Older people have been disproportionately vulnerable to the current SARS-CoV-2
pandemic, with an increased risk of severe complications and death compared to other age
groups. A mix of underlying factors has been speculated to give rise to this
differential infection outcome including changes in lung physiology, weakened immunity,
and severe immune response. Our study focuses on the impact of biomechanical changes in
lungs that occur as individuals age, that is, the stiffening of the lung parenchyma and
increased matrix fiber density. We used hydrogels with an elastic modulus of 0.2 and 50
kPa and conventional tissue culture surfaces to investigate how infection rate changes
with parenchymal tissue stiffness in lung epithelial cells challenged with SARS-CoV-2
Spike (S) protein pseudotyped lentiviruses. Further, we employed electrospun fiber
matrices to isolate the effect of matrix density. Given the recent data highlighting the
importance of alternative virulent strains, we included both the native strain
identified in early 2020 and an early S protein variant (D614G) that was shown to
increase the viral infectivity markedly. Our results show that cells on softer and
sparser scaffolds, closer resembling younger lungs, exhibit higher infection rates by
the WT and D614G variant. This suggests that natural changes in lung biomechanics do not
increase the propensity for SARS-CoV-2 infection and that other factors, such as a
weaker immune system, may contribute to increased disease burden in the elderly.