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Single-cell meta-analysis of SARS-CoV-2 entry genes across tissues and demographics

  • The NHLBI LungMap Consortium
  • , The Human Cell Atlas Lung Biological Network
  • The Broad Institute of MIT and Harvard
  • Harvard John A. Paulson School of Engineering and Applied Sciences
  • Helmholtz Zentrum München German Research Center for Environmental Health
  • Massachusetts General Hospital Cancer Center
  • Massachusetts General Hospital
  • Harvard Stem Cell Institute
  • Duke University School of Medicine
  • Massachusetts Institute of Technology
  • University of California, San Diego
  • Mount Sinai School of Medicine
  • University of California
  • Harvard Medical School
  • Whitehead Institute
  • Harvard T.H. Chan School of Public Health
  • Yale University Medical School
  • Massachusetts Institute of Technology
  • Center for Autonomous Systems
  • University of Bonn
  • UMR 7271
  • Wellcome Sanger Institute
  • Karolinska Institutet
  • Translational Genomics Research Institute
  • Boston University School of Medicine
  • Hannover Medical School
  • German Center for Infectious Diseases (DZIF)
  • European Bioinformatics Institute
  • Boston University Medical Center
  • Technical University of Munich
  • University of Cambridge
  • Stanford University School of Medicine
  • Cincinnati Children’s Hospital Medical Center
  • Vanderbilt University Medical Center
  • University of Colorado Denver School of Medicine
  • Chinese University of Hong Kong
  • Stanford University
  • University of Cambridge
  • Max Delbrück Center for Molecular Medicine
  • Charite Universitätsmedizin Berlin
  • European Molecular Biology Laboratory
  • Institut de Pharmacologie Moléculaire et Cellulaire
  • Africa Health Research Institute
  • College of Health Sciences
  • Massachusetts Eye and Ear Infirmary
  • Massachusetts Institute of Technology
  • University Medical Centre Groningen
  • University Medical Center Groningen
  • Royal Victoria Infirmary
  • Universitätsklinikum Hamburg-Eppendorf
  • Boston University
  • Stockholm University
  • Lahey Hospital & Medical Center
  • Masonic Medical Research Institute
  • Brigham and Women's Hospital
  • Broad Institute of Harvard University
  • Harvard–Massachusetts Institute of Technology Division of Health Sciences and Technology
  • University of Washington
  • University of Rochester Medical Center
  • University of Cincinnati College of Medicine
  • Wellcome Trust
  • Roswell Park Comprehensive Cancer Center
  • University Hospital Heidelberg
  • University of Technology Sydney
  • Department of Neuroscience
  • Columbia University
  • University of Washington School of Medicine
  • The Medical School
  • Newcastle Hospitals NHS Foundation Trust
  • Hungarian Academy of Sciences
  • University of Helsinki
  • Partner Site Munich Heart Alliance
  • Charité – Universitätsmedizin Berlin
  • University of Colorado at Denver
  • Ludwig-Maximilians-Universität München
  • Vanderbilt School of Medicine
  • Edward Hines VA Medical Center
  • CartaNA AB
  • University of Pittsburgh School of Medicine
  • Catholic University of Korea
  • Northwestern University
  • University College London
  • National Heart and Lung Institute
  • King's College London
  • Boston Children's Hospital
  • Walter Mackenzie Health Sciences Centre
  • Mazankowski Alberta Heart Institute
  • Weill Cornell Medical College
  • Garvan Institute of Medical Research
  • University of New South Wales
  • Chan Zuckerberg Biohub
  • Department of Surgery
  • Stockholm University
  • Justus-Liebig-Universität Gießen
  • German Center for Neurodegenerative Diseases (DZNE)
  • National Jewish Health
  • Arizona State University
  • University of Michigan Medical School
  • University of Michigan, Ann Arbor
  • Johnson & Johnson Innovation Center
  • University of Cambridge
  • Jeffrey Cheah Biomedical Centre
  • Cambridge Biomedical Campus
  • Koc University School of Medicine
  • Universitá di L'Aquila
  • Zhongshan School of Medicine, SYSU
  • Department of Bioengineering

Research output: Contribution to journalArticlepeer-review

279 Scopus citations

Abstract

Angiotensin-converting enzyme 2 (ACE2) and accessory proteases (TMPRSS2 and CTSL) are needed for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cellular entry, and their expression may shed light on viral tropism and impact across the body. We assessed the cell-type-specific expression of ACE2, TMPRSS2 and CTSL across 107 single-cell RNA-sequencing studies from different tissues. ACE2, TMPRSS2 and CTSL are coexpressed in specific subsets of respiratory epithelial cells in the nasal passages, airways and alveoli, and in cells from other organs associated with coronavirus disease 2019 (COVID-19) transmission or pathology. We performed a meta-analysis of 31 lung single-cell RNA-sequencing studies with 1,320,896 cells from 377 nasal, airway and lung parenchyma samples from 228 individuals. This revealed cell-type-specific associations of age, sex and smoking with expression levels of ACE2, TMPRSS2 and CTSL. Expression of entry factors increased with age and in males, including in airway secretory cells and alveolar type 2 cells. Expression programs shared by ACE2+TMPRSS2+ cells in nasal, lung and gut tissues included genes that may mediate viral entry, key immune functions and epithelial–macrophage cross-talk, such as genes involved in the interleukin-6, interleukin-1, tumor necrosis factor and complement pathways. Cell-type-specific expression patterns may contribute to the pathogenesis of COVID-19, and our work highlights putative molecular pathways for therapeutic intervention.

Original languageEnglish
Pages (from-to)546-559
Number of pages14
JournalNature Medicine
Volume27
Issue number3
DOIs
StatePublished - Mar 2021

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