RT Journal Article SR Electronic T1 Single cell resolution of SARS-CoV-2 tropism, antiviral responses, and susceptibility to therapies in primary human airway epithelium JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.10.19.343954 DO 10.1101/2020.10.19.343954 A1 Jessica K. Fiege A1 Joshua M. Thiede A1 Hezkiel Nanda A1 William E. Matchett A1 Patrick J. Moore A1 Noe Rico Montanari A1 Beth K. Thielen A1 Jerry Daniel A1 Emma Stanley A1 Ryan C. Hunter A1 Vineet D. Menachery A1 Steven S. Shen A1 Tyler D. Bold A1 Ryan A. Langlois YR 2020 UL http://biorxiv.org/content/early/2020/10/19/2020.10.19.343954.abstract AB The human airway epithelium is the initial site of SARS-CoV-2 infection. We used flow cytometry and single cell RNA-sequencing to understand how the heterogeneity of this diverse cell population contributes to elements of viral tropism and pathogenesis, antiviral immunity, and treatment response to remdesivir. We found that, while a variety of epithelial cell types are susceptible to infection, ciliated cells are the predominant cell target of SARS-CoV-2. The host protease TMPRSS2 was required for infection of these cells. Importantly, remdesivir treatment effectively inhibited viral replication across cell types, and blunted hyperinflammatory responses. Induction of interferon responses within infected cells was rare and there was significant heterogeneity in the antiviral gene signatures, varying with the burden of infection in each cell. We also found that heavily infected secretory cells expressed abundant IL-6, a potential mediator of COVID-19 pathogenesis.Competing Interest StatementThe authors have declared no competing interest.