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SARS-CoV-2 productively infects primary human immune system cells in vitro and in COVID-19 patients.


ABSTRACT: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is associated with a hyperinflammatory state and lymphocytopenia, a hallmark that appears as both signature and prognosis of disease severity outcome. Although cytokine storm and a sustained inflammatory state are commonly associated with immune cell depletion, it is still unclear whether direct SARS-CoV-2 infection of immune cells could also play a role in this scenario by harboring viral replication. We found that monocytes, as well as both B and T lymphocytes, were susceptible to SARS-CoV-2 infection in vitro, accumulating double-stranded RNA consistent with viral RNA replication and ultimately leading to expressive T cell apoptosis. In addition, flow cytometry and immunofluorescence analysis revealed that SARS-CoV-2 was frequently detected in monocytes and B lymphocytes from coronavirus disease 2019 (COVID-19) patients. The rates of SARS-CoV-2-infected monocytes in peripheral blood mononuclear cells from COVID-19 patients increased over time from symptom onset, with SARS-CoV-2-positive monocytes, B cells, and CD4+ T lymphocytes also detected in postmortem lung tissue. These results indicated that SARS-CoV-2 infection of blood-circulating leukocytes in COVID-19 patients might have important implications for disease pathogenesis and progression, immune dysfunction, and virus spread within the host.

SUBMITTER: Pontelli MC 

PROVIDER: S-EPMC9384834 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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SARS-CoV-2 productively infects primary human immune system cells in vitro and in COVID-19 patients.

Pontelli Marjorie C MC   Castro Ítalo A ÍA   Martins Ronaldo B RB   La Serra Leonardo L   Veras Flávio P FP   Nascimento Daniele C DC   Silva Camila M CM   Cardoso Ricardo S RS   Rosales Roberta R   Gomes Rogério R   Lima Thais M TM   Souza Juliano P JP   Vitti Brenda C BC   Caetité Diego B DB   de Lima Mikhael H F MHF   Stumpf Spencer D SD   Thompson Cassandra E CE   Bloyet Louis-Marie LM   Toller-Kawahisa Juliana E JE   Giannini Marcela C MC   Bonjorno Letícia P LP   Lopes Maria I F MIF   Batah Sabrina S SS   Siyuan Li L   Luppino-Assad Rodrigo R   Almeida Sergio C L SCL   Oliveira Fabiola R FR   Benatti Maíra N MN   Pontes Lorena L F LLF   Santana Rodrigo C RC   Vilar Fernando C FC   Auxiliadora-Martins Maria M   Shi Pei-Yong PY   Cunha Thiago M TM   Calado Rodrigo T RT   Alves-Filho José C JC   Zamboni Dario S DS   Fabro Alexandre T AT   Louzada-Junior Paulo P   Oliveira Rene D R RDR   Whelan Sean P J SPJ   Cunha Fernando Q FQ   Arruda Eurico E  

Journal of molecular cell biology 20220801 4


The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is associated with a hyperinflammatory state and lymphocytopenia, a hallmark that appears as both signature and prognosis of disease severity outcome. Although cytokine storm and a sustained inflammatory state are commonly associated with immune cell depletion, it is still unclear whether direct SARS-CoV-2 infection of immune cells could also play a role in this scenario by harboring viral replication. We found that monoc  ...[more]

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