Vascular Disease and Thrombosis in SARS-CoV-2-Infected Rhesus Macaques
Open accessAbstract
The COVID-19 pandemic has led to extensive morbidity and mortality throughout the world. Clinical features that drive SARS-CoV-2 pathogenesis in humans include inflammation and thrombosis, but the mechanistic details underlying these processes remain to be determined. In this study, we demonstrate endothelial disruption and vascular thrombosis in histopathologic sections of lungs from both humans and rhesus macaques infected with SARS-CoV-2. To define key molecular pathways associated with SARS-CoV-2 pathogenesis in macaques, we performed transcriptomic analyses of bronchoalveolar lavage and peripheral blood and proteomic analyses of serum. We observed macrophage infiltrates in lung and upregulation of macrophage, complement, platelet activation, thrombosis, and proinflammatory markers, including C-reactive protein, MX1, IL-6, IL-1, IL-8, TNFα, and NF-κB. These results suggest a model in which critical interactions between inflammatory and thrombosis pathways lead to SARS-CoV-2-induced vascular disease. Our findings suggest potential therapeutic targets for COVID-19.
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Ineffective IFN innate immunity is strongly associated with failure to control primary SARS-CoV-2 infection and high risk of fatal COVID-19, accompanied by innate cell immunopathology and elevated CXCL10, IL-6, and IL-8.
“Ineffective IFN innate immunity has been strongly associated with failure to control a primary SARS-CoV-2 infection and a high risk of fatal COVID-19, accompanied by innate cell immunopathology and a plasma cytokine signature of elevated CXCL10, interleukin (IL)-6, and IL-8 in many studies (Aid et al., 2020; Kuri-Cervantes et al., 2020; Li et al., 2020b; Lucas et al., 2020; Radermecker et al., 202”
From Adaptive immunity to SARS-CoV-2 and COVID-19 (2021) · cites this paper as Aid et al., 2020
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References 55 · Cited by 215
- Authors
- Aid, M., Busman-Sahay, K., Vidal, S. J., Maliga, Z., Bondoc, S., Starke, C., Terry, M., Jacobson, C. A., Wrijil, L., Ducat, S., Brook, O. R., Miller, A. D., Porto, M., Pellegrini, K. L., Pino, M., Hoang, T. N., Chandrashekar, A., Patel, S., Stephenson, K., Bosinger, S. E., Andersen, H., Lewis, M. G., Hecht, J. L., Sorger, P. K., Martinot, A. J., Estes, J. D., & Barouch, D. H.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Harvard University (US)
- Oregon Health & Science University (US)
- Tufts University (US)
- Cornell University (US)
- Bioqual (US)
- Emory University (US)
- Corresponding author
- Barouch, Dan H.
- ORCID
- Vidal, Samuel J.
- Maliga, Zoltan
- Bondoc, Stephen
- Starke, Carly
- Terry, Margaret
- Jacobson, Connor A.
- Wrijil, Linda
- Ducat, Sarah
- Brook, Olga R.
- Miller, Andrew D.
- Porto, Maciel
- Pellegrini, Kathryn L.
- Hoang, Timothy N.
- Chandrashekar, Abishek
- Patel, Shivani
- Stephenson, Kathryn
- Bosinger, Steven E.
- Lewis, Mark G.
- Hecht, Jonathan L.
- Sorger, Peter K.
- Martinot, Amanda J.
- Estes, Jacob D.
- Barouch, Dan H.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2020-11
- Volume
- 183
- Issue
- 5
- Pages
- 1354-1366.e13
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC7546181
- OpenAlex
- W3092357584
- Cited by
- 215
- References
- 55
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 15 · 2023: 35 · 2022: 62 · 2021: 77 · 2020: 12
- FWCI
- 6.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- ImmPort
- Funders
- NIH Office of the Director
- National Cancer Institute
- National Institute of Allergy and Infectious Diseases
- Ragon Institute of MGH, MIT and Harvard
- Topics
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
- Keywords
- SARS-CoV-2, COVID-19 pandemic, thrombosis, vascular disease, endothelial disruption, rhesus monkeys, lung histopathology, macrophage infiltration, inflammation, complement system, platelet activation, inflammatory cytokines, NF-κB, therapeutic target
- MeSH terms
- COVID-19, SARS-CoV-2, Aged, 80 and over, Animals, C-Reactive Protein, Complement Activation, Female, Humans, Inflammation, Lung, Macaca mulatta, Macrophages, Male, Thrombosis, Vascular Diseases, Platelet Activation, Cytokines, Bronchoalveolar Lavage, Transcriptome
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