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10.1016/j.jcmgh.2020.09.017

http://scihub22266oqcxt.onion/10.1016/j.jcmgh.2020.09.017
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suck abstract from ncbi


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pmid33010495      Cell+Mol+Gastroenterol+Hepatol 2021 ; 11 (3): 771-781
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  • SARS-CoV-2 Induces a More Robust Innate Immune Response and Replicates Less Efficiently Than SARS-CoV in the Human Intestines: An Ex Vivo Study With Implications on Pathogenesis of COVID-19 #MMPMID33010495
  • Chu H; Chan JF; Wang Y; Yuen TT; Chai Y; Shuai H; Yang D; Hu B; Huang X; Zhang X; Hou Y; Cai JP; Zhang AJ; Zhou J; Yuan S; To KK; Hung IF; Cheung TT; Ng AT; Hau-Yee Chan I; Wong IY; Law SY; Foo DC; Leung WK; Yuen KY
  • Cell Mol Gastroenterol Hepatol 2021[]; 11 (3): 771-781 PMID33010495show ga
  • BACKGROUND AND AIMS: Besides prominent respiratory involvement, gastrointestinal manifestations are commonly reported in Coronavirus Disease 2019 (COVID-19) patients. We compared infection of ex vivo human intestinal tissues by SARS-CoV-2 and SARS-CoV with respect to their replication kinetics and immune activation profile. METHODS: Human intestinal tissues were obtained from patients while undergoing surgical operations at Queen Mary Hospital, Hong Kong. Upon surgical removal, the tissues were immediately processed and infected with SARS-CoV-2 or SARS-CoV. Replication kinetics were determined with immunohistochemistry, qRT-PCR, and plaque assays. Immune activation in the infected intestinal tissues was assessed by detecting the gene expression of interferons and representative pro-inflammatory cytokines and chemokines. RESULTS: SARS-CoV-2 could infect and productively replicate in the ex vivo human intestinal tissues with release of infectious virus particles, but not in ex vivo human liver and kidney tissues. Importantly, SARS-CoV-2 replicated less efficiently than SARS-CoV, induced less cytopathology in the human intestinal epithelium, and induced a more robust innate immune response including the activation of both type I and type III interferons, than SARS-CoV in human intestinal tissues. CONCLUSION: Using the ex vivo human intestinal tissues as a physiologically relevant model, our data indicated that SARS-CoV-2 could productively replicate in the human gut and suggested that the gastrointestinal tract might serve as an alternative route of virus dissemination. SARS-CoV-2 replicated less efficiently and induced less cytopathology than SARS-CoV in keeping with the clinical observations reported for COVID-19 and SARS, which might be the result of a more robust immune activation by SARS-CoV-2 than SARS-CoV in the human intestine.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*immunology/*virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunity, Innate/*immunology[MESH]
  • |In Vitro Techniques[MESH]
  • |Intestinal Mucosa/*virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2/*immunology/*pathogenicity[MESH]
  • |Severe acute respiratory syndrome-related coronavirus/pathogenicity[MESH]


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