Human angiotensin-converting enzyme 2 transgenic mice infected with SARS-CoV-2 develop severe and fatal respiratory disease

Autor: Joshua D. Shamblin, Eric M. Mucker, Brian D. Carey, Aura R. Garrison, Hypaitia B. Rauch, Jay W. Hooper, Xiankun Zeng, Jeffrey M. Smith, Bradley S. Hollidge, April M. Babka, Collin Fitzpatrick, Rebecca L. Brocato, Curtis R. Cline, Catherine V. Badger, Jun Liu, Lauren E. White, Joseph W. Golden
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
0301 basic medicine
Genetically modified mouse
Pneumonia
Viral

Mice
Transgenic

Disease
Peptidyl-Dipeptidase A
Lung injury
Mouse models
Severe Acute Respiratory Syndrome
Virus Replication
Severity of Illness Index
Keratin 18
Proinflammatory cytokine
Pathogenesis
Mice
03 medical and health sciences
0302 clinical medicine
Cause of Death
medicine
Animals
Humans
Lung
Pandemics
Molecular pathology
Infectious disease
business.industry
Respiratory disease
COVID-19
General Medicine
respiratory system
medicine.disease
respiratory tract diseases
Survival Rate
Disease Models
Animal

030104 developmental biology
medicine.anatomical_structure
030220 oncology & carcinogenesis
Immunology
Angiotensin-converting enzyme 2
Disease Progression
Medicine
Female
Angiotensin-Converting Enzyme 2
Coronavirus Infections
business
Research Article
Zdroj: JCI Insight, Vol 5, Iss 19 (2020)
JCI Insight
ISSN: 2379-3708
Popis: The emergence of SARS-CoV-2 has created an international health crisis, and small animal models mirroring SARS-CoV-2 human disease are essential for medical countermeasure (MCM) development. Mice are refractory to SARS-CoV-2 infection owing to low-affinity binding to the murine angiotensin-converting enzyme 2 (ACE2) protein. Here, we evaluated the pathogenesis of SARS-CoV-2 in male and female mice expressing the human ACE2 gene under the control of the keratin 18 promoter (K18). In contrast to nontransgenic mice, intranasal exposure of K18-hACE2 animals to 2 different doses of SARS-CoV-2 resulted in acute disease, including weight loss, lung injury, brain infection, and lethality. Vasculitis was the most prominent finding in the lungs of infected mice. Transcriptomic analysis from lungs of infected animals showed increases in transcripts involved in lung injury and inflammatory cytokines. In the low-dose challenge groups, there was a survival advantage in the female mice, with 60% surviving infection, whereas all male mice succumbed to disease. Male mice that succumbed to disease had higher levels of inflammatory transcripts compared with female mice. To our knowledge, this is the first highly lethal murine infection model for SARS-CoV-2 and should be valuable for the study of SARS-CoV-2 pathogenesis and for the assessment of MCMs.
A highly lethal murine infection model for SARS-CoV-2 using mice transgenic for the human ACE2 protein is described.
Databáze: OpenAIRE