PT - JOURNAL ARTICLE AU - Courtney Woolsey AU - Viktoriya Borisevich AU - Abhishek N. Prasad AU - Krystle N. Agans AU - Daniel J. Deer AU - Natalie S. Dobias AU - John C. Heymann AU - Stephanie L. Foster AU - Corri B. Levine AU - Liana Medina AU - Kevin Melody AU - Joan B. Geisbert AU - Karla A. Fenton AU - Thomas W. Geisbert AU - Robert W. Cross TI - Establishment of an African green monkey model for COVID-19 AID - 10.1101/2020.05.17.100289 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.05.17.100289 4099 - http://biorxiv.org/content/early/2020/05/17/2020.05.17.100289.short 4100 - http://biorxiv.org/content/early/2020/05/17/2020.05.17.100289.full AB - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for an unprecedented global pandemic of COVID-19. Animal models are urgently needed to study the pathogenesis of COVID-19 and to screen candidate vaccines and treatments. Nonhuman primates (NHP) are considered the gold standard model for many infectious pathogens as they usually best reflect the human condition. Here, we show that African green monkeys support a high level of SARS-CoV-2 replication and develop pronounced respiratory disease that may be more substantial than reported for other NHP species including cynomolgus and rhesus macaques. In addition, SARS-CoV-2 was detected in mucosal samples of all animals including feces of several animals as late as 15 days after virus exposure. Importantly, we show that virus replication and respiratory disease can be produced in African green monkeys using a much lower and more natural dose of SARS-CoV-2 than has been employed in other NHP studies.Competing Interest StatementThe authors have declared no competing interest.