Oral Mucosa Could Be an Infectious Target of SARS-CoV-2

The World Health Organization reported that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission is caused by respiratory droplets and aerosols from the oral cavity of infected patients. The angiotensin-converting enzyme 2 (ACE2) is considered the host functional protein for SAR...

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Main Authors: Tatsuo Okui, Yuhei Matsuda, Masaaki Karino, Katsumi Hideshima, Takahiro Kanno
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/8/1068
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author Tatsuo Okui
Yuhei Matsuda
Masaaki Karino
Katsumi Hideshima
Takahiro Kanno
author_facet Tatsuo Okui
Yuhei Matsuda
Masaaki Karino
Katsumi Hideshima
Takahiro Kanno
author_sort Tatsuo Okui
collection DOAJ
description The World Health Organization reported that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission is caused by respiratory droplets and aerosols from the oral cavity of infected patients. The angiotensin-converting enzyme 2 (ACE2) is considered the host functional protein for SARS-CoV-2 infection. In this article, we first revealed that the positive proportion of ACE2 expression in gingival cells collected from the gingival sulcus was increased to the same level as the tongue. Our data demonstrate that cells in the gingival sulcus may be a new entry point for the SARS-CoV-2 virus via a high expression of ACE2. In addition, we first evaluated the expression of ACE2 in various sites of the oral cavity with noninvasive, convenient liquid-based cytology. The liquid-based cytology evaluation of oral tissue may provide a novel preventive medical avenue against COVID-19.
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spelling doaj.art-22f5687c48a94fbd9e92a334dcbce1832023-11-22T07:50:25ZengMDPI AGHealthcare2227-90322021-08-0198106810.3390/healthcare9081068Oral Mucosa Could Be an Infectious Target of SARS-CoV-2Tatsuo Okui0Yuhei Matsuda1Masaaki Karino2Katsumi Hideshima3Takahiro Kanno4Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Shimane, JapanDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Shimane, JapanDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Shimane, JapanDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Shimane, JapanDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Shimane, JapanThe World Health Organization reported that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission is caused by respiratory droplets and aerosols from the oral cavity of infected patients. The angiotensin-converting enzyme 2 (ACE2) is considered the host functional protein for SARS-CoV-2 infection. In this article, we first revealed that the positive proportion of ACE2 expression in gingival cells collected from the gingival sulcus was increased to the same level as the tongue. Our data demonstrate that cells in the gingival sulcus may be a new entry point for the SARS-CoV-2 virus via a high expression of ACE2. In addition, we first evaluated the expression of ACE2 in various sites of the oral cavity with noninvasive, convenient liquid-based cytology. The liquid-based cytology evaluation of oral tissue may provide a novel preventive medical avenue against COVID-19.https://www.mdpi.com/2227-9032/9/8/1068COVID-19ACE2 expression in oral regionliquid-based cytology
spellingShingle Tatsuo Okui
Yuhei Matsuda
Masaaki Karino
Katsumi Hideshima
Takahiro Kanno
Oral Mucosa Could Be an Infectious Target of SARS-CoV-2
Healthcare
COVID-19
ACE2 expression in oral region
liquid-based cytology
title Oral Mucosa Could Be an Infectious Target of SARS-CoV-2
title_full Oral Mucosa Could Be an Infectious Target of SARS-CoV-2
title_fullStr Oral Mucosa Could Be an Infectious Target of SARS-CoV-2
title_full_unstemmed Oral Mucosa Could Be an Infectious Target of SARS-CoV-2
title_short Oral Mucosa Could Be an Infectious Target of SARS-CoV-2
title_sort oral mucosa could be an infectious target of sars cov 2
topic COVID-19
ACE2 expression in oral region
liquid-based cytology
url https://www.mdpi.com/2227-9032/9/8/1068
work_keys_str_mv AT tatsuookui oralmucosacouldbeaninfectioustargetofsarscov2
AT yuheimatsuda oralmucosacouldbeaninfectioustargetofsarscov2
AT masaakikarino oralmucosacouldbeaninfectioustargetofsarscov2
AT katsumihideshima oralmucosacouldbeaninfectioustargetofsarscov2
AT takahirokanno oralmucosacouldbeaninfectioustargetofsarscov2