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. 2023 Mar 3;227(11):1245–1254. doi: 10.1093/infdis/jiad056

Figure 2.

Figure 2.

SARS-CoV-2 spread to and replication in the lung. Individual SARS-CoV-2 virions detected by in situ hybridization with ELF-97 substrate appear green and are approximately 0.25 μm. Nuclei stained blue with DAPI. Large numbers of virions are amassed in RBs of varying size. A, Virus production and spread in bronchiolar epithelium leave a visible trace of the hub and spoke mode of spread from branching terminal bronchioles into the lung parenchyma (encircled). B, Virus is concentrated in RBs in fused lysed ATI cells lining alveolar walls. C, Virus spread and fusion of spatially contiguous ATII cells generate focal clusters of virus-producing cells. D, Syncytial mat of virus RBs in lysed epithelium. Abbreviations: AT, alveolar type; RB, round body; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.