AI-guided multi-omics analysis identifies NPC1-modulated susceptibility to SARS-CoV-2 infection under PM<sub>2.5</sub> exposure.

Feng, Guoqing; Dong, Zheng; Ke, Limei; Zhou, Weilai; Tian, Yu; Li, Xingtian; Xiang, Wenxin; Li, Yanjun et al. · Nat Commun · 2026

basic_science · Level V

Where this comes from

Abstract

Exposure to airborne fine particulate matter (PM<sub>2.5</sub>) has been linked to increased risk of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, yet the underlying mechanisms remain unclear. Here, by leveraging a fine-tuned foundation model of single-cell transcriptomics, we uncover shared transcriptional signatures between PM<sub>2.5</sub> exposure and SARS-CoV-2 infection. We further validate this association using population-level epidemiological analyses and perform genome-wide association studies (GWAS) to identify genetic variants that modulate infection risk under PM<sub>2.5</sub> exposure. In addition, we identify NPC1 as a key modulator involved in SARS-CoV-2 infection efficiency under virus-laden PM<sub>2.5</sub> exposure through integrative functional genomic analyses and in vitro experiments. Our findings suggest that PM<sub>2.5</sub> facilitates viral entry through an NPC1-modulated endo-lysosomal pathway, providing a mechanistic explanation for observed pollution-related susceptibility. By integrating artificial intelligence (AI)-guided transcriptomics, epidemiology, GWAS, functional genomics, and in vitro verification, our study elucidates how environmental and genetic factors jointly influence SARS-CoV-2 susceptibility. This work highlights how AI-assisted multi-omics integration systematically decodes the health impacts of environmental exposures from molecular to population levels and informs air quality policy and infectious disease preparedness.