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suck abstract from ncbi


10.1093/infdis/jiab039

http://scihub22266oqcxt.onion/10.1093/infdis/jiab039
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33502471!7928839!33502471
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suck abstract from ncbi


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pmid33502471      J+Infect+Dis 2021 ; 223 (5): 752-764
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  • Evidence of Severe Acute Respiratory Syndrome Coronavirus 2 Replication and Tropism in the Lungs, Airways, and Vascular Endothelium of Patients With Fatal Coronavirus Disease 2019: An Autopsy Case Series #MMPMID33502471
  • Bhatnagar J; Gary J; Reagan-Steiner S; Estetter LB; Tong S; Tao Y; Denison AM; Lee E; DeLeon-Carnes M; Li Y; Uehara A; Paden CR; Leitgeb B; Uyeki TM; Martines RB; Ritter JM; Paddock CD; Shieh WJ; Zaki SR
  • J Infect Dis 2021[Mar]; 223 (5): 752-764 PMID33502471show ga
  • BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic continues to produce substantial morbidity and mortality. To understand the reasons for the wide-spectrum complications and severe outcomes of COVID-19, we aimed to identify cellular targets of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) tropism and replication in various tissues. METHODS: We evaluated RNA extracted from formalin-fixed, paraffin-embedded autopsy tissues from 64 case patients (age range, 1 month to 84 years; 21 COVID-19 confirmed, 43 suspected COVID-19) by SARS-CoV-2 reverse-transcription polymerase chain reaction (RT-PCR). For cellular localization of SARS-CoV-2 RNA and viral characterization, we performed in situ hybridization (ISH), subgenomic RNA RT-PCR, and whole-genome sequencing. RESULTS: SARS-CoV-2 was identified by RT-PCR in 32 case patients (21 COVID-19 confirmed, 11 suspected). ISH was positive in 20 and subgenomic RNA RT-PCR was positive in 17 of 32 RT-PCR-positive case patients. SARS-CoV-2 RNA was localized by ISH in hyaline membranes, pneumocytes, and macrophages of lungs; epithelial cells of airways; and endothelial cells and vessel walls of brain stem, leptomeninges, lung, heart, liver, kidney, and pancreas. The D614G variant was detected in 9 RT-PCR-positive case patients. CONCLUSIONS: We identified cellular targets of SARS-CoV-2 tropism and replication in the lungs and airways and demonstrated its direct infection in vascular endothelium. This work provides important insights into COVID-19 pathogenesis and mechanisms of severe outcomes.
  • |*Virus Replication[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Autopsy[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19/complications/*virology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Endothelium, Vascular/*virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |In Situ Hybridization[MESH]
  • |Infant[MESH]
  • |Lung/virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |RNA, Viral/isolation & purification[MESH]
  • |Real-Time Polymerase Chain Reaction[MESH]
  • |Respiratory System/*virology[MESH]
  • |SARS-CoV-2/genetics/isolation & purification/*physiology[MESH]
  • |Viral Tropism[MESH]
  • |Whole Genome Sequencing[MESH]


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