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Neuroinvasion and neurotropism by SARS-CoV-2 variants in the K18-hACE2 mouse

Authors: Seehusen, Frauke; Clark, Jordan; Sharma, Parul; Bentley, Eleanor; Kirby, Adam; Subramaniam, Krishanthi; Subramaniam, Krishanthi; +8 Authors

Neuroinvasion and neurotropism by SARS-CoV-2 variants in the K18-hACE2 mouse

Abstract

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) not only affects the respiratory tract but also causes neurological symptoms such as loss of smell and taste, headache, fatigue or severe cerebrovascular complications. Using transgenic mice expressing human angiotensin-converting enzyme 2 (hACE2) we investigated the spatiotemporal distribution and pathomorphological features in the CNS following intranasal infection with SARS-CoV-2 variants, also after prior influenza A virus infection. Apart from Omicron, we found all variants to frequently spread to and within the CNS. Infection was restricted to neurons and appeared to spread from the olfactory bulb mainly in basally orientated regions in the brain and into the spinal cord, independent of ACE2 expression and without evidence of neuronal cell death, axonal damage or demyelination. However, microglial activation, microgliosis and a mild macrophage and T cell dominated inflammatory response was consistently observed, accompanied by apoptotic death of endothelial, microglial and immune cells, without their apparent infection. Microgliosis and immune cell apoptosis indicate a potential role of microglia for pathogenesis and viral effect in COVID-19 and possible impairment of neurological functions, especially in long COVID. These data may also be informative for the selection of therapeutic candidates, and broadly support investigation of agents with adequate penetration into relevant regions of the CNS.

Robichaud, A., Fereydoonzad, L., Urovitch, I. B. & Brunet, J. D. Comparative study of three flexiVent system configurations using mechanical test loads. Experimental lung research 41, 84-92, doi:10.3109/01902148.2014.971921 (2015).

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    Average
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    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
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  • Funder: National Institutes of Health (NIH)
  • Project Code: 5R35HL145242-02
  • Funding stream: NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
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