2020
DOI: 10.1038/s41590-020-00835-8
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Establishment of an African green monkey model for COVID-19 and protection against re-infection

Abstract: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for an unprecedented global pandemic of COVID-19. Animal models are urgently needed to study the pathogenesis of COVID-19 and to screen vaccines and treatments. We show that African green monkeys (AGMs) support robust SARS-CoV-2 replication and develop pronounced respiratory disease, which may more accurately reflect human COVID-19 cases than other nonhuman primate species. SARS-CoV-2 was detected in mucosal samples, including rectal s… Show more

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Cited by 170 publications
(179 citation statements)
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“…Using traditional virological methods as well as scRNA-Seq, we have begun to parse out the infection dynamics which occur as the disease progresses and virus is eventually cleared in the African green monkey model of mild COVID-19. These findings are consistent with other studies done in African green monkeys (11,12), which share a similar disease pathology to that seen with rhesus macaques (20) and cynomolgus macaques (21). In all cases, the animals display mild disease signs leading to clearance of the virus and recovery.…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…Using traditional virological methods as well as scRNA-Seq, we have begun to parse out the infection dynamics which occur as the disease progresses and virus is eventually cleared in the African green monkey model of mild COVID-19. These findings are consistent with other studies done in African green monkeys (11,12), which share a similar disease pathology to that seen with rhesus macaques (20) and cynomolgus macaques (21). In all cases, the animals display mild disease signs leading to clearance of the virus and recovery.…”
Section: Discussionsupporting
confidence: 92%
“…African green monkeys are a commonly used non-human primate model for studies of respiratory viruses, including SARS-CoV (10). Recently, two studies showed that inoculation of African green monkeys with SARS-CoV-2 results in mild respiratory disease with virus detected in the upper and lower respiratory tract, suggesting that African green monkeys are a suitable nonhuman primate disease model to study SARS-CoV-2 infection and host response dynamics (11,12).…”
Section: Introductionmentioning
confidence: 99%
“…Non-human primates have been linked to the transmission of many infectious diseases in human populations such as human immunodeficiency virus (HIV), herpes B virus, monkeypox, yellow fever, and Ebola [248,249]. To date, SARS-CoV-2 experimental studies have been reported in rhesus macaques (Macaca mulatta) [250][251][252], cynomolgus macaques (Macaca fascicularis) [253], and green monkeys (Chlorocebus sabaeus) [254]. Regarding experimental studies with SARS-CoV, green monkeys, common marmosets (Callithrix jacchus), squirrel monkeys (Saimiri spp.…”
Section: Non-human Primatesmentioning
confidence: 99%
“…Such studies demonstrate susceptibility to SARS-CoV-2, albeit with varying levels of viral replication and shedding, in domestic cats (Felis catus) and dogs (Canis lupus familiaris), ferrets (Mustela putorius furo), Syrian hamsters (Mesocricetus auratus), rhesus macaques (Macaca mulatta), cynomolgus macaques (M. fascicularis), African green monkeys (Chlorocebus sp. ), Chinese tree shrews (Tupaia belangeri chinensis), common marmosets (Callithrix jacchus), Egyptian fruit bats (Rousettus aegyptiacus), racoon dogs (Nyctereutes procyonoides) and laboratory rabbits (Oryctolagus cuniculus) [19,27,28,29,30,31,32,33,34,35]. However, experimental studies are models of disease dynamics and do not precisely mimic the dynamics of infection and onward transmission under natural conditions.…”
Section: Host Susceptibilitymentioning
confidence: 99%
“…Captive and wild great apes (Hominidae) are highly susceptible to viral pathogens of humans [80,81] with respiratory infections of human origin [82,83] causing disease that poses a significant and growing threat to the conservation of wild populations across Sub-Saharan Africa [80]. Furthermore, the characteristics of ACE2 predict high susceptibility to SARS-CoV-2 amongst primates, particularly Old-World species [22] and this is borne out by the results of experimental studies [28,31,33].…”
Section: Great Apesmentioning
confidence: 99%