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SARS-CoV-2 Reverse Genetics Reveals a Variable Infection Gradient in the Respiratory Tract.


ABSTRACT: The mode of acquisition and causes for the variable clinical spectrum of coronavirus disease 2019 (COVID-19) remain unknown. We utilized a reverse genetics system to generate a GFP reporter virus to explore severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pathogenesis and a luciferase reporter virus to demonstrate sera collected from SARS and COVID-19 patients exhibited limited cross-CoV neutralization. High-sensitivity RNA in situ mapping revealed the highest angiotensin-converting enzyme 2 (ACE2) expression in the nose with decreasing expression throughout the lower respiratory tract, paralleled by a striking gradient of SARS-CoV-2 infection in proximal (high) versus distal (low) pulmonary epithelial cultures. COVID-19 autopsied lung studies identified focal disease and, congruent with culture data, SARS-CoV-2-infected ciliated and type 2 pneumocyte cells in airway and alveolar regions, respectively. These findings highlight the nasal susceptibility to SARS-CoV-2 with likely subsequent aspiration-mediated virus seeding to the lung in SARS-CoV-2 pathogenesis. These reagents provide a foundation for investigations into virus-host interactions in protective immunity, host susceptibility, and virus pathogenesis.

SUBMITTER: Hou YJ 

PROVIDER: S-EPMC7250779 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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SARS-CoV-2 Reverse Genetics Reveals a Variable Infection Gradient in the Respiratory Tract.

Hou Yixuan J YJ   Okuda Kenichi K   Edwards Caitlin E CE   Martinez David R DR   Asakura Takanori T   Dinnon Kenneth H KH   Kato Takafumi T   Lee Rhianna E RE   Yount Boyd L BL   Mascenik Teresa M TM   Chen Gang G   Olivier Kenneth N KN   Ghio Andrew A   Tse Longping V LV   Leist Sarah R SR   Gralinski Lisa E LE   Schäfer Alexandra A   Dang Hong H   Gilmore Rodney R   Nakano Satoko S   Sun Ling L   Fulcher M Leslie ML   Livraghi-Butrico Alessandra A   Nicely Nathan I NI   Cameron Mark M   Cameron Cheryl C   Kelvin David J DJ   de Silva Aravinda A   Margolis David M DM   Markmann Alena A   Bartelt Luther L   Zumwalt Ross R   Martinez Fernando J FJ   Salvatore Steven P SP   Borczuk Alain A   Tata Purushothama R PR   Sontake Vishwaraj V   Kimple Adam A   Jaspers Ilona I   O'Neal Wanda K WK   Randell Scott H SH   Boucher Richard C RC   Baric Ralph S RS  

Cell 20200527 2


The mode of acquisition and causes for the variable clinical spectrum of coronavirus disease 2019 (COVID-19) remain unknown. We utilized a reverse genetics system to generate a GFP reporter virus to explore severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pathogenesis and a luciferase reporter virus to demonstrate sera collected from SARS and COVID-19 patients exhibited limited cross-CoV neutralization. High-sensitivity RNA in situ mapping revealed the highest angiotensin-converting  ...[more]

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