Prolonged fecal shedding of replication-competent virus, lasting immune activation, and intestinal inflammation in a rhesus macaque after experimental SARS-CoV-2 infection

Publication date

2024-12-18

Authors

Böszörményi, Kinga P
Stammes, Marieke A
Fagrouch, Zahra
Acar, Fidel
Niphuis, Henk
Kayere, Gwendoline Kiemenyi
Meijer, Lisette
Snijder, Eric J
van der Hoek, Lia
Berkhout, Ben

Editors

Advisors

Supervisors

Document Type

Article
Open Access logo

License

cc_by

Abstract

Infection of an adult rhesus macaque with SARS-CoV-2 led to viral RNAemia in nose, throat, and lungs. The animal also presented extended fecal shedding of viral genomic and subgenomic messenger RNA and replication-competent virus for more than 3 weeks after infection. Positron emission tomography revealed increased intestinal glucose metabolism which was histologically related to inflammation of the ileum. These findings highlight the potential of the virus to cause gastrointestinal infections in macaques like this is also regularly observed in COVID-19 patients and substantiates the probability of virus transmission via the fecal-oral route. This study further adds the importance of nonhuman primates as a valuable animal model to study SARS-CoV-2 infection in humans.

Keywords

Macaca mulatta, Animals, COVID-19/immunology, Virus Shedding, Feces/virology, SARS-CoV-2, Disease Models, Animal, RNA, Viral, Virus Replication, Inflammation, Lung/virology

Citation

Böszörményi, K P, Stammes, M A, Fagrouch, Z, Acar, F, Niphuis, H, Kayere, G K, Meijer, L, Snijder, E J, van der Hoek, L, Berkhout, B, Bogers, W M, van den Brand, J M A, Kondova, I, Verstrepen, B E & Verschoor, E J 2024, 'Prolonged fecal shedding of replication-competent virus, lasting immune activation, and intestinal inflammation in a rhesus macaque after experimental SARS-CoV-2 infection', Frontiers in cellular and infection microbiology, vol. 14, 1505720. https://doi.org/10.3389/fcimb.2024.1505720