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. 2020 Aug 20;15(1):225–235. doi: 10.1007/s12105-020-01212-5

Table 1.

Studies reporting ACE2 or TMPRSS2 head and neck expression

Authors Design Samples Methods ACE2 & TMPRSS2 expression Findings
Vaarala Mixed Human TMPRSS2 Salivary glands 1. TMPRSS2 is expressed in human salivary gland tissues
2001 [10] Study Mouse RNAseq TMPRSS2 (human):+
Hamming Human Human ACE2 Oral, Nasal, Nasopharyngeal Epithelium & endothelium 1. ACE2 was found in endothelial (arteries & veins) and epithelial cells of nasal, rhinopharyngeal and oral mucosa. Precisely, the epithelium expression concerned the basal layer cells
2004 [11] Study IHC ACE2 human:+ (all mucosa)
Jia Human Human ACE2 Tracheal Epithelium & endothelium 1. ACE2 was more expressed on the apical than the basolateral surface of polarized airway epithelia
2005 [12] Study IHC & biotinylation ACE2 (human):+
Liu Experimenal Monkey ACE2 Naso- Oro- Hypopharyngeal & Tracheal Epithelium 1. ACE2 is expressed in salivary gland ducts of the pharyngeal glands
2011 [13] Study IHC ACE2 Monkey:+ 2. ACE2 was expressed in epithelial cells (lamina propria, respiratory tract)
Virion in Saliva:+ 3. Virus was found in saliva of infected monkeys
Bilinska Animal Mouse ACE2 & TMPRSS2 Olfactory Epithelium 1. ACE2 & TMPRSS2 are expressed in sustentacular cells of the olfactory epithelium but not/much less in most olfactory receptor neurons
2020 [14] Study RNAseq, RT-PCR, ACE2: sustentacular cells
In situ hybridization, TMPRSS2: sustentacular cells 2. Expression of the entry proteins increases in animals of old age
WB & IHC
Brann Mixed Mouse ACE2 & TMPRSS2 Olfactory Epithelium 1. In human, ACE2 & TMPRSS2 were not identified in purified olfactory neurons
2020 [15] Study Human RNAseq ACE2 & TMPRSS2 Mouse: non-neuronal cells
ACE2 & TMPRSS2 Human: glial and neuronal stem cells 2. ACE2 was identified in glial cells & olfactory stem cells
Butowt Mixed Mouse ACE2 & TMPRSS2 Olfactory Epithelium 1. Nasal epithelial cells have lower levels of ACE2 & TMPRSS2 compared with epithelial cells of the lower respiratory tract
2020 [16] Study Human RNAseq ACE2 Mouse & Human: non neuronal cells
TMPRSS2 Mouse & Human: neuronal & non-neuronal cells 2. ACE2 has non-neuronal expression in olfactory epithelium
Respiratory Epithelium 3. The expression of ACE2 & TMPRSS2 (mouse) were increased in elderly mouse
ACE2 & TMPRSS2 Human:+ (Lower Airway > Nasal)
Cao Human Human ACE2 gene No localization provided 1.15 unique expression quantitative trait loci variants were found for ACE2
2020 [17] Study Genetic Analyzis 2. The genotypes of ACE2 gene polymorphism may be characterized by higher expression levels of ACE2 in East Asian population
3. There would be different susceptibility or response to SARS-CoV2 in different populations
Chen Human Human ACE2 Salivary glands 1. ACE2 is expressed in human granular cells of salivary glands
2020 [18] Study RNAseq ACE2 human:+
Hikmet Human Human ACE2 Nasopharyngeal Epithelium 1. There was no ACE2 expression in nasopharyngeal cells
2020 [19] Study IHC ACE2 (human): no expression in nasopharynx
Lee Human Human ACE2 Tracheal, Nasal & Sinusal Epithelium 1. ACE2 is expressed in ciliated epithelial cells (cilia organelle)
2020 [20] Study IHC ACE2 (human):+ 2.There was no ACE2 expression in the non-ciliated goblet cells
3. ACE2 expression is influenced by patient demographics, clinical characteristics, co-morbidities, or medication use. The use of ACE inhibitor drugs did not increase ACE2 protein expression
Li Human Human ACE2 Thyroid 1. ACE2 is expressed by thyroid cells
Hikmet Human Human ACE2 Nasopharyngeal Epithelium 1. There was no ACE2 expression in nasopharyngeal cells
2020 [19] Study IHC ACE2 (human): no expression in nasopharynx
2020 [21] Study RNAseq ACE2 human:+
Sungnak Human Human ACE2 & TMPRSS2 Airway & Nasal epithelium 1. ACE2 was expressed in airway epithelial cells
2020 [22] Study RNAseq ACE2 human:+ 2. ACE2 is more expressed in nasal epithelial cells compared with other respiratory cells (goblet & ciliated cells)
TMPRSS2 (human): subset of ACE2 cells
3. TMPRSS2 is only expressed in a subset of ACE2 + cells
Xu Human Human ACE2 & TMPRSS2 Oral Epithelium 1. ACE2 is expressed in the oral cavity epithelial cells
2020 [23] Study RNAseq ACE2 human:+ 2. ACE2 expression was higher in tongue than buccal and gingival tissues
Oral T cells, B cells & fibroblasts
ACE2 human:+
Xu Human Human ACE2 Minor salivary glands 1. ACE2 is expressed in minor salivary glands
2020 [24] Study RNAseq ACE2 human:+
Wu Human Human ACE2 Nasal & Oral Epithelium 1. ACE is expressed in nasal epithelial cells
2020 [25] Study RNAseq ACE2 (human):+ 2. The was a higher virus concentration in the nasal-swab comparing with throat-swab, which is attributed to ACE2-expression in nasal epithelial cells
Ziegler Mixed Human ACE2 & TMPRSS2 Sinusal & Nasal goblet epithelial cells 1. ACE2 & TMPRSS2 are co-expressed in nasal goblet secretory cells
2020 [26] Study Monkey RNAseq ACE2 & TMPRSS2 Human:+

ACE2 Angiotensin Converting Enzyme-2, IHC Immunohistochemistry, RT-PCR reverse transcription polymerase chain reaction, SARS-CoV-2 severe acute respiratory syndrome coronavirus-2, TMPRSS2 transmembrane protease serine-2, WB Western Blotting