Single-cell atlas of a non-human primate reveals new pathogenic mechanisms of COVID-19

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Abstract

Stopping COVID-19 is a priority worldwide. Understanding which cell types are targeted by SARS-CoV-2 virus, whether interspecies differences exist, and how variations in cell state influence viral entry is fundamental for accelerating therapeutic and preventative approaches. In this endeavor, we profiled the transcriptome of nine tissues from a Macaca fascicularis monkey at single-cell resolution. The distribution of SARS-CoV-2 facilitators, ACE2 and TMRPSS2, in different cell subtypes showed substantial heterogeneity across lung, kidney, and liver. Through co-expression analysis, we identified immunomodulatory proteins such as IDO2 and ANPEP as potential SARS-CoV-2 targets responsible for immune cell exhaustion. Furthermore, single-cell chromatin accessibility analysis of the kidney unveiled a plausible link between IL6-mediated innate immune responses aiming to protect tissue and enhanced ACE2 expression that could promote viral entry. Our work constitutes a unique resource for understanding the physiology and pathophysiology of two phylogenetically close species, which might guide in the development of therapeutic approaches in humans.

Bullet points

  • We generated a single-cell transcriptome atlas of 9 monkey tissues to study COVID-19.

  • ACE2 + TMPRSS2 + epithelial cells of lung, kidney and liver are targets for SARS-CoV-2.

  • ACE2 correlation analysis shows IDO2 and ANPEP as potential therapeutic opportunities.

  • We unveil a link between IL6, STAT transcription factors and boosted SARS-CoV-2 entry.

  • Article activity feed

    1. SciScore for 10.1101/2020.04.10.022103: (What is this?)

      Please note, not all rigor criteria are appropriate for all manuscripts.

      Table 1: Rigor

      Institutional Review Board StatementThis study was approved by the Institutional Review Board on Ethics Committee of BGI ( permit no. BGI-IRB19125) .Randomizationnot detected.Blindingnot detected.Power Analysisnot detected.Sex as a biological variableFor this study, we used a six-year-old female monkey in which we profiled nine different organs (Fig. 1a).

      Table 2: Resources

      Antibodies
      SentencesResources
      We focused on IL6 because a recent clinical trial has been started that uses anti-IL6 receptor ( IL6R ) antibodies in the treatment of COVID-19 ( http://www.chictr.org.cn/showprojen.aspx ? proj=49409)
      anti-IL6 receptor ( IL6R
      suggested: None
      IL6 expression , which is higher in elderly patients and those with inflammatory conditions , is effectively targeted by anti-IL6R monoclonal antibodies leading to a more favourable disease course.
      anti-IL6R
      suggested: None
      Software and Algorithms
      SentencesResources
      Raw sequencing reads from DIPSEQ-T1 were filtered and demultiplexed using PISA ( version 0.2 ) ( https://github.com/shiquan/PISA).
      PISA
      suggested: (PISA, SCR_015749)
      Reads were aligned to Macaca_fascicularis_5.0 genome using STAR ( version 2.7.4a)46 and sorted by sambamba ( version 0.7.0 ) 47
      STAR
      suggested: (STAR, SCR_015899)
      Clustering analysis of the complete cynomolgus monkey tissue dataset was performed using Scanpy ( version 1.4)48 in a Python environment .
      Python
      suggested: (IPython, SCR_001658)
      Each tissue dataset was portrayed using the Seurat package ( version 3.1.1)49 in R environment by default parameters for filtering , data normalization , dimensionality reduction , clustering , and gene differential expression analysis .
      Seurat
      suggested: (SEURAT, SCR_007322)
      To infer the biological function of highly correlated genes ( cor > 0.6 and adjusted P value < 0.001) , we performed gene set enrichment analysis using Metascape (
      Metascape
      suggested: (Metascape, SCR_016620)

      Results from OddPub: Thank you for sharing your data.


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