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. 2020 Nov 2;20(12):727–738. doi: 10.1038/s41577-020-00471-1

Table 2.

Animal challenge models for SARS-Cov-2 infection

Species Challenge dose and route Pathology Viral dynamics Lethal vs non-lethal Ref.
Mouse hACE2 (mouse Ace2 promoter)

IN: 105 TCID50

BetaCoV/Wuhan/IVDC-HB-01/2020

Lung pathology peaked 5 dpi vRNA and infectious titre peaked in the lungs 1–3 and 3 dpi, respectively (102.44 TCID50 in 100 μl) Non-lethal 52
Mouse hACE2 (Hfh4 promoter)

IN: 3 × 104 TCID50

IN: 7 × 105 TCID50 (re-exposure)

SARS-CoV-2 isolate USA-WA1/2020

Lethal infection with respiratory distress and neurological symptoms

Pulmonary lesions peaked 3–5 dpi

vRNA and infectious titre peaked in the lungs 5 dpi

vRNA also detected in the eyes, heart and brain

Lethal 45
Mouse hACE2 (K18 promoter)

IN and IV: 2.5 × 104 PFU

2019n-CoV/USA_WA1/2020

Lung pathology peaked 7 dpi

Histopathology revealed abnormalities in the brain, heart, liver and kidney of infected mice

Infectious titre and vRNA load peaked in the lungs 2–4 and 2–7 dpi, respectively Non-lethal 63
Mouse hACE2 (adenoviral vector)

IN: 105 FFU

IN or IV: 105 FFU

2019n-CoV/USA_WA1/2020

Lung pathology peaked 8 dpi

Histopathology consistent with severe viral pneumonia found in patients with COVID-19

vRNA load peaked in the lungs 1–4 dpi and was detected in the heart, brain, liver, spleen, kidney, serum and gastrointestinal tract

Infectious virus was detected in the lungs 4 dpi (∼106 PFU/g)

Non-lethal 64
Mouse hACE2 (CRISPR–Cas9 knock-in)

IN: 4 × 105 PFU

BetaCoV/Wuhan/AMMS01/2020

Young and aged mice developed interstitial pneumonia 6 dpi

No longitudinal viral load data available

vRNA detected in the lungs, trachea and brain 6 dpi

Non-lethal 65
Golden Syrian hamster

IN: 8 × 104 TCID50

BetaCoV/Hong Kong/VM20001061/2020

Lung consolidation peaked 7 dpi

Transmission from infected animals to naive animals via direct and indirect contact

vRNA and infectious titre peaked in the lungs 2–5 and 2 dpi, respectively Non-lethal 28
Syrian hamster

IN: 105 PFU

Hong Kong isolate

Lung pathology and consolidation peaked 7 dpi

Transmission from infected animals to naive animals in direct contact

vRNA and infectious titre peaked in the lungs and nasal turbinate 2–4 dpi Non-lethal 29
Syrian hamster

IN or ocular: 103–105.3PFU

SARS-CoV-2/UT-NCGM02/Human/2020/Tokyo

Lung pathology peaked 6–8 dpi for low-dose and high-dose infected animals

High-dose infected animals had higher severity scores (by CT scan)

Infectious virus titre peaked in the lungs, nasal turbinate and brain 3 dpi Non-lethal 66
Ferret

IN: 105.5 TCID50

NMC-nCoV02

No longitudinal lung pathology data available

Acute bronchiolitis 4 dpi

Transmission from infected animals to naive animals in direct and indirect contact

vRNA and infectious titre peaked in nasal turbinate and lungs 4 dpi Non-lethal 27
Ferret

IN or IT: 105 PFU

SARS-CoV-2/CTan/human/2020/ Wuhan

SARS-CoV2/F13/environment/ 2020/Wuhan

No longitudinal lung pathology data available

Severe lymphoplasmacytic perivasculitis and vasculitis in the lungs 13 dpi

vRNA and infectious titre peaked in nasal wash 6 and 4 dpi, respectively

vRNA and infectious virus were not detected in the lower respiratory tract

Non-lethal 67
Rhesus macaque

IT: 1 × 106 TCID50

SARS-CoV-2/WH-09/human/2020/CHN

Mild-to-moderate interstitial infiltration in animals with pneumonia vRNA load peaked in nasal swabs 3 dpi (106.5 RNA copies/ml) Non-lethal 68
Rhesus macaque

IN and IT: 1.1 × 104–1.1 × 106 PFU

SARS-CoV-2 isolate USA-WA1/2020

Peak lung inflammation and pneumonia 2 dpi, diminished by 4 dpi vRNA load peaked in nasal swabs and BAL 2 dpi Non-lethal 26
Rhesus macaque

IN, IT, ocular and oral: 2.6 × 106 TCID50

SARS-CoV-2 isolate USA-WA1/2020

Radiograph scores peaked 3–5 dpi

vRNA load peaked in nasal swabs 1–3 dpi and BAL 1 dpi

Infectious virus isolated in nasal swabs, BAL and throat swabs 1–3 dpi

Non-lethal 46
Cynomolgus macaque

IN and IT: 1 × 106 TCID50

BetaCoV/Munich/BavPat1/2020

Histopathological changes characteristic of acute and advanced diffuse alveolar damage 4 dpi vRNA load peaked 2 dpi in young animals and 4 dpi in old animals Non-lethal 69
Cynomolgus macaque

IB: 3.65 × 106 PFU

2019-nCoV USA-WA1-A12/2020

Percent change in lung hyperdensity peaked 2–8 dpi

CT lung scores peaked 2–6 dpi

vRNA load peaked in nasal, rectal and oral swabs 2 dpi Non-lethal 70
African green monkey

Aerosol: 2–2.5 × 103 PFU

IT, IN, oral and CJ: 3.61 × 106 PFU

SARS-CoV-2 isolate USA-WA1/2020

2 of 4 animals (16 years) developed pneumonia, ARDS and a cytokine storm

Animals euthanized 8 and 22 dpi owing to rapidly declining clinical condition

vRNA load peaked in nasal and pharyngeal swabs 3–7 dpi Lethal 71
African green monkey

IT and IN: 5 × 105 PFU

SARS-CoV-2/INMI1-Isolate/2020/Italy

Thoracic radiographs inconclusive 2–5 dpi

Necropsy of 3 animals 5 dpi showed varying degrees of pulmonary consolidation with hyperaemia and multifocal lesions with evidence of diffuse alveolar damage

vRNA load peaked in nasal swabs 2–4 dpi and in BAL 3–5 dpi

Infectious titre peaked in nasal swabs 2 dpi and in BAL 3–5 dpi

vRNA and infectious titre peaked in oral swabs 3 dpi

Non-lethal 72
African green monkey

Aerosol: 103–104 PFU

IN, IT, oral and ocular: 106 PFU

SARS-CoV-2/München-1.1/2020/929

Peak lung inflammation and pathology (in PET or CT scan) 4 dpi, lesions resolved by 11 dpi

vRNA load peaked in oral, nasal and conjunctival swabs 2–7 dpi

Infectious virus isolated from oral, nasal, rectal and ocular swabs 2–4 dpi

Non-lethal 47
Baboon

IN, IT and ocular: 1.05 × 106 PFU

SARS-CoV-2 isolate USA-WA1/2020

Bronchitis observed 14–17 dpi

No longitudinal lung pathology data available

vRNA load peaked in nasopharyngeal swabs and BAL 3 dpi Non-lethal 73
Marmoset

IN, IT and ocular: 1.05 × 106 PFU

SARS-CoV-2 isolate USA-WA1/2020

Very mild pathology

No longitudinal lung pathology data available

vRNA load peaked in nasal wash samples 3 dpi Non-lethal 73

ARDS, acute respiratory distress syndrome; BAL, bronchoalveolar lavage; CJ, conjunctival; COVID-19, coronavirus disease 19; CT, computed tomography; dpi, days post inoculation; FFU, focus forming units; hACE2, human angiotensin-converting enzyme 2; IB, intrabronchial; IN, intranasal; IT, intratracheal; IV, intravenous; PET, positron emission tomography; PFU, plaque forming units; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; TCID50, 50% tissue culture infectious dose; vRNA, viral RNA.