2021
DOI: 10.1007/s00395-021-00882-8
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Increased susceptibility of human endothelial cells to infections by SARS-CoV-2 variants

Abstract: Coronavirus disease 2019 (COVID-19) spawned a global health crisis in late 2019 and is caused by the novel coronavirus SARS-CoV-2. SARS-CoV-2 infection can lead to elevated markers of endothelial dysfunction associated with higher risk of mortality. It is unclear whether endothelial dysfunction is caused by direct infection of endothelial cells or is mainly secondary to inflammation. Here, we investigate whether different types of endothelial cells are susceptible to SARS-CoV-2. Human endothelial cells from di… Show more

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Cited by 38 publications
(40 citation statements)
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“…The latter cell type has been the focus of numerous studies given the mounting evidence for SARS-CoV-2-induced endotheliopathy, considered an important contributor to the pathogenesis of COVID-19 (Goshua et al 2020 ). The undetectable levels of ACE2 protein in human endothelial cells shown here is consistent with a recent report that failed to detect ACE2 mRNA in several human endothelial cell types (McCracken et al 2021 ), but inconsistent with other reports (Hamming et al 2004 ; Targosz-Korecka et al 2021 ; Wagner et al 2021 ). These disparate findings highlight the ongoing controversy over whether endothelial cells are prone to SARS-CoV-2 infection (Goldsmith et al 2020 ; McCracken et al 2021 ; Targosz-Korecka et al 2021 ; Varga et al 2020 ; Wagner et al 2021 ).…”
Section: An Ace2 -Lncrna Gene Pair and Development Of A New Mouse Model For Covid-19supporting
confidence: 84%
“…The latter cell type has been the focus of numerous studies given the mounting evidence for SARS-CoV-2-induced endotheliopathy, considered an important contributor to the pathogenesis of COVID-19 (Goshua et al 2020 ). The undetectable levels of ACE2 protein in human endothelial cells shown here is consistent with a recent report that failed to detect ACE2 mRNA in several human endothelial cell types (McCracken et al 2021 ), but inconsistent with other reports (Hamming et al 2004 ; Targosz-Korecka et al 2021 ; Wagner et al 2021 ). These disparate findings highlight the ongoing controversy over whether endothelial cells are prone to SARS-CoV-2 infection (Goldsmith et al 2020 ; McCracken et al 2021 ; Targosz-Korecka et al 2021 ; Varga et al 2020 ; Wagner et al 2021 ).…”
Section: An Ace2 -Lncrna Gene Pair and Development Of A New Mouse Model For Covid-19supporting
confidence: 84%
“…These HUVECs and HMVES-L cells expressed very low levels of ACE2 and TMPRSS2 and did not show any morphological changes upon virus exposure to their apical or basal surface. In agreement, Wagner and colleagues [158] could not demonstrate a productive SARS-CoV-2 infection of endothelial cell models established from the vasculature of diverse tissues, irrespective of the SARS-CoV-2 variant used for infection. Virus uptake occurred, but viral replication was not supported.…”
Section: Vasculaturementioning
confidence: 53%
“…For instance, endothelial cell types such as umbilical vein endothelial cells (HUVECs), blood outgrowth and aortic endothelial cells, as well as lung-, brain-, cardiac- and glomerular microvascular endothelial cells, were subjected to viral infection, however, none of these cell were susceptible to direct infection by SARS-CoV-2 ( Nascimento Conde et al, 2020 ; Ahmetaj-Shala et al, 2020 ). Others showed marginal viral replication in coronary artery endothelial cells after 5 days of infection ( Wagner et al, 2021 ). Moreover, in an established human blood-brain barrier model where CD34 + umbilical cord blood-derived endothelial cells were grown on filter inserts in co-culture with bovine pericytes, no productive infection of endothelial cells was detected.…”
Section: Covid-19 and Vascular Cellsmentioning
confidence: 99%