RT Journal Article SR Electronic T1 Western diet increases COVID-19 disease severity in the Syrian hamster JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.06.17.448814 DO 10.1101/2021.06.17.448814 A1 Julia R. Port A1 Danielle R. Adney A1 Benjamin Schwarz A1 Jonathan E. Schulz A1 Daniel E. Sturdevant A1 Brian J. Smith A1 Victoria A. Avanzato A1 Myndi G. Holbrook A1 Jyothi N. Purushotham A1 Kaitlin A. Stromberg A1 Ian Leighton A1 Catharine M. Bosio A1 Carl Shaia A1 Vincent J. Munster YR 2021 UL http://biorxiv.org/content/early/2021/06/17/2021.06.17.448814.abstract AB Pre-existing comorbidities such as obesity or metabolic diseases can adversely affect the clinical outcome of COVID-19. Chronic metabolic disorders are globally on the rise and often a consequence of an unhealthy diet, referred to as a Western Diet. For the first time in the Syrian hamster model, we demonstrate the detrimental impact of a continuous high-fat high-sugar diet on COVID-19 outcome. We observed increased weight loss and lung pathology, such as exudate, vasculitis, hemorrhage, fibrin, and edema, delayed viral clearance and functional lung recovery, and prolonged viral shedding. This was accompanied by an increased trend of systemic IL-10 and IL-6, as well as a dysregulated serum lipid response dominated by polyunsaturated fatty acid-containing phosphatidylethanolamine, recapitulating cytokine and lipid responses associated with severe human COVID-19. Our data support the hamster model for testing restrictive or targeted diets and immunomodulatory therapies to mediate the adverse effects of metabolic disease on COVID-19.Competing Interest StatementThe authors have declared no competing interest.