Nasal ciliated cells are primary targets for SARS-CoV-2 replication in early stage of COVID-19

The upper respiratory tract is compromised in the early period of COVID-19, but SARS-CoV-2 tropism at the cellular level is not fully defined. Unlike recent single cell RNA-sequencing analyses indicating uniformly low mRNA expression of SARS-CoV-2 entry-related host molecules in all nasal epithelial...

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Veröffentlicht in:The Journal of clinical investigation 2021-07, Vol.131 (13), p.1-14
Hauptverfasser: Ahn, Ji Hoon, Kim, JungMo, Hong, Seon Pyo, Choi, Sung Yong, Yang, Myung Jin, Ju, Young Seok, Kim, Young Tae, Kim, Ho Min, Rahman, M D Tazikur, Chung, Man Ki, Hong, Sang Duk, Bae, Hosung, Lee, Chang-Seop, Koh, Gou Young
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container_end_page 14
container_issue 13
container_start_page 1
container_title The Journal of clinical investigation
container_volume 131
creator Ahn, Ji Hoon
Kim, JungMo
Hong, Seon Pyo
Choi, Sung Yong
Yang, Myung Jin
Ju, Young Seok
Kim, Young Tae
Kim, Ho Min
Rahman, M D Tazikur
Chung, Man Ki
Hong, Sang Duk
Bae, Hosung
Lee, Chang-Seop
Koh, Gou Young
description The upper respiratory tract is compromised in the early period of COVID-19, but SARS-CoV-2 tropism at the cellular level is not fully defined. Unlike recent single cell RNA-sequencing analyses indicating uniformly low mRNA expression of SARS-CoV-2 entry-related host molecules in all nasal epithelial cells, we show that the protein levels are relatively high and their localizations are restricted to the apical side of multiciliated epithelial cells. In addition, we provide evidence in COVID-19 patients that SARS-CoV-2 is massively detected and replicated within the multiciliated cells. We observed these findings during the early stage of COVID-19, when infected ciliated cells are rapidly replaced by differentiating precursor cells. Moreover, our analyses reveal that SARS-CoV-2 cellular tropism is restricted to the nasal ciliated versus oral squamous epithelium. These results imply that targeting ciliated cells of the nasal epithelium during the early stage of COVID-19 could be an ideal strategy to prevent SARS-CoV-2 propagation.
doi_str_mv 10.1172/jci148517
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Unlike recent single cell RNA-sequencing analyses indicating uniformly low mRNA expression of SARS-CoV-2 entry-related host molecules in all nasal epithelial cells, we show that the protein levels are relatively high and their localizations are restricted to the apical side of multiciliated epithelial cells. In addition, we provide evidence in COVID-19 patients that SARS-CoV-2 is massively detected and replicated within the multiciliated cells. We observed these findings during the early stage of COVID-19, when infected ciliated cells are rapidly replaced by differentiating precursor cells. Moreover, our analyses reveal that SARS-CoV-2 cellular tropism is restricted to the nasal ciliated versus oral squamous epithelium. 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subjects Biomedical research
Cell differentiation
Coronaviruses
COVID-19
Disease transmission
Epithelial cells
Epithelium
Gene expression
Genetic aspects
Health aspects
Infections
Localization
Lungs
Pathogens
Proteins
Respiratory tract
Severe acute respiratory syndrome coronavirus 2
Tropism
Viruses
title Nasal ciliated cells are primary targets for SARS-CoV-2 replication in early stage of COVID-19
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