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Giuseppe Michieli
journals.plos.orgPathogenicity, tissue tropism and potential vertical transmission of SARSr-CoV-2 in Malayan pangolinsAuthor summary SARS-CoV-2 has caused a severe and ongoing global pandemic. To date, bats and pangolins are the only groups of mammals known carry SARS-CoV-2-related coronaviruses (SARSr-CoV-2). Although the SARSr-CoV-2 detected in confiscated Malayan pangolins from Guangdong, China (PCoV-GD) has lower sequence similarity to SARS-CoV-2 than some bat-derived viruses, its receptor-binding domain within the S protein that binds to host ACE2 receptors for entry into cells is almost identical to that of SARS-CoV-2. Here, we determined the pathogenicity, tissue tropism and transcriptional response of PCoV-GD in deceased adult Malayan pangolins and their fetuses. Notably, virus-positive pangolins showed ground-glass opacities in their lungs similar to COVID-19 pneumonia and blood gas tests that were indicative of dyspnea. We detected viral RNA in multiple pangolin tissues, including liver, intestine, heart, kidney, spleen and skeletal muscle. This is similar to autopsy reports in COVID-19 patients and is associated with multiple organ dysfunction syndrome. The virus-positive pangolins showed an inadequate interferon response. In addition, PCoV-GD was detected in pangolin fetuses, suggesting the potential vertical transmission of the virus in utero. In sum, Malayan pangolins infected with a PCoV-GD display a pathology that is strikingly similar to human COVID-19.