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Cited by 667

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Comparative Replication and Immune Activation Profiles of SARS-CoV-2 and SARS-CoV in Human Lungs: An Ex Vivo Study With Implications for the Pathogenesis of COVID-19

Open access
Chu, Hin, Chan, Jasper Fuk-Woo, Wang, Yixin, Yuen, Terrence Tsz-Tai, Chai, Yue, Hou, Yuxin, Shuai, Huiping, Yang, Dong, Hu, Bingjie, Huang, Xiner, Zhang, Xi, Cai, Jian-Piao, Zhou, Jie, Yuan, Shuofeng, Kok, Kin-Hang, To, Kelvin Kai-Wang, Chan, Ivy Hau-Yee, Zhang, Anna Jinxia, Sit, Ko-Yung, Au, Wing-Kuk, Yuen, Kwok-Yung·2020·Clinical Infectious Diseases

Abstract

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an emerging coronavirus that has resulted in more than 2 000 000 laboratory-confirmed cases including over 145 000 deaths. Although SARS-CoV-2 and SARS-CoV share a number of common clinical manifestations, SARS-CoV-2 appears to be highly efficient in person-to-person transmission and frequently causes asymptomatic or presymptomatic infections. However, the underlying mechanisms that confer these viral characteristics of high transmissibility and asymptomatic infection remain incompletely understood. Methods: We comprehensively investigated the replication, cell tropism, and immune activation profile of SARS-CoV-2 infection in human lung tissues with SARS-CoV included as a comparison. Results: SARS-CoV-2 infected and replicated in human lung tissues more efficiently than SARS-CoV. Within the 48-hour interval, SARS-CoV-2 generated 3.20-fold more infectious virus particles than did SARS-CoV from the infected lung tissues (P < .024). SARS-CoV-2 and SARS-CoV were similar in cell tropism, with both targeting types I and II pneumocytes and alveolar macrophages. Importantly, despite the more efficient virus replication, SARS-CoV-2 did not significantly induce types I, II, or III interferons in the infected human lung tissues. In addition, while SARS-CoV infection upregulated the expression of 11 out of 13 (84.62%) representative proinflammatory cytokines/chemokines, SARS-CoV-2 infection only upregulated 5 of these 13 (38.46%) key inflammatory mediators despite replicating more efficiently. Conclusions: Our study provides the first quantitative data on the comparative replication capacity and immune activation profile of SARS-CoV-2 and SARS-CoV infection in human lung tissues. Our results provide important insights into the pathogenesis, high transmissibility, and asymptomatic infection of SARS-CoV-2.

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Metadata

Authors
Chu, H., Chan, J. F.-W., Wang, Y., Yuen, T. T.-T., Chai, Y., Hou, Y., Shuai, H., Yang, D., Hu, B., Huang, X., Zhang, X., Cai, J.-P., Zhou, J., Yuan, S., Kok, K.-H., To, K. K.-W., Chan, I. H.-Y., Zhang, A. J., Sit, K.-Y., Au, W.-K., & Yuen, K.-Y.
Venue
Clinical Infectious Diseases
Published
2020-04-09
Volume
71
Issue
6
Pages
1400-1409
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W3015280639
Cited by
667
References
30
FWCI
18.35
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Comparative Replication and Immune Activation Profiles of SARS-CoV-2 and SARS-CoV in Human Lungs: An Ex Vivo Study With Implications for the Pathogenesis of COVID-19. https://app.cochat.ai/papers/10.1093/cid/ciaa410
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Chu, H., Chan, J. F.-W., Wang, Y., Yuen, T. T.-T., Chai, Y., Hou, Y., Shuai, H., Yang, D., Hu, B., Huang, X., Zhang, X., Cai, J.-P., Zhou, J., Yuan, S., Kok, K.-H., To, K. K.-W., Chan, I. H.-Y., Zhang, A. J., Sit, K.-Y., . . . Yuen, K.-Y. (2020). Comparative Replication and Immune Activation Profiles of SARS-CoV-2 and SARS-CoV in Human Lungs: An Ex Vivo Study With Implications for the Pathogenesis of COVID-19. Clinical Infectious Diseases. https://doi.org/10.1093/cid/ciaa410

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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