PMID- 36940916 OWN - NLM STAT- MEDLINE DCOM- 20230411 LR - 20240402 IS - 1872-9096 (Electronic) IS - 0166-3542 (Print) IS - 0166-3542 (Linking) VI - 212 DP - 2023 Apr TI - SARS-CoV-2 Omicron (B.1.1.529) shows minimal neurotropism in a double-humanized mouse model. PG - 105580 LID - S0166-3542(23)00058-X [pii] LID - 10.1016/j.antiviral.2023.105580 [doi] AB - Although severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) initially infects the respiratory tract, it also directly or indirectly affects other organs, including the brain. However, little is known about the relative neurotropism of SARS-CoV-2 variants of concern (VOCs), including Omicron (B.1.1.529), which emerged in November 2021 and has remained the dominant pathogenic lineage since then. To address this gap, we examined the relative ability of Omicron, Beta (B.1.351), and Delta (B.1.617.2) to infect the brain in the context of a functional human immune system by using human angiotensin-converting enzyme 2 (hACE2) knock-in triple-immunodeficient NGC mice with or without reconstitution with human CD34(+) stem cells. Intranasal inoculation of huCD34(+)-hACE2-NCG mice with Beta and Delta resulted in productive infection of the nasal cavity, lungs, and brain on day 3 post-infection, but Omicron was surprisingly unique in its failure to infect either the nasal tissue or brain. Moreover, the same infection pattern was observed in hACE2-NCG mice, indicating that antiviral immunity was not responsible for the lack of Omicron neurotropism. In independent experiments, we demonstrate that nasal inoculation with Beta or with D614G, an ancestral SARS-CoV-2 with undetectable replication in huCD34(+)-hACE2-NCG mice, resulted in a robust response by human innate immune cells, T cells, and B cells, confirming that exposure to SARS-CoV-2, even without detectable infection, is sufficient to induce an antiviral immune response. Collectively, these results suggest that modeling of the neurologic and immunologic sequelae of SARS-CoV-2 infection requires careful selection of the appropriate SARS-CoV-2 strain in the context of a specific mouse model. CI - Copyright (c) 2023 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Alves, Rubens Prince Dos Santos AU - Alves RPDS AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Wang, Ying-Ting AU - Wang YT AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Mikulski, Zbigniew AU - Mikulski Z AD - Microscopy and Histology Core Facility, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - McArdle, Sara AU - McArdle S AD - Microscopy and Histology Core Facility, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Shafee, Norazizah AU - Shafee N AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Valentine, Kristen M AU - Valentine KM AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Miller, Robyn AU - Miller R AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Verma, Shailendra Kumar AU - Verma SK AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Batiz, Fernanda Ana Sosa AU - Batiz FAS AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Maule, Erin AU - Maule E AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Nguyen, Michael N AU - Nguyen MN AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Timis, Julia AU - Timis J AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Mann, Colin AU - Mann C AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Zandonatti, Michelle AU - Zandonatti M AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Alarcon, Suzie AU - Alarcon S AD - Sequencing Core Facility, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Rowe, Jenny AU - Rowe J AD - Charles River Laboratories Research Models and Services Inc., Wilmington, MA, USA. FAU - Kronenberg, Mitchell AU - Kronenberg M AD - Division of Developmental Immunology, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Weiskopf, Daniela AU - Weiskopf D AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Sette, Alessandro AU - Sette A AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA; Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California, San Diego, La Jolla, CA, 92037, USA. FAU - Hastie, Kathryn AU - Hastie K AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Saphire, Erica Ollmann AU - Saphire EO AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. FAU - Festin, Stephen AU - Festin S AD - Charles River Laboratories Research Models and Services Inc., Wilmington, MA, USA. FAU - Kim, Kenneth AU - Kim K AD - Histopathology Core Facility, La Jolla Institute for Immunology, La Jolla, CA, USA. Electronic address: kenneth@lji.org. FAU - Shresta, Sujan AU - Shresta S AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, USA. Electronic address: sujan@lji.org. LA - eng GR - T32 AI007036/AI/NIAID NIH HHS/United States GR - U19 AI142790/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 - 20230320 PL - Netherlands TA - Antiviral Res JT - Antiviral research JID - 8109699 RN - 0 (Antiviral Agents) RN - SARS-CoV-2 variants SB - IM MH - Animals MH - Humans MH - Mice MH - *SARS-CoV-2 MH - *COVID-19 MH - Brain MH - Antiviral Agents MH - Disease Models, Animal PMC - PMC10027296 OTO - NOTNLM OT - Brain OT - COVID-19 OT - Human ACE2 OT - Human CD34 immune cells OT - Mouse model OT - NCG OT - Neurotropism OT - Omicron OT - SARS-CoV-2 OT - T cell COIS- SF and JR are employed by Charles River Laboratories, Inc. AS is a consultant for Gritstone, Flow Pharma, Arcturus, Immunoscape, CellCarta, Oxford Immunotech, and Avalia. The remaining authors declare no competing interests. SF and JR are employed by Charles River Laboratories, Inc. AS is a consultant for Gritstone, Flow Pharma, Arcturus, Immunoscape, CellCarta, Oxford Immunotech, and Avalia. The remaining authors declare no competing interests. EDAT- 2023/03/21 06:00 MHDA- 2023/04/11 06:42 PMCR- 2023/03/20 CRDT- 2023/03/20 20:25 PHST- 2023/01/26 00:00 [received] PHST- 2023/03/08 00:00 [revised] PHST- 2023/03/15 00:00 [accepted] PHST- 2023/04/11 06:42 [medline] PHST- 2023/03/21 06:00 [pubmed] PHST- 2023/03/20 20:25 [entrez] PHST- 2023/03/20 00:00 [pmc-release] AID - S0166-3542(23)00058-X [pii] AID - 105580 [pii] AID - 10.1016/j.antiviral.2023.105580 [doi] PST - ppublish SO - Antiviral Res. 2023 Apr;212:105580. doi: 10.1016/j.antiviral.2023.105580. Epub 2023 Mar 20.