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

被引:1045
|
作者
Hou, Yixuan J. [1 ]
Okuda, Kenichi [3 ]
Edwards, Caitlin E. [1 ]
Martinez, David R. [1 ]
Asakura, Takanori [3 ]
Dinnon, Kenneth H., III [2 ]
Kato, Takafumi [3 ]
Lee, Rhianna E. [3 ]
Yount, Boyd L. [1 ]
Mascenik, Teresa M. [3 ]
Chen, Gang [3 ]
Olivier, Kenneth N. [16 ]
Ghio, Andrew [17 ]
Tse, Longping, V [1 ]
Leist, Sarah R. [1 ]
Gralinski, Lisa E. [1 ]
Schafer, Alexandra [1 ]
Dang, Hong [3 ]
Gilmore, Rodney [3 ]
Nakano, Satoko [3 ]
Sun, Ling [3 ]
Fulcher, M. Leslie [3 ]
Livraghi-Butrico, Alessandra [3 ]
Nicely, Nathan, I [4 ]
Cameron, Mark [11 ]
Cameron, Cheryl [12 ]
Kelvin, David J. [10 ,18 ]
de Silva, Aravinda [2 ]
Margolis, David M. [2 ,5 ,6 ]
Markmann, Alena [5 ]
Bartelt, Luther [5 ]
Zumwalt, Ross [13 ]
Martinez, Fernando J. [14 ]
Salvatore, Steven P. [15 ]
Borczuk, Alain [15 ]
Tata, Purushothama R. [9 ]
Sontake, Vishwaraj [9 ]
Kimple, Adam [7 ]
Jaspers, Ilona [8 ]
O'Neal, Wanda K. [3 ]
Randell, Scott H. [3 ]
Boucher, Richard C. [3 ]
Baric, Ralph S. [1 ,2 ]
机构
[1] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27515 USA
[2] Univ N Carolina, Dept Microbiol & Immunol, Chapel Hill, NC 27515 USA
[3] Univ N Carolina, Marsico Lung Inst, Chapel Hill, NC 27515 USA
[4] Univ N Carolina, Prot Express & Purificat Core, Chapel Hill, NC 27515 USA
[5] Univ N Carolina, Dept Med, Chapel Hill, NC 27515 USA
[6] Univ N Carolina, HIV Cure Ctr, Chapel Hill, NC 27515 USA
[7] Univ N Carolina, Dept Otolaryngol, Chapel Hill, NC 27515 USA
[8] Univ N Carolina, Dept Pediat, Chapel Hill, NC 27515 USA
[9] Duke Univ, Med Ctr, Dept Cell Biol, Regenerat Next Initiat, Durham, NC 27710 USA
[10] Dalhousie Univ, Canadian Ctr Vaccinol, Dept Microbiol & Immunol, Halifax, NS, Canada
[11] Case Western Reserve Univ, Dept Populat & Quantitat Hlth Sci, Cleveland, OH 44106 USA
[12] Case Western Reserve Univ, Dept Nutr, Cleveland, OH 44106 USA
[13] Univ New Mexico, Dept Pathol, Albuquerque, NM 87131 USA
[14] Cornell Univ, Joan & Sanford I Weill Med Coll, Div Pulm & Crit Care Med, New York, NY 10021 USA
[15] Cornell Univ, Joan & Sanford I Weill Med Coll, Dept Pathol, New York, NY 10021 USA
[16] NHLBI, Lab Chron Airway Infect, Pulm Branch, NIH, Bldg 10, Bethesda, MD 20892 USA
[17] US EPA, Natl Hlth & Environm Effects Res Lab, Chapel Hill, NC USA
[18] Shantou Univ, Lab Immunol, Med Coll, Shantou, Guangdong, Peoples R China
关键词
CORONAVIRUS SPIKE PROTEIN; ENZYME; 2; ACE2; SARS CORONAVIRUS; CELL ENTRY; CDNA-CLONE; MERS-COV; VIRUS; NEUTRALIZATION; ACTIVATION; ASPIRATION;
D O I
10.1016/j.cell.2020.05.042
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
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.
引用
收藏
页码:429 / +
页数:32
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