PT - JOURNAL ARTICLE AU - Jessica A. Plante AU - Kenneth S. Plante AU - Lisa E. Gralinski AU - Anne Beall AU - Martin T. Ferris AU - Daniel Bottomly AU - Richard Green AU - Shannon K. McWeeney AU - Mark T. Heise AU - Ralph S. Baric AU - Vineet D. Menachery TI - Mucin 4 Protects Female Mice from Coronavirus Pathogenesis AID - 10.1101/2020.02.19.957118 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.02.19.957118 4099 - http://biorxiv.org/content/early/2020/02/20/2020.02.19.957118.short 4100 - http://biorxiv.org/content/early/2020/02/20/2020.02.19.957118.full AB - Using incipient lines of the Collaborative Cross (CC), a murine genetic reference population, we previously identified a quantitative trait loci (QTL) associated with low SARS-CoV titer. In this study, we integrated sequence information and RNA expression of genes within the QTL to identify mucin 4 (Muc4) as a high priority candidate for controlling SARS-CoV titer in the lung. To test this hypothesis, we infected Muc4-/- mice and found that female, but not male, Muc4-/- mice developed more weight loss and disease following infection with SARS-CoV. Female Muc4-/- mice also had more difficulty breathing despite reduced lung pathology; however, no change in viral titers was observed. Comparing across viral families, studies with chikungunya virus, a mosquito-borne arthralgic virus, suggests that Muc4’s impact on viral pathogenesis may be widespread. Although not confirming the original titer QTL, our data identifies a role for Muc4 in the SARS-CoV disease and viral pathogenesis.Importance Given the recent emergence of SARS-CoV-2, this work suggest that Muc4 expression plays a protective role in female mice not conserved in male mice following SARS-CoV infection. With the SARS-CoV-2 outbreak continuing, treatments that modulate or enhance Muc4 activity may provide an avenue for treatment and improved outcomes. In addition, the work highlights the importance of studying host factors including host genetics and biological sex as key parameters influencing infection and disease outcomes.