RT Journal Article SR Electronic T1 New look at RSV infection : tissue clearing and 3D imaging of the entire mouse lung at cellular resolution JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.12.23.424099 DO 10.1101/2020.12.23.424099 A1 Maxence Frétaud A1 Delphyne Descamps A1 Daphné Laubreton A1 Marie-Anne Rameix-Welti A1 Jean-François Eléouët A1 Thibaut Larcher A1 Marie Galloux A1 Christelle Langevin YR 2020 UL http://biorxiv.org/content/early/2020/12/23/2020.12.23.424099.abstract AB Background Respiratory Syncytial Virus (RSV) is the major cause of severe acute respiratory tract illness in young children worldwide and a main pathogen for the elderly and immune-compromised people. In the absence of vaccines or effective treatments, a better characterization of the pathogenesis of RSV infection is required. To date, the pathophysiology of the disease and its diagnosis mostly relied on chest x-ray and genome detection in nasopharyngeal swabs. The development of new imaging approaches is instrumental to further the description of RSV spread, virus-host interactions and related acute respiratory disease, at the level of the entire lung.Methods By combining tissue clearing, 3D microscopy and image processing, we developed a novel visualization tool of RSV infection in undissected mouse lungs.Results Whole tissue analysis allowed the identification of infected cell subtypes, based on both morphological traits and position within the cellular network. Furthermore, 3D imaging was also valuable to detect the cytoplasmic viral factories, also called inclusion bodies, a hallmark of RSV infection.Conclusions Whole lung clearing and 3D deep-imaging represents an unprecedented visualization method of infected lungs to allow insight into RSV pathophysiology and improve the 2D histology analyses.Competing Interest StatementThe authors have declared no competing interest.