2020
DOI: 10.1093/cvr/cvaa191
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Single-cell analysis of SARS-CoV-2 receptor ACE2 and spike protein priming expression of proteases in the human heart

Abstract: Abstract Aims Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) directly binds to ACE2 (angiotensin-converting enzyme 2) to facilitate cellular entry. Compared with the lung or respiratory tract, the human heart exhibits greater ACE2 expression. However, little substantial damage was found in the heart tissue, and no viral particles were observed in the cardiac myocytes. This study… Show more

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Cited by 78 publications
(86 citation statements)
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“… 55 Single-cell sequencing of ACE2 in the adult human heart demonstrated that male hearts have less ACE2 expressing cells compared to females. 56 Contrastingly, integration of single-cell atlas data has shown an association between male sex and increased expression of TMPRSS2, the main protease involved in SARS-CoV-2 cellular entry, as well as ACE2. 41 , 57 In addition, transcription of TMPRSS2 is regulated by an androgen receptor binding element in its promotor and androgenic ligands.…”
Section: Ace2 and Cellular Entry Of Sars-cov-2: Is There A Role For Smentioning
confidence: 98%
“… 55 Single-cell sequencing of ACE2 in the adult human heart demonstrated that male hearts have less ACE2 expressing cells compared to females. 56 Contrastingly, integration of single-cell atlas data has shown an association between male sex and increased expression of TMPRSS2, the main protease involved in SARS-CoV-2 cellular entry, as well as ACE2. 41 , 57 In addition, transcription of TMPRSS2 is regulated by an androgen receptor binding element in its promotor and androgenic ligands.…”
Section: Ace2 and Cellular Entry Of Sars-cov-2: Is There A Role For Smentioning
confidence: 98%
“…Interestingly, not only ACE2 seems to be induced by interferon, but also its positive correlators, as well as those of ABL2 (which could be induced by the ISG ZNF267 according to our results), and the cathepsin L protease, CTSL . All of these are genes involved in the viral entry, and the latter activates the membrane fusion function of the spike viral protein S of SARS-CoV [ 60 ], and could substitute to the TMPRSS2 protease in cell types different to lung cells [ 61 ]. CTSL co-expressed genes are not only interferon but also interleukin induced genes, and three cytokines are co-expressed with it ( IL1B , CXCL2 and CXCL3 ).…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, not only ACE2 seems to be induced by interferon, but also its positive correlators, as well as those of ABL2 (which could be induced by the ISG ZNF267 according to our results), and the cathepsin L protease, CTSL . All of these are genes involved in the viral entry, and the latter activates the membrane fusion function of the spike viral protein S of SARS-CoV (Bosch et al, 2008), and could substitute to the TMPRSS2 protease in cell types different to lung cells (Liu et al, 2020). CTSL co-expressed genes are not only interferon but also interleukin induced genes, and three cytokines are co-expressed with it ( IL1B, CXCL2 , and CXCL3 ).…”
Section: Discussionmentioning
confidence: 99%