PMID- 17079315 OWN - NLM STAT- MEDLINE DCOM- 20070201 LR - 20221207 IS - 0022-538X (Print) IS - 1098-5514 (Electronic) IS - 0022-538X (Linking) VI - 81 IP - 2 DP - 2007 Jan TI - Lethal infection of K18-hACE2 mice infected with severe acute respiratory syndrome coronavirus. PG - 813-21 AB - The severe acute respiratory syndrome (SARS), caused by a novel coronavirus (SARS-CoV), resulted in substantial morbidity, mortality, and economic losses during the 2003 epidemic. While SARS-CoV infection has not recurred to a significant extent since 2003, it still remains a potential threat. Understanding of SARS and development of therapeutic approaches have been hampered by the absence of an animal model that mimics the human disease and is reproducible. Here we show that transgenic mice that express the SARS-CoV receptor (human angiotensin-converting enzyme 2 [hACE2]) in airway and other epithelia develop a rapidly lethal infection after intranasal inoculation with a human strain of the virus. Infection begins in airway epithelia, with subsequent alveolar involvement and extrapulmonary virus spread to the brain. Infection results in macrophage and lymphocyte infiltration in the lungs and upregulation of proinflammatory cytokines and chemokines in both the lung and the brain. This model of lethal infection with SARS-CoV should be useful for studies of pathogenesis and for the development of antiviral therapies. FAU - McCray, Paul B Jr AU - McCray PB Jr AD - Department of Pediatrics, University of Iowa, Iowa City, IA 52242, USA. Paul-McCray@uiowa.edu FAU - Pewe, Lecia AU - Pewe L FAU - Wohlford-Lenane, Christine AU - Wohlford-Lenane C FAU - Hickey, Melissa AU - Hickey M FAU - Manzel, Lori AU - Manzel L FAU - Shi, Lei AU - Shi L FAU - Netland, Jason AU - Netland J FAU - Jia, Hong Peng AU - Jia HP FAU - Halabi, Carmen AU - Halabi C FAU - Sigmund, Curt D AU - Sigmund CD FAU - Meyerholz, David K AU - Meyerholz DK FAU - Kirby, Patricia AU - Kirby P FAU - Look, Dwight C AU - Look DC FAU - Perlman, Stanley AU - Perlman S LA - eng GR - P30 DK-54759/DK/NIDDK NIH HHS/United States GR - P01 AI060699/AI/NIAID NIH HHS/United States GR - P30 DK054759/DK/NIDDK NIH HHS/United States GR - T32 GM007337/GM/NIGMS NIH HHS/United States GR - P01 AI060699-02/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20061101 PL - United States TA - J Virol JT - Journal of virology JID - 0113724 RN - 0 (Keratin-18) RN - EC 3.4.15.1 (Peptidyl-Dipeptidase A) SB - IM MH - Animals MH - Brain/cytology/pathology/virology MH - *Disease Models, Animal MH - Epithelial Cells/pathology/virology MH - Humans MH - Keratin-18/genetics/*metabolism MH - Lung/cytology/pathology/virology MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Peptidyl-Dipeptidase A/genetics/*metabolism MH - Severe acute respiratory syndrome-related coronavirus/*pathogenicity MH - Severe Acute Respiratory Syndrome/mortality/pathology/virology PMC - PMC1797474 EDAT- 2006/11/03 09:00 MHDA- 2007/02/03 09:00 PMCR- 2007/05/01 CRDT- 2006/11/03 09:00 PHST- 2006/11/03 09:00 [pubmed] PHST- 2007/02/03 09:00 [medline] PHST- 2006/11/03 09:00 [entrez] PHST- 2007/05/01 00:00 [pmc-release] AID - JVI.02012-06 [pii] AID - 2012-06 [pii] AID - 10.1128/JVI.02012-06 [doi] PST - ppublish SO - J Virol. 2007 Jan;81(2):813-21. doi: 10.1128/JVI.02012-06. Epub 2006 Nov 1.