大剂量的嗅上皮细胞暂时性损伤与 SARS-CoV-2 感染叙利亚金黄仓鼠的支持细胞有关。

Massive transient damage of the olfactory epithelium associated with infection of sustentacular cells by SARS-CoV-2 in golden Syrian hamsters.

机构信息

Université Paris-Saclay, INRAE, UVSQ, VIM, 78350 Jouy-en-Josas, France.

Laboratoire de Lyon, ANSES, Unité virologie, Lyon, France.

出版信息

Brain Behav Immun. 2020 Oct;89:579-586. doi: 10.1016/j.bbi.2020.06.032. Epub 2020 Jul 3.

Abstract

Anosmia is one of the most prevalent symptoms of SARS-CoV-2 infection during the COVID-19 pandemic. However, the cellular mechanism behind the sudden loss of smell has not yet been investigated. The initial step of odour detection takes place in the pseudostratified olfactory epithelium (OE) mainly composed of olfactory sensory neurons surrounded by supporting cells known as sustentacular cells. The olfactory neurons project their axons to the olfactory bulb in the central nervous system offering a potential pathway for pathogens to enter the central nervous system by bypassing the blood brain barrier. In the present study, we explored the impact of SARS-CoV-2 infection on the olfactory system in golden Syrian hamsters. We observed massive damage of the OE as early as 2 days post nasal instillation of SARS-CoV-2, resulting in a major loss of cilia necessary for odour detection. These damages were associated with infection of a large proportion of sustentacular cells but not of olfactory neurons, and we did not detect any presence of the virus in the olfactory bulbs. We observed massive infiltration of immune cells in the OE and lamina propria of infected animals, which may contribute to the desquamation of the OE. The OE was partially restored 14 days post infection. Anosmia observed in COVID-19 patient is therefore likely to be linked to a massive and fast desquamation of the OE following sustentacular cells infection with SARS-CoV-2 and subsequent recruitment of immune cells in the OE and lamina propria.

摘要

嗅觉丧失是 COVID-19 大流行期间 SARS-CoV-2 感染的最常见症状之一。然而,嗅觉突然丧失的细胞机制尚未得到研究。气味检测的初始步骤发生在主要由嗅感觉神经元组成的假复层嗅上皮(OE)中,这些神经元被称为支持细胞的支持细胞包围。嗅神经元将其轴突投射到中枢神经系统中的嗅球,为病原体通过绕过血脑屏障进入中枢神经系统提供了潜在途径。在本研究中,我们探讨了 SARS-CoV-2 感染对金黄地鼠嗅觉系统的影响。我们观察到,早在 SARS-CoV-2 鼻腔滴注后 2 天,OE 就发生了大量损伤,导致检测气味所必需的纤毛大量丧失。这些损伤与大量支持细胞的感染有关,但与嗅神经元无关,我们在嗅球中未检测到病毒的存在。我们观察到感染动物的 OE 和固有层中有大量免疫细胞浸润,这可能有助于 OE 的脱落。感染后 14 天,OE 部分恢复。因此,COVID-19 患者的嗅觉丧失可能与 SARS-CoV-2 感染支持细胞后 OE 的大量快速脱落以及随后在 OE 和固有层中招募免疫细胞有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0995/7332942/d6ef99957dd0/gr1_lrg.jpg

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