Virus Expression Database

GSE162113

Metabolic reprogramming and epigenetic changes of vital organs in SARS-CoV-2 induced systemic toxicity

Submitted by Feiyang Ma (UCLA, USA) on Nov 24 2020

Platform: ngs – Illumina HiSeq 3000 (Homo sapiens)

Pubmed: 33284134

Summary SARS-CoV-2 primarily affects the respiratory system but extra-pulmonary manifestations in individuals with COVID-19 are commonly seen. All major organ systems have been reported to be affected by SARS-CoV-2 and complications arising from ensuing organ dysfunction significantly increase the mortality rate of COVID-19. Yet, despite the clinical importance of systemic involvement of SARS-CoV-2, little is known about the pathogenesis of extra-pulmonary complications of COVID-19. Here, we create a murine model of SARS-CoV-2 induced severe systemic toxicity and multi- organ involvement by expressing the human ACE2 transgene in multiple tissues using an adeno associated virus (serotype 9) followed by administration of the SARS-CoV-2 virus intra-peritoneally. The animals develop a profound phenotype within 7 days of SARS-CoV-2 infection with severe weight loss, morbidity and failure to thrive, that necessitated euthanasia. We demonstrate that following a robust anti-viral immune response, there is metabolic suppression of oxidative phosphorylation and the tri- carboxylic acid (TCA) cycle in multiple organs with neutrophilia, lymphopenia and splenic atrophy mirroring human COVID-19 phenotypes with adverse prognosis. Animals had a significantly lower heart rate and electron microscopy demonstrated myofibrillar disarray and myocardial edema, a common pathogenic cardiac phenotype in human COVID-19. An organ wide metabolic reprogramming consistent with depression of oxidative phosphorylation led to utilization of peripheral fat stores and gross accumulation of fat in the heart and other vital organs. We perform metabolomic profiling of peripheral blood and identify a panel of TCA cycle metabolites that serve as biomarkers of depressed oxidative phosphorylation, several of these markers been noted in human clinical studies to be associated with adverse prognosis. Finally, we observed that SARS-CoV-2 induces epigenetic changes with a significant number of differentially methylated sites in vital organs, across the whole host cell genome, that affects expression of immune response genes and could in part contribute to dysregulated gene expression in affected tissues. Our model suggests that SARS-CoV- 2 induced metabolic reprogramming and epigenetic changes in internal organs could contribute to systemic toxicity and lethality in COVID-19.

12 Samples

ID Title Cell Type Timepoint Reported Virus Virus Species Exclusion Reason
GSM4933345 CM-D1-cov2_1 cardiomyocyte cell line  SARS-CoV-2 Severe acute respiratory syndrome-related coronavirus
GSM4933346 CM-D1-cov2_2 cardiomyocyte cell line  SARS-CoV-2 Severe acute respiratory syndrome-related coronavirus
GSM4933347 CM-D1-cov2_3 cardiomyocyte cell line  SARS-CoV-2 Severe acute respiratory syndrome-related coronavirus
GSM4933348 CM-D1-Mock_1 cardiomyocyte cell line  Mock Uninfected
GSM4933349 CM-D1-Mock_2 cardiomyocyte cell line  Mock Uninfected
GSM4933350 CM-D1-Mock_3 cardiomyocyte cell line  Mock Uninfected
GSM4933351 CM-D2-cov2_1 cardiomyocyte cell line  SARS-CoV-2 Severe acute respiratory syndrome-related coronavirus
GSM4933352 CM-D2-cov2_2 cardiomyocyte cell line  SARS-CoV-2 Severe acute respiratory syndrome-related coronavirus
GSM4933353 CM-D2-cov2_3 cardiomyocyte cell line  SARS-CoV-2 Severe acute respiratory syndrome-related coronavirus
GSM4933354 CM-D2-Mock_1 cardiomyocyte cell line  Mock Uninfected
GSM4933355 CM-D2-Mock_2 cardiomyocyte cell line  Mock Uninfected
GSM4933356 CM-D2-Mock_3 cardiomyocyte cell line  Mock Uninfected