COVID-19 tissue atlases reveal SARS-CoV-2 pathology and cellular targets.

dc.contributor.author

Delorey, Toni M

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Ziegler, Carly GK

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Heimberg, Graham

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Normand, Rachelly

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Yang, Yiming

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Segerstolpe, Åsa

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Abbondanza, Domenic

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Fleming, Stephen J

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Subramanian, Ayshwarya

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Montoro, Daniel T

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Jagadeesh, Karthik A

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Dey, Kushal K

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Sen, Pritha

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Slyper, Michal

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Pita-Juárez, Yered H

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Phillips, Devan

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Biermann, Jana

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Bloom-Ackermann, Zohar

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Barkas, Nikolaos

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Ganna, Andrea

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Gomez, James

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Melms, Johannes C

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Katsyv, Igor

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Normandin, Erica

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Naderi, Pourya

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Popov, Yury V

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Raju, Siddharth S

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Niezen, Sebastian

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Tsai, Linus T-Y

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Siddle, Katherine J

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Sud, Malika

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Tran, Victoria M

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Vellarikkal, Shamsudheen K

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Wang, Yiping

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Amir-Zilberstein, Liat

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Atri, Deepak S

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Beechem, Joseph

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Brook, Olga R

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Chen, Jonathan

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Divakar, Prajan

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Dorceus, Phylicia

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Engreitz, Jesse M

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Essene, Adam

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Fitzgerald, Donna M

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Fropf, Robin

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Gazal, Steven

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Gould, Joshua

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Grzyb, John

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Harvey, Tyler

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Hecht, Jonathan

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Hether, Tyler

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Jané-Valbuena, Judit

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Leney-Greene, Michael

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Ma, Hui

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McCabe, Cristin

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McLoughlin, Daniel E

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Miller, Eric M

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Muus, Christoph

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Niemi, Mari

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Padera, Robert

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Pan, Liuliu

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Pant, Deepti

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Pe'er, Carmel

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Pfiffner-Borges, Jenna

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Pinto, Christopher J

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Plaisted, Jacob

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Reeves, Jason

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Ross, Marty

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Rudy, Melissa

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Rueckert, Erroll H

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Siciliano, Michelle

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Sturm, Alexander

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Todres, Ellen

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Waghray, Avinash

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Warren, Sarah

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Zhang, Shuting

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Zollinger, Daniel R

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Cosimi, Lisa

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Gupta, Rajat M

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Hacohen, Nir

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Hibshoosh, Hanina

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Hide, Winston

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Price, Alkes L

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Rajagopal, Jayaraj

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Tata, Purushothama Rao

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Riedel, Stefan

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Szabo, Gyongyi

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Tickle, Timothy L

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Ellinor, Patrick T

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Hung, Deborah

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Sabeti, Pardis C

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Novak, Richard

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Rogers, Robert

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Ingber, Donald E

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Jiang, Z Gordon

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Juric, Dejan

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Babadi, Mehrtash

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Farhi, Samouil L

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Izar, Benjamin

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Stone, James R

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Vlachos, Ioannis S

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Solomon, Isaac H

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Ashenberg, Orr

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Porter, Caroline BM

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Li, Bo

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Shalek, Alex K

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Villani, Alexandra-Chloé

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Rozenblatt-Rosen, Orit

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Regev, Aviv

dc.date.accessioned

2024-02-01T17:56:28Z

dc.date.available

2024-02-01T17:56:28Z

dc.date.issued

2021-07

dc.description.abstract

COVID-19, which is caused by SARS-CoV-2, can result in acute respiratory distress syndrome and multiple organ failure1-4, but little is known about its pathophysiology. Here we generated single-cell atlases of 24 lung, 16 kidney, 16 liver and 19 heart autopsy tissue samples and spatial atlases of 14 lung samples from donors who died of COVID-19. Integrated computational analysis uncovered substantial remodelling in the lung epithelial, immune and stromal compartments, with evidence of multiple paths of failed tissue regeneration, including defective alveolar type 2 differentiation and expansion of fibroblasts and putative TP63+ intrapulmonary basal-like progenitor cells. Viral RNAs were enriched in mononuclear phagocytic and endothelial lung cells, which induced specific host programs. Spatial analysis in lung distinguished inflammatory host responses in lung regions with and without viral RNA. Analysis of the other tissue atlases showed transcriptional alterations in multiple cell types in heart tissue from donors with COVID-19, and mapped cell types and genes implicated with disease severity based on COVID-19 genome-wide association studies. Our foundational dataset elucidates the biological effect of severe SARS-CoV-2 infection across the body, a key step towards new treatments.

dc.identifier

10.1038/s41586-021-03570-8

dc.identifier.issn

0028-0836

dc.identifier.issn

1476-4687

dc.identifier.uri

https://hdl.handle.net/10161/30076

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Nature

dc.relation.isversionof

10.1038/s41586-021-03570-8

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Myocardium

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Liver

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Lung

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Pulmonary Alveoli

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Kidney

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Heart

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Fibroblasts

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Endothelial Cells

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Epithelial Cells

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Phagocytes

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Humans

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Inflammation

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RNA, Viral

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Autopsy

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Viral Load

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Regeneration

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Organ Specificity

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Adult

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Aged

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Aged, 80 and over

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Middle Aged

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Biological Specimen Banks

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Female

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Male

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Atlases as Topic

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Genome-Wide Association Study

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Single-Cell Analysis

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COVID-19

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SARS-CoV-2

dc.title

COVID-19 tissue atlases reveal SARS-CoV-2 pathology and cellular targets.

dc.type

Journal article

duke.contributor.orcid

Tata, Purushothama Rao|0000-0003-4837-0337

pubs.begin-page

107

pubs.end-page

113

pubs.issue

7865

pubs.organisational-group

Duke

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School of Medicine

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Cell Biology

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Medicine

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Medicine, Pulmonary, Allergy, and Critical Care Medicine

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Duke Cancer Institute

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Regeneration Next Initiative

pubs.publication-status

Published

pubs.volume

595

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