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SARS-CoV-2 infects adipose tissue in a fat depot- and viral lineage-dependent manner

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Saccon, Tatiana Dandolini ; Mousovich-Neto, Felippe ; Ludwig, Raissa Guimaraes ; Carregari, Victor Corasolla ; dos Anjos Souza, Ana Beatriz ; dos Passos, Amanda Stephane Cruz ; Martini, Matheus Cavalheiro ; Barbosa, Priscilla Paschoal ; de Souza, Gabriela Fabiano ; Muraro, Stefanie Primon ; Forato, Julia ; Amorim, Mariene Ribeiro ; Marques, Rafael Elias ; Veras, Flavio Protasio ; Barreto, Ester ; Goncalves, Tiago Tomazini ; Paiva, Isadora Marques ; Fazolini, Narayana P. B. ; Onodera, Carolina Mie Kawagosi ; Martins Junior, Ronaldo Braganca ; de Araujo, Paulo Henrique Cavalcanti ; Batah, Sabrina Setembre ; Viana, Rosa Maria Mendes ; de Melo, Danilo Machado ; Fabro, Alexandre Todorovic ; Arruda, Eurico ; Queiroz Cunha, Fernando ; Cunha, Thiago Mattar ; Pretti, Marco Antonio M. ; Smith, Bradley Joseph ; Marques-Souza, Henrique ; Knittel, Thiago L. ; Ruiz, Gabriel Palermo ; Profeta, Gerson S. ; Fontes-Cal, Tereza Cristina Minto ; Boroni, Mariana ; Vinolo, Marco Aurelio Ramirez ; Farias, Alessandro S. ; Moraes-Vieira, Pedro Manoel M. ; Bizzacchi, Joyce Maria Annichino ; Teesalu, Tambet ; Chaim, Felipe David Mendonca ; Cazzo, Everton ; Chaim, Elinton Adami ; Proenca-Modena, Jose Luiz ; Martins-de-Souza, Daniel ; Osako, Mariana Kiomy ; Leiria, Luiz Osorio ; Mori, Marcelo A.
Total Authors: 49
Document type: Journal article
Source: NATURE COMMUNICATIONS; v. 13, n. 1, p. 15-pg., 2022-09-29.
Abstract

Visceral adiposity is a risk factor for severe COVID-19, and infection of adipose tissue by SARS-CoV-2 has been reported. Here the authors confirm that human adipose tissue is a possible site for SARS-CoV-2 infection, but the degree of adipose tissue infection and the way adipocytes respond to the virus depend on the adipose tissue depot and the viral strain. Visceral adiposity is a risk factor for severe COVID-19, and a link between adipose tissue infection and disease progression has been proposed. Here we demonstrate that SARS-CoV-2 infects human adipose tissue and undergoes productive infection in fat cells. However, susceptibility to infection and the cellular response depends on the anatomical origin of the cells and the viral lineage. Visceral fat cells express more ACE2 and are more susceptible to SARS-CoV-2 infection than their subcutaneous counterparts. SARS-CoV-2 infection leads to inhibition of lipolysis in subcutaneous fat cells, while in visceral fat cells, it results in higher expression of pro-inflammatory cytokines. Viral load and cellular response are attenuated when visceral fat cells are infected with the SARS-CoV-2 gamma variant. A similar degree of cell death occurs 4-days after SARS-CoV-2 infection, regardless of the cell origin or viral lineage. Hence, SARS-CoV-2 infects human fat cells, replicating and altering cell function and viability in a depot- and viral lineage-dependent fashion. (AU)

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