- Purkayastha, Arunima;
- Sen, Chandani;
- Garcia, Gustavo;
- Langerman, Justin;
- Shia, David W;
- Meneses, Luisa K;
- Vijayaraj, Preethi;
- Durra, Abdo;
- Koloff, Caroline R;
- Freund, Delilah R;
- Chi, Justin;
- Rickabaugh, Tammy M;
- Mulay, Apoorva;
- Konda, Bindu;
- Sim, Myung S;
- Stripp, Barry R;
- Plath, Kathrin;
- Arumugaswami, Vaithilingaraja;
- Gomperts, Brigitte N
Current smoking is associated with increased risk of severe COVID-19, but it is not clear how cigarette smoke (CS) exposure affects SARS-CoV-2 airway cell infection. We directly exposed air-liquid interface (ALI) cultures derived from primary human nonsmoker airway basal stem cells (ABSCs) to short term CS and then infected them with SARS-CoV-2. We found an increase in the number of infected airway cells after CS exposure with a lack of ABSC proliferation. Single-cell profiling of the cultures showed that the normal interferon response was reduced after CS exposure with infection. Treatment of CS-exposed ALI cultures with interferon β-1 abrogated the viral infection, suggesting one potential mechanism for more severe viral infection. Our data show that acute CS exposure allows for more severe airway epithelial disease from SARS-CoV-2 by reducing the innate immune response and ABSC proliferation and has implications for disease spread and severity in people exposed to CS.