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SARS-CoV-2 infects carotid arteries: implications for vascular disease and organ injury in COVID-19
Susanne Pfefferle, Thomas Günther, Victor G. Puelles, Fabian Heinrich, Dominik Nörz, Manja Czech-Sioli, Alexander Carsten, Susanne Krasemann, Milagros N. Wong, Lisa Oestereich, Tim Magnus, Lena Allweiss, Carolin Edler, Ann Sophie Schröder, Maura Dandri, Tobias B. Huber, Markus Glatzel, Klaus Püschel, Adam Grundhoff, Marc Lütgehetmann, Martin Aepfelbacher, Nicole Fischer
doi: https://doi.org/10.1101/2020.10.10.334458
Susanne Pfefferle
1University Medical Center Hamburg-Eppendorf (UKE), Institute of Medical Microbiology, Virology and Hygiene, Hamburg, Germany
Thomas Günther
2Heinrich Pette Institute, Leibniz Institute for Experimental Virology, Virus Genomics, Hamburg, Germany
Victor G. Puelles
3University Medical Center Hamburg-Eppendorf (UKE), III. Medical Clinic and Polyclinic, Hamburg, Germany
Fabian Heinrich
4University Medical Center Hamburg-Eppendorf (UKE), Institute of Legal Medicine, Hamburg, Germany
Dominik Nörz
1University Medical Center Hamburg-Eppendorf (UKE), Institute of Medical Microbiology, Virology and Hygiene, Hamburg, Germany
Manja Czech-Sioli
1University Medical Center Hamburg-Eppendorf (UKE), Institute of Medical Microbiology, Virology and Hygiene, Hamburg, Germany
Alexander Carsten
1University Medical Center Hamburg-Eppendorf (UKE), Institute of Medical Microbiology, Virology and Hygiene, Hamburg, Germany
Susanne Krasemann
5University Medical Center Hamburg-Eppendorf (UKE), Institute of Neuropathology, Hamburg, Germany
Milagros N. Wong
3University Medical Center Hamburg-Eppendorf (UKE), III. Medical Clinic and Polyclinic, Hamburg, Germany
Lisa Oestereich
6Bernhard Nocht Institute, Leibniz Institute for Tropical Medicine, Hamburg, Germany
7German Center for Infection Research, Partner Site Hamburg-Borstel-Lübeck-Riems, Germany
Tim Magnus
8University Medical Center Hamburg-Eppendorf (UKE), Department of Neurology, Hamburg, Germany
Lena Allweiss
9University Medical Center Hamburg-Eppendorf (UKE), I. Medical Clinic and Polyclinic, Hamburg, Germany
Carolin Edler
4University Medical Center Hamburg-Eppendorf (UKE), Institute of Legal Medicine, Hamburg, Germany
Ann Sophie Schröder
4University Medical Center Hamburg-Eppendorf (UKE), Institute of Legal Medicine, Hamburg, Germany
Maura Dandri
7German Center for Infection Research, Partner Site Hamburg-Borstel-Lübeck-Riems, Germany
9University Medical Center Hamburg-Eppendorf (UKE), I. Medical Clinic and Polyclinic, Hamburg, Germany
Tobias B. Huber
3University Medical Center Hamburg-Eppendorf (UKE), III. Medical Clinic and Polyclinic, Hamburg, Germany
Markus Glatzel
5University Medical Center Hamburg-Eppendorf (UKE), Institute of Neuropathology, Hamburg, Germany
Klaus Püschel
4University Medical Center Hamburg-Eppendorf (UKE), Institute of Legal Medicine, Hamburg, Germany
Adam Grundhoff
2Heinrich Pette Institute, Leibniz Institute for Experimental Virology, Virus Genomics, Hamburg, Germany
Marc Lütgehetmann
1University Medical Center Hamburg-Eppendorf (UKE), Institute of Medical Microbiology, Virology and Hygiene, Hamburg, Germany
Martin Aepfelbacher
1University Medical Center Hamburg-Eppendorf (UKE), Institute of Medical Microbiology, Virology and Hygiene, Hamburg, Germany
Nicole Fischer
1University Medical Center Hamburg-Eppendorf (UKE), Institute of Medical Microbiology, Virology and Hygiene, Hamburg, Germany
Abstract
Stroke and central nervous system dysfunction are cardinal symptoms in critically ill corona virus disease 19 (COVID-19) patients. In an autopsy series of 32 COVID-19 patients, we investigated whether carotid arteries were infected with SARS-CoV-2 by employing genomic, virologic, histochemical and transcriptomic analyses. We show that SARS-CoV-2 productively infects and modulates vascular responses in carotid arteries. This finding has far reaching implications for the understanding and clinical treatment of COVID-19.
Competing Interest Statement
The authors have declared no competing interest.
Copyright
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission.
Posted October 12, 2020.
SARS-CoV-2 infects carotid arteries: implications for vascular disease and organ injury in COVID-19
Susanne Pfefferle, Thomas Günther, Victor G. Puelles, Fabian Heinrich, Dominik Nörz, Manja Czech-Sioli, Alexander Carsten, Susanne Krasemann, Milagros N. Wong, Lisa Oestereich, Tim Magnus, Lena Allweiss, Carolin Edler, Ann Sophie Schröder, Maura Dandri, Tobias B. Huber, Markus Glatzel, Klaus Püschel, Adam Grundhoff, Marc Lütgehetmann, Martin Aepfelbacher, Nicole Fischer
bioRxiv 2020.10.10.334458; doi: https://doi.org/10.1101/2020.10.10.334458
SARS-CoV-2 infects carotid arteries: implications for vascular disease and organ injury in COVID-19
Susanne Pfefferle, Thomas Günther, Victor G. Puelles, Fabian Heinrich, Dominik Nörz, Manja Czech-Sioli, Alexander Carsten, Susanne Krasemann, Milagros N. Wong, Lisa Oestereich, Tim Magnus, Lena Allweiss, Carolin Edler, Ann Sophie Schröder, Maura Dandri, Tobias B. Huber, Markus Glatzel, Klaus Püschel, Adam Grundhoff, Marc Lütgehetmann, Martin Aepfelbacher, Nicole Fischer
bioRxiv 2020.10.10.334458; doi: https://doi.org/10.1101/2020.10.10.334458
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