SARS-CoV-2 infects the human kidney and drives fibrosis in kidney organoids
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SARS-CoV-2 infects the human kidney and drives fibrosis in kidney organoids. / Jansen, Jitske; Reimer, Katharina C; Nagai, James S; Varghese, Finny S; Overheul, Gijs J; de Beer, Marit; Roverts, Rona; Daviran, Deniz; Fermin, Liline A S; Willemsen, Brigith; Beukenboom, Marcel; Djudjaj, Sonja; von Stillfried, Saskia; van Eijk, Larissa E; Mastik, Mirjam; Bulthuis, Marian; Dunnen, Wilfred den; van Goor, Harry; Hillebrands, Jan-Luuk; Triana, Sergio H; Alexandrov, Theodore; Timm, Marie-Cherelle; van den Berge, Bartholomeus T; van den Broek, Martijn; Nlandu, Quincy; Heijnert, Joelle; Bindels, Eric M J; Hoogenboezem, Remco M; Mooren, Fieke; Kuppe, Christoph; Miesen, Pascal; Grünberg, Katrien; Ijzermans, Ties; Steenbergen, Eric J; Czogalla, Jan; Schreuder, Michiel F; Sommerdijk, Nico; Akiva, Anat; Boor, Peter; Puelles, Victor G; Floege, Jürgen; Huber, Tobias B; van Rij, Ronald P; Costa, Ivan G; Schneider, Rebekka K; Smeets, Bart; Kramann, Rafael; COVID Moonshot consortium.
In: CELL STEM CELL, Vol. 29, No. 2, 03.02.2022, p. 217-231.e8.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - SARS-CoV-2 infects the human kidney and drives fibrosis in kidney organoids
AU - Jansen, Jitske
AU - Reimer, Katharina C
AU - Nagai, James S
AU - Varghese, Finny S
AU - Overheul, Gijs J
AU - de Beer, Marit
AU - Roverts, Rona
AU - Daviran, Deniz
AU - Fermin, Liline A S
AU - Willemsen, Brigith
AU - Beukenboom, Marcel
AU - Djudjaj, Sonja
AU - von Stillfried, Saskia
AU - van Eijk, Larissa E
AU - Mastik, Mirjam
AU - Bulthuis, Marian
AU - Dunnen, Wilfred den
AU - van Goor, Harry
AU - Hillebrands, Jan-Luuk
AU - Triana, Sergio H
AU - Alexandrov, Theodore
AU - Timm, Marie-Cherelle
AU - van den Berge, Bartholomeus T
AU - van den Broek, Martijn
AU - Nlandu, Quincy
AU - Heijnert, Joelle
AU - Bindels, Eric M J
AU - Hoogenboezem, Remco M
AU - Mooren, Fieke
AU - Kuppe, Christoph
AU - Miesen, Pascal
AU - Grünberg, Katrien
AU - Ijzermans, Ties
AU - Steenbergen, Eric J
AU - Czogalla, Jan
AU - Schreuder, Michiel F
AU - Sommerdijk, Nico
AU - Akiva, Anat
AU - Boor, Peter
AU - Puelles, Victor G
AU - Floege, Jürgen
AU - Huber, Tobias B
AU - van Rij, Ronald P
AU - Costa, Ivan G
AU - Schneider, Rebekka K
AU - Smeets, Bart
AU - Kramann, Rafael
AU - COVID Moonshot consortium
N1 - Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.
PY - 2022/2/3
Y1 - 2022/2/3
N2 - Kidney failure is frequently observed during and after COVID-19, but it remains elusive whether this is a direct effect of the virus. Here, we report that SARS-CoV-2 directly infects kidney cells and is associated with increased tubule-interstitial kidney fibrosis in patient autopsy samples. To study direct effects of the virus on the kidney independent of systemic effects of COVID-19, we infected human-induced pluripotent stem-cell-derived kidney organoids with SARS-CoV-2. Single-cell RNA sequencing indicated injury and dedifferentiation of infected cells with activation of profibrotic signaling pathways. Importantly, SARS-CoV-2 infection also led to increased collagen 1 protein expression in organoids. A SARS-CoV-2 protease inhibitor was able to ameliorate the infection of kidney cells by SARS-CoV-2. Our results suggest that SARS-CoV-2 can directly infect kidney cells and induce cell injury with subsequent fibrosis. These data could explain both acute kidney injury in COVID-19 patients and the development of chronic kidney disease in long COVID.
AB - Kidney failure is frequently observed during and after COVID-19, but it remains elusive whether this is a direct effect of the virus. Here, we report that SARS-CoV-2 directly infects kidney cells and is associated with increased tubule-interstitial kidney fibrosis in patient autopsy samples. To study direct effects of the virus on the kidney independent of systemic effects of COVID-19, we infected human-induced pluripotent stem-cell-derived kidney organoids with SARS-CoV-2. Single-cell RNA sequencing indicated injury and dedifferentiation of infected cells with activation of profibrotic signaling pathways. Importantly, SARS-CoV-2 infection also led to increased collagen 1 protein expression in organoids. A SARS-CoV-2 protease inhibitor was able to ameliorate the infection of kidney cells by SARS-CoV-2. Our results suggest that SARS-CoV-2 can directly infect kidney cells and induce cell injury with subsequent fibrosis. These data could explain both acute kidney injury in COVID-19 patients and the development of chronic kidney disease in long COVID.
KW - COVID-19/complications
KW - Fibrosis
KW - Humans
KW - Kidney
KW - Organoids/pathology
KW - SARS-CoV-2
U2 - 10.1016/j.stem.2021.12.010
DO - 10.1016/j.stem.2021.12.010
M3 - SCORING: Journal article
C2 - 35032430
VL - 29
SP - 217-231.e8
JO - CELL STEM CELL
JF - CELL STEM CELL
SN - 1934-5909
IS - 2
ER -