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[Preprint]. 2022 Feb 24:2021.09.17.460664. [Version 2] doi: 10.1101/2021.09.17.460664

Genetically diverse mouse models of SARS-CoV-2 infection reproduce clinical variation and cytokine responses in COVID-19

Shelly J Robertson, Olivia Bedard, Kristin L McNally, Matthew Lewis, Chad Clancy, Carl Shaia, Rebecca M Broeckel, Abhilash I Chiramel, Gail L Sturdevant, Elvira Forte, Christoph Preuss, Candice N Baker, Jeffrey Harder, Catherine Brunton, Steven Munger, Daniel E Sturdevant, Craig Martens, Steven M Holland, Nadia A Rosenthal, Sonja M Best
PMCID: PMC8887079  PMID: 35233576

ABSTRACT

Inflammation in response to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection drives severity of coronavirus disease 2019 (COVID-19), with effective versus dysregulated responses influenced by host genetics. To understand mechanisms of inflammation, animal models that reflect genetic diversity and clinical outcomes observed in humans are needed. We report a mouse panel comprising the diverse genetic backgrounds of the Collaborative Cross founder strains crossed to K18-hACE2 transgenic mice that confers high susceptibility to SARS-CoV-2. Infection of CC x K18-hACE2 F1 progeny resulted in a spectrum of weight loss, survival, viral replication kinetics, histopathology, and cytokine profiles, some of which were sex-specific. Importantly, survival was associated with early type I interferon (IFN) expression and a phased proinflammatory response distinct from mice with severe disease. Thus, dynamics of inflammatory responses observed in COVID-19 can be modeled in diverse mouse strains that provide a genetically tractable platform for understanding antiviral immunity and evaluating countermeasures.

One Sentence Summary

Genetically diverse mice display a broad spectrum of clinically relevant responses to SARS-CoV-2 infection, reflecting variability in COVID-19 disease.

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