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10.1016/j.jcmgh.2020.11.003

http://scihub22266oqcxt.onion/10.1016/j.jcmgh.2020.11.003
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33186749!7655023!33186749
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suck abstract from ncbi


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pmid33186749      Cell+Mol+Gastroenterol+Hepatol 2021 ; 11 (4): 935-948
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  • Drug Inhibition of SARS-CoV-2 Replication in Human Pluripotent Stem Cell-Derived Intestinal Organoids #MMPMID33186749
  • Kruger J; Gross R; Conzelmann C; Muller JA; Koepke L; Sparrer KMJ; Weil T; Schutz D; Seufferlein T; Barth TFE; Stenger S; Heller S; Munch J; Kleger A
  • Cell Mol Gastroenterol Hepatol 2021[]; 11 (4): 935-948 PMID33186749show ga
  • BACKGROUND AND AIMS: The COVID-19 pandemic has spread worldwide and poses a severe health risk. While most patients present mild symptoms, descending pneumonia can lead to severe respiratory insufficiency. Up to 50% of patients show gastrointestinal symptoms like diarrhea or nausea, intriguingly associating with prolonged symptoms and increased severity. Thus, models to understand and validate drug efficiency in the gut of COVID-19 patients are of urgent need. METHODS: Human intestinal organoids derived from pluripotent stem cells (PSC-HIOs) have led, due to their complexity in mimicking human intestinal architecture, to an unprecedented number of successful disease models including gastrointestinal infections. Here, we employed PSC-HIOs to dissect SARS-CoV-2 pathogenesis and its inhibition by remdesivir, one of the leading drugs investigated for treatment of COVID-19. RESULTS: Immunostaining for viral entry receptor ACE2 and SARS-CoV-2 spike protein priming protease TMPRSS2 showed broad expression in the gastrointestinal tract with highest levels in the intestine, the latter faithfully recapitulated by PSC-HIOs. Organoids could be readily infected with SARS-CoV-2 followed by viral spread across entire PSC-HIOs, subsequently leading to organoid deterioration. However, SARS-CoV-2 spared goblet cells lacking ACE2 expression. Importantly, we challenged PSC-HIOs for drug testing capacity. Specifically, remdesivir effectively inhibited SARS-CoV-2 infection dose-dependently at low micromolar concentration and rescued PSC-HIO morphology. CONCLUSIONS: Thus, PSC-HIOs are a valuable tool to study SARS-CoV-2 infection and to identify and validate drugs especially with potential action in the gut.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Human Embryonic Stem Cells/metabolism/pathology/virology[MESH]
  • |*Intestinal Mucosa/metabolism/pathology/virology[MESH]
  • |*Organoids/metabolism/pathology/virology[MESH]
  • |Adenosine Monophosphate/*analogs & derivatives/pharmacology[MESH]
  • |Alanine/*analogs & derivatives/pharmacology[MESH]
  • |COVID-19/*metabolism[MESH]
  • |Caco-2 Cells[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2/*physiology[MESH]


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