SARS-CoV-2 infection in hamsters and humans results in lasting and unique systemic perturbations after recovery
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Abstract
The host response to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can result in prolonged pathologies collectively referred to as post-acute sequalae of COVID-19 (PASC) or long COVID. To better understand the mechanism underlying long COVID biology, we compared the short- and long-term systemic responses in the golden hamster after either SARS-CoV-2 or influenza A virus (IAV) infection. Results demonstrated that SARS-CoV-2 exceeded IAV in its capacity to cause permanent injury to the lung and kidney and uniquely affected the olfactory bulb (OB) and olfactory epithelium (OE). Despite a lack of detectable infectious virus, the OB and OE demonstrated myeloid and T cell activation, proinflammatory cytokine production, and an interferon response that correlated with behavioral changes extending a month after viral clearance. These sustained transcriptional changes could also be corroborated from tissue isolated from individuals who recovered from COVID-19. These data highlight a molecular mechanism for persistent COVID-19 symptomology and provide a small animal model to explore future therapeutics.
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Rajkumar Kalra
Review 1: "SARS-CoV-2 infection results in lasting and systemic perturbations post recovery"
Reviewer: Rajkumar Kalra (Okinawa Institute of Science and Technology Graduate University) | 📒📒📒 ◻️◻️
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Rajkumar Kalra
Review of "SARS-CoV-2 infection results in lasting and systemic perturbations post recovery"
Reviewer: Rajkumar Kalra (Okinawa Institute of Science and Technology Graduate University) | 📒📒📒 ◻️◻️
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SciScore for 10.1101/2022.01.18.476786: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics Euthanasia Agents: Hamsters were euthanized via intraperitoneal injection of pentobarbital and cardiac perfusion with 60 mL PBS.
IACUC: All animal experiments were performed according to protocols approved by the Institutional Animal Care and Use Committee (IACUC) and Institutional Biosafety Committee at ISMMS and NYUL.
IRB: The Tissue Procurement Facility operates under Institutional Review Board (IRB) approved protocol and follows guidelines set by Health Insurance Portability and Accountability Act (HIPAA).
Consent: All autopsies have consent for research use from next of kin, and these studies were determined as exempt by IRB at Weill Cornell Medicine under those protocol numbers.Sex as a … SciScore for 10.1101/2022.01.18.476786: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics Euthanasia Agents: Hamsters were euthanized via intraperitoneal injection of pentobarbital and cardiac perfusion with 60 mL PBS.
IACUC: All animal experiments were performed according to protocols approved by the Institutional Animal Care and Use Committee (IACUC) and Institutional Biosafety Committee at ISMMS and NYUL.
IRB: The Tissue Procurement Facility operates under Institutional Review Board (IRB) approved protocol and follows guidelines set by Health Insurance Portability and Accountability Act (HIPAA).
Consent: All autopsies have consent for research use from next of kin, and these studies were determined as exempt by IRB at Weill Cornell Medicine under those protocol numbers.Sex as a biological variable Hamster experiments: 6–7 week-old male Golden Syrian hamsters (Mesocricetus auratus) were obtained from Charles River Laboratories. Randomization Hamsters were randomly assigned to the different treatment groups and all IAV and SARS-CoV-2 infections were performed in the BSL-3 facility. qRT-PCR: RNA was isolated from homogenized samples by TRIzol/phenol-chloroform extraction. Blinding not detected. Power Analysis not detected. Cell Line Authentication Contamination: All cells were tested for the presence of mycoplasma using MycoAlert Mycoplasma Detection Kit (Lonza). Table 2: Resources
Antibodies Sentences Resources Slides were washed once again and HRP-conjugated secondary antibody was added at a 1:5000 concentration (Goat anti-mouse: ThermoFisher, Cat #A21426; Goat anti-rabbit: Abcam, Ab6721). anti-rabbitsuggested: (Abcam Cat# ab6721, RRID:AB_955447)anti-mousesuggested: (Innovative Research Cat# A21426, RRID:AB_1500929)Ab6721suggested: (Abcam Cat# ab6721, RRID:AB_955447)Primary antibody (MX-A: Millipore Sigma, MABF938; IBA-1: Wako, 019-19741; CD3: Dako, A0452; MPO: Dako, A0398) was added to slides at a dilution (MX-A, 1:100; IBA-1, 1:1000; CD3, 1:1000; MPO: 1:5000), and sections were incubated overnight at 4 degrees Celsius. CD3suggested: NoneSlides were washed once again and HRP-conjugated secondary antibody was added at a 1:5000 concentration (Goat anti-mouse: ThermoFisher, Cat #A21426; Goat anti-rabbit: Abcam, Ab6721). anti-rabbitsuggested: (Abcam Cat# ab6721, RRID:AB_955447)anti-mousesuggested: (Innovative Research Cat# A21426, RRID:AB_1500929)Ab6721suggested: (Abcam Cat# ab6721, RRID:AB_955447)Experimental Models: Cell Lines Sentences Resources Virus and cells: SARS-CoV-2 isolate USA-WA1/2020 was propagated in Vero-E6 cells in DMEM supplemented with 2% FBS, 1mM HEPES and 1% penicillin/streptomycin. Vero-E6suggested: NoneInfluenza A virus H1N1 isolate A/California/04/2009 was propagated in MDCK cells in DMEM supplemented with 0.35% BSA. MDCKsuggested: CLS Cat# 602280/p823_MDCK_(NBL-2, RRID:CVCL_0422)Software and Algorithms Sentences Resources Data visualization: All non-RNA-Seq statistical analyses, box and bar graphs, and Kaplan-Meyer plots were prepared using prism 9 as described in figure legends (GraphPad Software, San Diego, California USA; GraphPadsuggested: (GraphPad Prism, RRID:SCR_002798)Fastq files were generated with bcl2fastq (Illumina) and aligned to the Syrian golden hamster genome (MesAur 1.0, ensembl) using the RNA-Seq Alignment application (Basespace, Illumina). bcl2fastqsuggested: (bcl2fastq , RRID:SCR_015058)Salmon files were analyzed using the DESeq2 analysis pipeline (Love et al., 2014). DESeq2suggested: (DESeq, RRID:SCR_000154)All visualizations of RNA-sequencing differential expression data were created in R using ggplot2, pheatmap, ComplexHeatmap, and gplots packages. ComplexHeatmapsuggested: (ComplexHeatmap, RRID:SCR_017270)Assessment of read coverage of viral genome was conducted using Bowtie2 and IGV_2.8.13 and visualized using ggplot2. Bowtie2suggested: (Bowtie 2, RRID:SCR_016368)ggplot2suggested: (ggplot2, RRID:SCR_014601)Images were morphometrically analyzed using QuPath (Bankhead et al., 2017) and ImageJ (Schneider et al., 2012). ImageJsuggested: (ImageJ, RRID:SCR_003070)Human Heart, Lung, Kidney RNA-sequencing: For RNA library preparation, all samples’ RNA was treated with DNAse 1 (Zymo Research, Catalog # E1010). Human Heartsuggested: (Duke Human Heart Repository, RRID:SCR_013980)This workflow involved quality control of the reads with FastQC (Andrews), adapter trimming using Trim Galore! FastQCsuggested: (FastQC, RRID:SCR_014583)Trim Galoresuggested: (Trim Galore, RRID:SCR_011847)(https://github.com/FelixKrueger/TrimGalore), read alignment with STAR (Dobin et al., 2013), gene quantification with Salmon (Patro et al., 2017), duplicate read marking with Picard MarkDuplicates (https://github.com/broadinstitute/picard), and transcript quantification with StringTie (Kovaka et al., 2019). STARsuggested: (STAR, RRID:SCR_004463)StringTiesuggested: (StringTie , RRID:SCR_016323)Picardsuggested: (Picard, RRID:SCR_006525)Differential expression of genes was calculated by DESeq2 using FeatureCounts reads. FeatureCountssuggested: (featureCounts, RRID:SCR_012919)All resulting fastq files were aligned to the Homo Sapiens genome (GRCh38, RefSeq) using the RNA-Seq Alignment application (Basespace, Illumina). RefSeqsuggested: (RefSeq, RRID:SCR_003496)Libraries were pooled and sent to the WCM Genomics Core or HudsonAlpha for final quantification by Qubit fluorometer (ThermoFisher Scientific), TapeStation 2200 (Agilent), and qRT-PCR using the Kapa Biosystems Illumina library quantification kit. Agilentsuggested: (Agilent Bravo NGS, RRID:SCR_019473)Final libraries were quantified using fluorescent-based assays including PicoGreen (Life Technologies) or Qubit Fluorometer (Invitrogen) and Fragment Analyzer (Advanced Analytics) and sequenced on a NovaSeq 6000 sequencer (v1 chemistry) with 2×150bp targeting 60M reads per sample. PicoGreensuggested: None(https://github.com/FelixKrueger/TrimGalore), read alignment with STAR (Dobin et al., 2013), gene quantification with Salmon (Patro et al., 2017), duplicate read marking with Picard MarkDuplicates (https://github.com/broadinstitute/picard), and transcript quantification with StringTie (Kovaka et al., 2019). STARsuggested: (STAR, RRID:SCR_004463)StringTiesuggested: (StringTie , RRID:SCR_016323)Picardsuggested: (Picard, RRID:SCR_006525)Other quality control measures included RSeQC, Qualimap, and dupRadar. RSeQCsuggested: (RSeQC, RRID:SCR_005275)Qualimapsuggested: (QualiMap, RRID:SCR_001209)Graphic Creation: All graphics were created using BioRender and Microsoft Powerpoint. BioRendersuggested: (Biorender, RRID:SCR_018361)Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
Results from scite Reference Check: We found no unreliable references.
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