iScience (Dec 2020)

SARS-CoV-2 Receptors and Entry Genes Are Expressed in the Human Olfactory Neuroepithelium and Brain

  • Leon Fodoulian,
  • Joël Tuberosa,
  • Daniel Rossier,
  • Madlaina Boillat,
  • Chenda Kan,
  • Véronique Pauli,
  • Kristof Egervari,
  • Johannes A. Lobrinus,
  • Basile N. Landis,
  • Alan Carleton,
  • Ivan Rodriguez

Journal volume & issue
Vol. 23, no. 12
p. 101839

Abstract

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Summary: Reports indicate an association between COVID-19 and anosmia, as well as the presence of SARS-CoV-2 virions in the olfactory bulb. To test whether the olfactory neuroepithelium may represent a target of the virus, we generated RNA-seq libraries from human olfactory neuroepithelia, in which we found substantial expression of the genes coding for the virus receptor angiotensin-converting enzyme-2 (ACE2) and for the virus internalization enhancer TMPRSS2. We analyzed a human olfactory single-cell RNA-seq dataset and determined that sustentacular cells, which maintain the integrity of olfactory sensory neurons, express ACE2 and TMPRSS2. ACE2 protein was highly expressed in a subset of sustentacular cells in human and mouse olfactory tissues. Finally, we found ACE2 transcripts in specific brain cell types, both in mice and humans. Sustentacular cells thus represent a potential entry door for SARS-CoV-2 in a neuronal sensory system that is in direct connection with the brain.

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