Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants

Abstract Anosmia was identified as a hallmark of COVID-19 early in the pandemic, however, with the emergence of variants of concern, the clinical profile induced by SARS-CoV-2 infection has changed, with anosmia being less frequent. Here, we assessed the clinical, olfactory and neuroinflammatory con...

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Main Authors: Guilherme Dias de Melo, Victoire Perraud, Flavio Alvarez, Alba Vieites-Prado, Seonhee Kim, Lauriane Kergoat, Anthony Coleon, Bettina Salome Trüeb, Magali Tichit, Aurèle Piazza, Agnès Thierry, David Hardy, Nicolas Wolff, Sandie Munier, Romain Koszul, Etienne Simon-Lorière, Volker Thiel, Marc Lecuit, Pierre-Marie Lledo, Nicolas Renier, Florence Larrous, Hervé Bourhy
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-40228-7
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author Guilherme Dias de Melo
Victoire Perraud
Flavio Alvarez
Alba Vieites-Prado
Seonhee Kim
Lauriane Kergoat
Anthony Coleon
Bettina Salome Trüeb
Magali Tichit
Aurèle Piazza
Agnès Thierry
David Hardy
Nicolas Wolff
Sandie Munier
Romain Koszul
Etienne Simon-Lorière
Volker Thiel
Marc Lecuit
Pierre-Marie Lledo
Nicolas Renier
Florence Larrous
Hervé Bourhy
author_facet Guilherme Dias de Melo
Victoire Perraud
Flavio Alvarez
Alba Vieites-Prado
Seonhee Kim
Lauriane Kergoat
Anthony Coleon
Bettina Salome Trüeb
Magali Tichit
Aurèle Piazza
Agnès Thierry
David Hardy
Nicolas Wolff
Sandie Munier
Romain Koszul
Etienne Simon-Lorière
Volker Thiel
Marc Lecuit
Pierre-Marie Lledo
Nicolas Renier
Florence Larrous
Hervé Bourhy
author_sort Guilherme Dias de Melo
collection DOAJ
description Abstract Anosmia was identified as a hallmark of COVID-19 early in the pandemic, however, with the emergence of variants of concern, the clinical profile induced by SARS-CoV-2 infection has changed, with anosmia being less frequent. Here, we assessed the clinical, olfactory and neuroinflammatory conditions of golden hamsters infected with the original Wuhan SARS-CoV-2 strain, its isogenic ORF7-deletion mutant and three variants: Gamma, Delta, and Omicron/BA.1. We show that infected animals develop a variant-dependent clinical disease including anosmia, and that the ORF7 of SARS-CoV-2 contributes to the induction of olfactory dysfunction. Conversely, all SARS-CoV-2 variants are neuroinvasive, regardless of the clinical presentation they induce. Taken together, this confirms that neuroinvasion and anosmia are independent phenomena upon SARS-CoV-2 infection. Using newly generated nanoluciferase-expressing SARS-CoV-2, we validate the olfactory pathway as a major entry point into the brain in vivo and demonstrate in vitro that SARS-CoV-2 travels retrogradely and anterogradely along axons in microfluidic neuron-epithelial networks.
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spelling doaj.art-dc7c96ca45ad44e181d1a009fdd447542023-12-10T12:23:45ZengNature PortfolioNature Communications2041-17232023-07-0114111410.1038/s41467-023-40228-7Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variantsGuilherme Dias de Melo0Victoire Perraud1Flavio Alvarez2Alba Vieites-Prado3Seonhee Kim4Lauriane Kergoat5Anthony Coleon6Bettina Salome Trüeb7Magali Tichit8Aurèle Piazza9Agnès Thierry10David Hardy11Nicolas Wolff12Sandie Munier13Romain Koszul14Etienne Simon-Lorière15Volker Thiel16Marc Lecuit17Pierre-Marie Lledo18Nicolas Renier19Florence Larrous20Hervé Bourhy21Institut Pasteur, Université Paris Cité, Lyssavirus Epidemiology and Neuropathology UnitInstitut Pasteur, Université Paris Cité, Lyssavirus Epidemiology and Neuropathology UnitInstitut Pasteur, Université Paris Cité, Channel Receptors UnitInstitut du Cerveau et de la Moelle Épinière, Laboratoire de Plasticité Structurale, , Sorbonne Université, INSERM U1127Institut Pasteur, Université Paris Cité, Lyssavirus Epidemiology and Neuropathology UnitInstitut Pasteur, Université Paris Cité, Lyssavirus Epidemiology and Neuropathology UnitInstitut Pasteur, Université Paris Cité, Lyssavirus Epidemiology and Neuropathology UnitInstitute of Virology and Immunology (IVI), Bern, Switzerland; Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of BernInstitut Pasteur, Université Paris Cité, Histopathology PlatformInstitut Pasteur, Université Paris Cité, Spatial Regulation of Genomes LaboratoryInstitut Pasteur, Université Paris Cité, Spatial Regulation of Genomes LaboratoryInstitut Pasteur, Université Paris Cité, Histopathology PlatformInstitut Pasteur, Université Paris Cité, Channel Receptors UnitInstitut Pasteur, Université Paris Cité, Molecular Genetics of RNA viruses UnitInstitut Pasteur, Université Paris Cité, Spatial Regulation of Genomes LaboratoryInstitut Pasteur, Université Paris Cité, Evolutionary Genomics of RNA Viruses GroupMultidisciplinary Center for Infectious Diseases, University of BernInstitut Pasteur, Université Paris Cité, Inserm U1117, Biology of Infection UnitInstitut Pasteur, Université Paris Cité, Perception and Memory Unit, F-75015 ParisInstitut du Cerveau et de la Moelle Épinière, Laboratoire de Plasticité Structurale, , Sorbonne Université, INSERM U1127Institut Pasteur, Université Paris Cité, Lyssavirus Epidemiology and Neuropathology UnitInstitut Pasteur, Université Paris Cité, Lyssavirus Epidemiology and Neuropathology UnitAbstract Anosmia was identified as a hallmark of COVID-19 early in the pandemic, however, with the emergence of variants of concern, the clinical profile induced by SARS-CoV-2 infection has changed, with anosmia being less frequent. Here, we assessed the clinical, olfactory and neuroinflammatory conditions of golden hamsters infected with the original Wuhan SARS-CoV-2 strain, its isogenic ORF7-deletion mutant and three variants: Gamma, Delta, and Omicron/BA.1. We show that infected animals develop a variant-dependent clinical disease including anosmia, and that the ORF7 of SARS-CoV-2 contributes to the induction of olfactory dysfunction. Conversely, all SARS-CoV-2 variants are neuroinvasive, regardless of the clinical presentation they induce. Taken together, this confirms that neuroinvasion and anosmia are independent phenomena upon SARS-CoV-2 infection. Using newly generated nanoluciferase-expressing SARS-CoV-2, we validate the olfactory pathway as a major entry point into the brain in vivo and demonstrate in vitro that SARS-CoV-2 travels retrogradely and anterogradely along axons in microfluidic neuron-epithelial networks.https://doi.org/10.1038/s41467-023-40228-7
spellingShingle Guilherme Dias de Melo
Victoire Perraud
Flavio Alvarez
Alba Vieites-Prado
Seonhee Kim
Lauriane Kergoat
Anthony Coleon
Bettina Salome Trüeb
Magali Tichit
Aurèle Piazza
Agnès Thierry
David Hardy
Nicolas Wolff
Sandie Munier
Romain Koszul
Etienne Simon-Lorière
Volker Thiel
Marc Lecuit
Pierre-Marie Lledo
Nicolas Renier
Florence Larrous
Hervé Bourhy
Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants
Nature Communications
title Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants
title_full Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants
title_fullStr Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants
title_full_unstemmed Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants
title_short Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants
title_sort neuroinvasion and anosmia are independent phenomena upon infection with sars cov 2 and its variants
url https://doi.org/10.1038/s41467-023-40228-7
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