Northern pig-tailed macaques (Macaca leonina) infected with SARS-CoV-2 show rapid viral clearance and persistent immune response
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摘要: SARS-CoV-2感染引起的新型冠状病毒肺炎疫情已成为21世纪全球最重要的公共卫生突发事件。目前,SARS-CoV-2感染非人灵长类动物模型被认为是进行新型冠状病毒肺炎病理损伤特征及致病机制研究的金标准。该研究中,我们成功构建SARS-CoV-2感染北平顶猴(Macaca leonina)实验动物模型,发现北平顶猴可有效支持病毒复制。与恒河猴实验动物模型相比,SARS-CoV-2感染北平顶猴肺组织、鼻拭子、咽拭子及肛拭子中病毒快速清除,这可能与北平顶猴感染后肺组织中干扰素的高表达有关。但是,与恒河猴相比,感染后第二周北平顶猴呈现持续甚至更为严重的炎症反应及临床症状。上述结果表明,病毒清除可能与新型冠状病毒肺炎的疾病进展无关,SARS-CoV-2感染北平顶猴可被视为重症模型用于新型冠状病毒肺炎相关研究。
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关键词:
- SARS-CoV-2 /
- 新型冠状病毒肺炎 /
- 灵长类动物模型 /
- 北平顶猴 /
- 免疫应答
Abstract: Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2), has become an unprecedented global health emergency. At present, SARS-CoV-2-infected nonhuman primates are considered the gold standard animal model for COVID-19 research. Here, we showed that northern pig-tailed macaques (Macaca leonina, NPMs) supported SARS-CoV-2 replication. Furthermore, compared with rhesus macaques, NPMs showed rapid viral clearance in lung tissues, nose swabs, throat swabs, and rectal swabs, which may be due to higher expression of interferon (IFN)-α in lung tissue. However, the rapid viral clearance was not associated with good outcome. In the second week post infection, NPMs developed persistent or even more severe inflammation and body injury compared with rhesus macaques. These results suggest that viral clearance may have no relationship with COVID-19 progression and SARS-CoV-2-infected NPMs could be considered as a critically ill animal model in COVID-19 research.-
Key words:
- SARS-CoV-2 /
- COVID-19 /
- Primate animal models /
- Northern pig-tailed macaques (Macaca leonina) /
- Immune response
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1. Clearance of SARS-CoV-2 in NPMs
A: Comparison of viral loads (VL) in nose, rectal, and throat swabs between NPMs and RMs. B: Comparison of viral loads in lung tissues between NPMs and RMs. C: Comparison of IFN-α+, IL-1β+, and IL-6+ cells in lung tissues between NPMs and RMs. Positive ratio=(counts of macaques with SARS-CoV-2 + swabs or lung points/counts of macaques)×100%. *: 0.01<P<0.05; **: 0.001<P≤0.01. ns: No significance. RMs: Rhesus macaques (Macaca mulatta); NPMs: Northern pig-tailed macaques (Macaca leonina).
Figure 2. Body injuries and immune response in NPMs
A: Body temperature in NPMs euthanized at 15 dpi. B: Concentrations of BUN and ALT in serum during SARS-CoV-2 infection (black icon: NPMs euthanized at 7 dpi; gray icon: NPMs euthanized at 15 dpi). C: Number of immune cells in peripheral blood (black icon: NPMs euthanized at 7 dpi; gray icon: NPMs euthanized at 15 dpi). D: Concentrations of cytokines in lung tissue. E: Immunofluorescence staining of immune cells in lungs. *: 0.01<P<0.05; ns: No significance. RMs: Rhesus macaques (Macaca mulatta); NPMs: Northern pig-tailed macaques (Macaca leonina); WBC: White blood cell.
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