PMID- 32810867 OWN - NLM STAT- MEDLINE DCOM- 20210414 LR - 20231112 IS - 1477-4054 (Electronic) IS - 1467-5463 (Print) IS - 1467-5463 (Linking) VI - 22 IP - 2 DP - 2021 Mar 22 TI - The Cellular basis of loss of smell in 2019-nCoV-infected individuals. PG - 873-881 LID - 10.1093/bib/bbaa168 [doi] LID - bbaa168 AB - A prominent clinical symptom of 2019-novel coronavirus (nCoV) infection is hyposmia/anosmia (decrease or loss of sense of smell), along with general symptoms such as fatigue, shortness of breath, fever and cough. The identity of the cell lineages that underpin the infection-associated loss of olfaction could be critical for the clinical management of 2019-nCoV-infected individuals. Recent research has confirmed the role of angiotensin-converting enzyme 2 (ACE2) and transmembrane protease serine 2 (TMPRSS2) as key host-specific cellular moieties responsible for the cellular entry of the virus. Accordingly, the ongoing medical examinations and the autopsy reports of the deceased individuals indicate that organs/tissues with high expression levels of ACE2, TMPRSS2 and other putative viral entry-associated genes are most vulnerable to the infection. We studied if anosmia in 2019-nCoV-infected individuals can be explained by the expression patterns associated with these host-specific moieties across the known olfactory epithelial cell types, identified from a recently published single-cell expression study. Our findings underscore selective expression of these viral entry-associated genes in a subset of sustentacular cells (SUSs), Bowman's gland cells (BGCs) and stem cells of the olfactory epithelium. Co-expression analysis of ACE2 and TMPRSS2 and protein-protein interaction among the host and viral proteins elected regulatory cytoskeleton protein-enriched SUSs as the most vulnerable cell type of the olfactory epithelium. Furthermore, expression, structural and docking analyses of ACE2 revealed the potential risk of olfactory dysfunction in four additional mammalian species, revealing an evolutionarily conserved infection susceptibility. In summary, our findings provide a plausible cellular basis for the loss of smell in 2019-nCoV-infected patients. CI - (c) The Author(s) 2020. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. FAU - Gupta, Krishan AU - Gupta K AD - Indraprastha Institute of Information Technology, Delhi. FAU - Mohanty, Sanjay Kumar AU - Mohanty SK AD - Indraprastha Institute of Information Technology, Delhi. FAU - Mittal, Aayushi AU - Mittal A AD - Indraprastha Institute of Information Technology, Delhi. FAU - Kalra, Siddhant AU - Kalra S AD - Indraprastha Institute of Information Technology, Delhi. FAU - Kumar, Suvendu AU - Kumar S AD - Indraprastha Institute of Information Technology, Delhi. FAU - Mishra, Tripti AU - Mishra T AD - Indraprastha Institute of Information Technology, Delhi. FAU - Ahuja, Jatin AU - Ahuja J AD - Indraprastha Institute of Information Technology, Delhi. FAU - Sengupta, Debarka AU - Sengupta D AD - Indraprastha Institute of Information Technology, Delhi. FAU - Ahuja, Gaurav AU - Ahuja G AD - Indraprastha Institute of Information Technology, Delhi. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Brief Bioinform JT - Briefings in bioinformatics JID - 100912837 RN - 0 (Viral Proteins) RN - EC 3.4.17.23 (ACE2 protein, human) RN - EC 3.4.17.23 (Angiotensin-Converting Enzyme 2) SB - IM MH - Angiotensin-Converting Enzyme 2/metabolism MH - Anosmia/*pathology MH - COVID-19/*complications/pathology/virology MH - Humans MH - SARS-CoV-2/isolation & purification MH - Viral Proteins/metabolism MH - Virus Internalization PMC - PMC7462334 OTO - NOTNLM OT - COVID-19 OT - SARS-CoV-2 OT - olfaction OT - olfactory sensory neurons (OSNs) OT - pandemic OT - smell EDAT- 2020/08/19 06:00 MHDA- 2021/04/15 06:00 PMCR- 2020/09/01 CRDT- 2020/08/19 06:00 PHST- 2020/03/30 00:00 [received] PHST- 2020/06/10 00:00 [revised] PHST- 2020/07/05 00:00 [accepted] PHST- 2020/08/19 06:00 [pubmed] PHST- 2021/04/15 06:00 [medline] PHST- 2020/08/19 06:00 [entrez] PHST- 2020/09/01 00:00 [pmc-release] AID - 5893433 [pii] AID - bbaa168 [pii] AID - 10.1093/bib/bbaa168 [doi] PST - ppublish SO - Brief Bioinform. 2021 Mar 22;22(2):873-881. doi: 10.1093/bib/bbaa168.