System-wide transcriptome damage and tissue identity loss in COVID-19 patients.

System-wide transcriptome damage and tissue identity loss in COVID-19 patients.
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DOI:
10.1016/j.xcrm.2022.100522
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发表时间:
2022-02-15
期刊:
Cell reports. Medicine
影响因子:
--
通讯作者:
Mason CE
Mason CE
中科院分区:
其他
文献类型:
--
作者:
Park J;Foox J;Hether T;Danko DC;Warren S;Kim Y;Reeves J;Butler DJ;Mozsary C;Rosiene J;Shaiber A;Afshin EE;MacKay M;Rendeiro AF;Bram Y;Chandar V;Geiger H;Craney A;Velu P;Melnick AM;Hajirasouliha I;Beheshti A;Taylor D;Saravia-Butler A;Singh U;Wurtele ES;Schisler J;Fennessey S;Corvelo A;Zody MC;Germer S;Salvatore S;Levy S;Wu S;Tatonetti NP;Shapira S;Salvatore M;Westblade LF;Cushing M;Rennert H;Kriegel AJ;Elemento O;Imielinski M;Rice CM;Borczuk AC;Meydan C;Schwartz RE;Mason CE

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The molecular mechanisms underlying the clinical manifestations of coronavirus disease 2019 (COVID-19), and what distinguishes them from common seasonal influenza virus and other lung injury states such as acute respiratory distress syndrome, remain poorly understood. To address these challenges, we combine transcriptional profiling of 646 clinical nasopharyngeal swabs and 39 patient autopsy tissues to define body-wide transcriptome changes in response to COVID-19. We then match these data with spatial protein and expression profiling across 357 tissue sections from 16 representative patient lung samples and identify tissue-compartment-specific damage wrought by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, evident as a function of varying viral loads during the clinical course of infection and tissue-type-specific expression states. Overall, our findings reveal a systemic disruption of canonical cellular and transcriptional pathways across all tissues, which can inform subsequent studies to combat the mortality of COVID-19 and to better understand the molecular dynamics of lethal SARS-CoV-2 and other respiratory infections. Across all organs, fibroblast, and immune cell populations increase in COVID-19 patients Organ-specific cell types and functional markers are lost in all COVID-19 tissue types Lung compartment identity loss correlates with SARS-CoV-2 viral loads COVID-19 uniquely disrupts co-occurrence cell type clusters (different from IAV/ARDS) Park et al. report system-wide transcriptome damage and tissue identity loss wrought by SARS-CoV-2, influenza, and bacterial infection across multiple organs (heart, liver, lung, kidney, and lymph nodes) and provide a spatiotemporal landscape of COVID-19 in the lung.
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