactome Reveals COVID-19 Pathobiology and Potential Host Therapeutic Targets,” Nature Biotechnology 41 (2023): 128–139.

[36]

C. C. Gao, M. Li, W. Deng, et al., “Differential Transcriptomic Landscapes of Multiple Organs From SARS-CoV-2 Early Infected Rhesus Macaques,” Protein Cell 13 (2022): 920–939.

[37]

T. Zhang, Y. Li, L. Pan, et al., “Brain-Wide Alterations Revealed by Spatial Transcriptomics and Proteomics in COVID-19 Infection,” Nat Aging 4 (2024): 1598–1618.

[38]

A. Leng, M. Shah, S. A. Ahmad, et al., “Pathogenesis Underlying Neurological Manifestations of Long COVID Syndrome and Potential Therapeutics,” Cells 12 (2023): 861.

[39]

I. H. Solomon, E. Normandin, S. Bhattacharyya, et al., “Neuropathological Features of Covid-19,” New England Journal of Medicine 383 (2020): 989–992.

[40]

V. G. Puelles, M. Lutgehetmann, M. T. Lindenmeyer, et al., “Multiorgan and Renal Tropism of SARS-CoV-2,” New England Journal of Medicine 383 (2020): 590–592.

[41]

M. F. Liu, R. X. Ma, X. B. Cao, et al., “Incidence and Prognosis of Olfactory and Gustatory Dysfunctions Related to SARS-CoV-2 Omicron Strain Infection in China: A National Multicenter Survey of 35,566 Individuals,” World Journal of Otorhinolaryngology Head and Neck Surgery 10 (2024): 113–120.

[42]

O. Y. Bello-Chavolla, C. A. Fermin-Martinez, D. Ramirez-Garcia, et al., “Prevalence and Determinants of Post-Acute Sequelae After SARS-CoV-2 Infection (Long COVID) Among Adults in Mexico During 2022: A Retrospective Analysis of Nationally Representative Data,” Lancet Reg Health Am 30 (2024): 100688.

[43]

P. Johansson, L. G. Aoude, K. Wadt, et al., “Deep Sequencing of Uveal Melanoma Identifies a Recurrent Mutation in PLCB4,” Oncotarget 7 (2016): 4624–4631.

[44]

K. El Fizazi, A. Bouramtane, M. Abbassi, et al., “A Homozygous Missense Variant in the PLCB4 Gene Causes Severe Phenotype of Auriculocondylar Syndrome Type 2,” American Journal of Medical Genetics Part A 191 (2023): 2673–2678.

[45]

C. S. von Bartheld and L. Wang, “Prevalence of Olfactory Dysfunction With the Omicron Variant of SARS-CoV-2: A Systematic Review and Meta-Analysis,” Cells 12 (2023): 430.

[46]

M. Goedert, “Alpha-Synuclein and Neurodegenerative Diseases,” Nature Reviews Neuroscience 2 (2001): 492–501.

[47]

D. M. Lopes, S. K. Llewellyn, and I. F. Harrison, “Propagation of Tau and Alpha-Synuclein in the Brain: Therapeutic Potential of the Glymphatic System,” Translational Neurodegeneration 11 (2022): 19.

[48]

M. Okochi, J. Walter, A. Koyama, et al., “Constitutive Phosphorylation of the Parkinson's Disease Associated Alpha-synuclein,” Journal of Biological Chemistry 275 (2000): 390–397.

[49]

P. J. Kahle, M. Neumann, L. Ozmen, et al., “Physiology and Pathophysiology of Alpha-Synuclein. Cell Culture and Transgenic Animal Models Based on a Parkinson's Disease-associated Protein,” Annals of New York Academy of Sciences 920 (2000): 33–41.

[50]

I. Kawahata, D. I. Finkelstein, and K. Fukunaga, “Pathogenic Impact of Alpha-Synuclein Phosphorylation and Its Kinases in Alpha-Synucleinopathies,” International Journal of Molecular Sciences 23 (2022): 6216.

[51]

X. Dai, X. Cao, Q. Jiang, et al., “Neurological Complications of COVID-19,” QJM 116 (2023): 161–180.

[52]

I. Philippens, K. P. Boszormenyi, J. A. M. Wubben, et al., “Brain Inflammation and Intracellular Alpha-Synuclein Aggregates in Macaques After SARS-CoV-2 Infection,” Viruses 14 (2022): 776.

[53]

J. Gotz, G. Halliday, and R. M. Nisbet, “Molecular Pathogenesis of the Tauopathies,” Annual Review of Pathology 14 (2019): 239–261.

[54]

A. C. McKee, R. C. Cantu, C. J. Nowinski, et al., “Chronic Traumatic Encephalopathy in Athletes: Progressive Tauopathy After Repetitive Head Injury,” Journal of Neuropathology and Experimental Neurology 68 (2009): 709–735.

[55]

H. R. Morris, Y. Osaki, J. Holton, et al., “Tau Exon 10 +16 Mutation FTDP-17 Presenting Clinically as Sporadic Young Onset PSP,” Neurology 61 (2003): 102–104.

[56]

H. Mori, M. Nishimura, Y. Namba, et al., “Corticobasal Degeneration: A Disease With Widespread Appearance of Abnormal Tau and Neurofibrillary Tangles, and Its Relation to Progressive Supranuclear Palsy,” Acta Neuropathologica 88 (1994): 113–121.

[57]

L. Buee, T. Bussiere, V. Buee-Scherrer, et al., “Tau Protein Isoforms, Phosphorylation and Role in Neurodegenerative Disorders,” Brain Research Brain Research Reviews 33 (2000): 95–130.

[58]

C. Parra Bravo, S. A. Naguib, and L. Gan, “Cellular and Pathological Functions of Tau,” Nature Reviews Molecular Cell Biology 25 (2024): 845–864.

[59]

C. Di Primio, P. Quaranta, M. Mignanelli, et al., “Severe Acute Respiratory Syndrome Coronavirus 2 Infection Leads to Tau Pathological Signature in Neurons,” PNAS Nexus 2 (2023): pgad282.

[60]

T. N. Wight, I. Kang, S. P. Evanko, et al., “Versican-A Critical Extracellular Matrix Regulator of Immunity and Inflammation,” Frontiers in Immunology 11 (2020): 512.

[61]

E. Popa, A. E. Popa, M. Poroch, et al., “The Molecular Mechanisms of Cognitive Dysfunction in Long COVID: A Narrative Review,” International Journal of Molecular Sciences 26 (2025): 5102.

[62]

Q. Wang, C. Wang, B. Ji, et al., “Hapln2 in Neurological Diseases and Its Potential as Therapeutic Target,” Frontiers in Aging Neuroscience 11 (2019): 60.

[63]

L. Bao, W. Deng, B. Huang, et al., “The Pathogenicity of SARS-CoV-2 in hACE2 Transgenic Mice,” Nature 583 (2020): 830–833.

[64]

J. F. Liu, Y. N. Zhou, S. Y. Lu, et al., “Proteomic and Phosphoproteomic Profiling of COVID-19-associated Lung and Liver Injury: A Report Based on Rhesus Macaques,” Signal Transduction Target Therapy 7 (2022): 27.

[65]

P. Shannon, A. Markiel, O. Ozier, et al., “Cytoscape: A Software Environment for Integrated Models of Biomolecular Interaction Networks,” Genome Research 13 (2003): 2498–2504.

[66]

C. Wang, H. Xu, S. Lin, et al., “GPS 5.0: An Update on the Prediction of Kinase-Specific Phosphorylation Sites in Proteins,” Genomics, Proteomics & Bioinformatics 18 (2020): 72–80.

[67]

A. Subramanian, P. Tamayo, V. K. Mootha, et al., “Gene Set Enrichment Analysis: A Knowledge-Based Approach for Interpreting Genome-wide Expression Profiles,” Proceedings of National Academy of Sciences USA 102 (2005): 15545–15550.

[68]

T. Chen, J. Ma, Y. Liu, et al., “iProX in 2021: Connecting Proteomics Data Sharing With Big Data,” Nucleic Acids Research 50 (2022): D1522–D1527.

[69]

J. Ma, T. Chen, S. Wu, et al., “iProX: An Integrated Proteome Resource,” Nucleic Acids Research 47 (2019): D1211–D1217.

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