Age-dependent pathogenic characteristics of SARS-CoV-2 infection in ferrets

YI Kim, KM Yu, JY Koh, EH Kim, SM Kim, EJ Kim… - Nature …, 2022 - nature.com
YI Kim, KM Yu, JY Koh, EH Kim, SM Kim, EJ Kim, MAB Casel, R Rollon, SG Jang, MS Song…
Nature Communications, 2022nature.com
While the seroprevalence of SARS-CoV-2 in healthy people does not differ significantly
among age groups, those aged 65 years or older exhibit strikingly higher COVID-19
mortality compared to younger individuals. To further understand differing COVID-19
manifestations in patients of different ages, three age groups of ferrets are infected with
SARS-CoV-2. Although SARS-CoV-2 is isolated from all ferrets regardless of age, aged
ferrets (≥ 3 years old) show higher viral loads, longer nasal virus shedding, and more …
Abstract
While the seroprevalence of SARS-CoV-2 in healthy people does not differ significantly among age groups, those aged 65 years or older exhibit strikingly higher COVID-19 mortality compared to younger individuals. To further understand differing COVID-19 manifestations in patients of different ages, three age groups of ferrets are infected with SARS-CoV-2. Although SARS-CoV-2 is isolated from all ferrets regardless of age, aged ferrets (≥3 years old) show higher viral loads, longer nasal virus shedding, and more severe lung inflammatory cell infiltration, and clinical symptoms compared to juvenile (≤6 months) and young adult (1–2 years) groups. Furthermore, direct contact ferrets co-housed with the virus-infected aged group shed more virus than direct-contact ferrets co-housed with virus-infected juvenile or young adult ferrets. Transcriptome analysis of aged ferret lungs reveals strong enrichment of gene sets related to type I interferon, activated T cells, and M1 macrophage responses, mimicking the gene expression profile of severe COVID-19 patients. Thus, SARS-CoV-2-infected aged ferrets highly recapitulate COVID-19 patients with severe symptoms and are useful for understanding age-associated infection, transmission, and pathogenesis of SARS-CoV-2.
nature.com
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