SARS-CoV-2 productively infects human gut enterocytes
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Abstract
Intestinal organoids as an infection model: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes an influenza-like disease with a respiratory transmission route; however, patients often present with gastrointestinal symptoms such as diarrhea, vomiting, and abdominal pain. Moreover, the virus has been detected in anal swabs, and cells in the inner-gut lining express the receptor that SARS-CoV-2 uses to gain entry to cells. Lamers et al. used human intestinal organoids, a “mini-gut” cultured in a dish, to demonstrate that SARS-CoV-2 readily replicates in an abundant cell type in the gut lining—the enterocyte—resulting in the production of large amounts of infective virus particles in the intestine. This work demonstrates that intestinal organoids can serve as a model to understand SARS-CoV-2 biology and infectivity in the gut. Science , this issue p. 50
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Over 2,000 CFTR mutations have been reported, but small molecule therapeutics deployed clinically target only a subset of them.
“Over 2,000 mutations have been reported, yet small molecule therapeutics deployed clinically only target a subset of these185,186.”
From Organoids (2022) · cites this paper as [185]
The retrieved passages from the References section (page unavailable) concern coronavirus research, not CFTR mutation counts or CFTR-targeted therapies. Searches for CFTR, cystic fibrosis, 2,000 mutations, and small-molecule therapeutics found no passage in our copy addressing either part of the claim. (LLM, conf=0.78)
Experimental — accuracy not yet measuredCystic fibrosis is a genetic disorder caused by mutations in CFTR, which encodes a transmembrane chloride and bicarbonate transporter.
“Cystic fibrosis (CF) is a genetic disorder caused by mutations in the gene CFTR, which expresses a transmembrane chloride and bicarbonate transporter.”
From Organoids (2022) · cites this paper as [185]
The supplied Abstract and the passages on airway and gut organoids address SARS-CoV-2 infection, not cystic fibrosis. Searches for CFTR, cystic fibrosis, and chloride and bicarbonate transport found no passage in our copy that addresses the attributed claim. (LLM, conf=0.76)
Experimental — accuracy not yet measuredProductive SARS-CoV-2 infection has been demonstrated in enterocyte organoids in vitro.
“Productive infection has been demonstrated in enterocyte organoids in vitro (Lamers et al., 2020)”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Lamers et al., 2020
Low level expression of ACE2 can support CoV-2 cell entry.
“In addition, it has recently been reported that low level expression of ACE2 can support CoV-2 cell entry (86); it is possible, therefore, that ACE2 expression beneath the level of detection in our assays may yet enable CoV-2 infection of apparently ACE2 negative cell types.”
From Non-neuronal expression of SARS-CoV-2 entry genes in the olfactory system suggests mechanisms underlying COVID-19-associated anosmia (2020) · cites this paper as [86]
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- Authors
- Lamers, M. M., Beumer, J., van der Vaart, J., Knoops, K., Puschhof, J., Breugem, T. I., Ravelli, R. B. G., Paul van Schayck, J., Mykytyn, A. Z., Duimel, H. Q., van Donselaar, E., Riesebosch, S., Kuijpers, H. J. H., Schipper, D., van de Wetering, W. J., de Graaf, M., Koopmans, M., Cuppen, E., Peters, P. J., Haagmans, B. L., & Clevers, H.
- Affiliations
- Erasmus MC (NL)
- Royal Netherlands Academy of Arts and Sciences (NL)
- Oncode Institute, Hubrecht Institute, Royal Netherlands Academy of Arts and Sciences and University Medical Center, Utrecht, Netherlands.
- Maastricht University (NL)
- The Maastricht Multimodal Molecular Imaging Institute, Maastricht University, Maastricht, Netherlands.
- Viroscience Department, Erasmus Medical Center, Rotterdam, Netherlands.
- University Medical Center Utrecht (NL)
- Corresponding author
- Lamers, Mart M.
- Beumer, Joep
- Haagmans, Bart L.
- Clevers, Hans
- ORCID
- Venue
- Science
- Published
- 2020-07-03
- Volume
- 369
- Issue
- 6499
- Pages
- 50-54
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC7199907
- OpenAlex
- W3020909574
- Cited by
- 1,573
- References
- 51
- Citations by year
- 2026: 62 · 2025: 79 · 2024: 120 · 2023: 194 · 2022: 286 · 2021: 476 · 2020: 353 · 2018: 1 · 2017: 1
- FWCI
- 42.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (publishedVersion, other-oa)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- European Research Council (67013)
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (022.005.032, 184.034.019 (X-omics))
- Dutch Technology Foundation STW (14207)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
- Keywords
- SARS-CoV-2, COVID-19 pandemic, enterocytes, intestinal epithelium, ACE2 receptor, small intestinal organoids, viral replication, viral shedding, experimental infection model
- MeSH terms
- Betacoronavirus, Angiotensin-Converting Enzyme 2, SARS-CoV-2, Cell Differentiation, Culture Media, Humans, Ileum, Peptidyl-Dipeptidase A, Lung, Male, Organoids, Receptors, Virus, RNA, Messenger, Virus Replication, Gene Expression, Cell Culture Techniques, Cell Lineage, Respiratory Mucosa, Enterocytes, Severe acute respiratory syndrome-related coronavirus, Cell Proliferation
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