RT Journal Article SR Electronic T1 “Acute Respiratory Distress and Cytokine Storm in Aged, SARS-CoV-2 Infected African Green Monkeys, but not in Rhesus Macaques” JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.18.157933 DO 10.1101/2020.06.18.157933 A1 Robert V. Blair A1 Monica Vaccari A1 Lara A. Doyle-Meyers A1 Chad J Roy A1 Kasi Russell-Lodrigue A1 Marissa Fahlberg A1 Chris J. Monjure A1 Brandon Beddingfield A1 Kenneth S. Plante A1 Jessica A. Plante A1 Scott C. Weaver A1 Xuebin Qin A1 Cecily C. Midkiff A1 Gabrielle Lehmicke A1 Nadia Golden A1 Breanna Threeton A1 Toni Penney A1 Carolina Allers A1 Mary B Barnes A1 Melissa Pattison A1 Prasun K Datta A1 Nicholas J Maness A1 Angela Birnbaum A1 Tracy Fischer A1 Rudolf P. Bohm A1 Jay Rappaport YR 2020 UL http://biorxiv.org/content/early/2020/08/11/2020.06.18.157933.abstract AB SARS-CoV-2 induces a wide range of disease severity ranging from asymptomatic infection, to a life-threating illness, particularly in the elderly and persons with comorbid conditions. Among those persons with serious COVID-19 disease, acute respiratory distress syndrome (ARDS) is a common and often fatal presentation. Animal models of SARS-CoV-2 infection that manifest severe disease are needed to investigate the pathogenesis of COVID-19 induced ARDS and evaluate therapeutic strategies. Here we report ARDS in two aged African green monkeys (AGMs) infected with SARS-CoV-2 that demonstrated pathological lesions and disease similar to severe COVID-19 in humans. We also report a comparatively mild COVID-19 phenotype characterized by minor clinical, radiographic and histopathologic changes in the two surviving, aged AGMs and four rhesus macaques (RMs) infected with SARS-CoV-2. We found dramatic increases in circulating cytokines in three of four infected, aged AGMs but not in infected RMs. All of the AGMs showed increased levels of plasma IL-6 compared to baseline, a predictive marker and presumptive therapeutic target in humans infected with SARS-CoV-2 infection. Together, our results show that both RM and AGM are capable of modeling SARS-CoV-2 infection and suggest that aged AGMs may be useful for modeling severe disease manifestations including ARDS.Competing Interest StatementThe authors have declared no competing interest.