新型冠状病毒在 COVID-19 患者外周血血细胞中的 RNA 踪迹。
Traces of SARS-CoV-2 RNA in Peripheral Blood Cells of Patients with COVID-19.
机构信息
Department of Biology, American University in Cairo, New Cairo, Egypt.
Biotechnology Graduate Program, American University in Cairo, New Cairo, Egypt.
出版信息
OMICS. 2021 Aug;25(8):475-483. doi: 10.1089/omi.2021.0068. Epub 2021 Jul 19.
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the third virus that caused coronavirus-related outbreaks over the past 20 years. The outbreak was first reported in December 2019 in Wuhan, China, but rapidly progressed into a pandemic of an unprecedented scale since the 1918 flu pandemic. Besides respiratory complications in patients with COVID-19, clinical characterization of severe infection cases showed several other comorbidities, including multiple organ failure, and septic shock. To better understand the systemic pathogenesis of COVID-19, we interrogated the virus's presence in the peripheral blood cells, which might provide a form of trafficking or hiding to the virus. By analyzing >2 billion sequence reads of high-throughput transcriptome sequence data from 180 samples of patients with active SARS-CoV-2 infection or healthy controls collected from 6 studies, we found evidence of traces of SARS-CoV-2 RNA in peripheral blood mononuclear cells in two samples from two independent studies. In contrast, the viral RNA was abundant in bronchoalveolar lavage specimens from the same patients. We also devised a "viral spike-to-actin" RNA normalization as a metric to compare across various samples and minimize errors caused by intersample variability in total human RNA abundance. Our observation suggests immune presentation and discounts the possibility of extensive viral infection of lymphocytes or monocytes.
严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)是过去 20 年来导致冠状病毒相关疫情的第三种病毒。该疫情于 2019 年 12 月在中国武汉首次报告,但自 1918 年流感大流行以来,迅速发展成为规模空前的大流行。除了 COVID-19 患者的呼吸道并发症外,严重感染病例的临床特征还显示出其他几种合并症,包括多器官衰竭和感染性休克。为了更好地了解 COVID-19 的全身发病机制,我们研究了病毒在外周血单个核细胞中的存在情况,这可能为病毒提供了一种转移或隐藏的形式。通过分析来自 6 项研究的 180 例活动性 SARS-CoV-2 感染患者或健康对照者的高通量转录组序列数据的>20 亿个序列读长,我们在来自两个独立研究的两个样本的外周血单个核细胞中发现了 SARS-CoV-2 RNA 的痕迹。相比之下,同一患者的支气管肺泡灌洗液标本中的病毒 RNA 含量丰富。我们还设计了一种“病毒刺突蛋白到肌动蛋白”RNA 归一化方法作为一种指标,用于比较各种样本,并最大限度地减少总人类 RNA 丰度的样本间变异性引起的误差。我们的观察表明存在免疫呈递,排除了淋巴细胞或单核细胞中广泛存在病毒感染的可能性。
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