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Severe acute respiratory syndrome coronavirus infection causes neuronal death in the absence of encephalitis in mice transgenic for human ACE2
Journal article   Open access   Peer reviewed

Severe acute respiratory syndrome coronavirus infection causes neuronal death in the absence of encephalitis in mice transgenic for human ACE2

Jason Netland, David K Meyerholz, Steven Moore, Martin Cassell and Stanley Perlman
Journal of virology, Vol.82(15), pp.7264-7275
08/2008
DOI: 10.1128/JVI.00737-08
PMCID: PMC2493326
PMID: 18495771
url
https://europepmc.org/articles/pmc2493326View
Published (Version of record) Open Access

Abstract

Infection of humans with the severe acute respiratory syndrome coronavirus (SARS-CoV) results in substantial morbidity and mortality, with death resulting primarily from respiratory failure. While the lungs are the major site of infection, the brain is also infected in some patients. Brain infection may result in long-term neurological sequelae, but little is known about the pathogenesis of SARS-CoV in this organ. We previously showed that the brain was a major target organ for infection in mice that are transgenic for the SARS-CoV receptor (human angiotensin-converting enzyme 2). Herein, we use these mice to show that virus enters the brain primarily via the olfactory bulb, and infection results in rapid, transneuronal spread to connected areas of the brain. This extensive neuronal infection is the main cause of death because intracranial inoculation with low doses of virus results in a uniformly lethal disease even though little infection is detected in the lungs. Death of the animal likely results from dysfunction and/or death of infected neurons, especially those located in cardiorespiratory centers in the medulla. Remarkably, the virus induces minimal cellular infiltration in the brain. Our results show that neurons are a highly susceptible target for SARS-CoV and that only the absence of the host cell receptor prevents severe murine brain disease.
Neurons - virology Lung - pathology Olfactory Bulb - pathology Humans Mice, Inbred C57BL Brain - virology Mice, Transgenic Peptidyl-Dipeptidase A - physiology Receptors, Virus - genetics SARS Virus - pathogenicity Receptors, Virus - physiology Peptidyl-Dipeptidase A - genetics Animals Cell Death Olfactory Bulb - virology Brain - pathology Mice Severe Acute Respiratory Syndrome - pathology

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