Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Bulk and Single-Cell RNA-seq Elucidates Etiology of Severe COVID-19

Version 1 : Received: 29 December 2023 / Approved: 30 December 2023 / Online: 30 December 2023 (16:01:23 CET)

A peer-reviewed article of this Preprint also exists.

Huminiecki, Ł. Bulk and Single-Cell RNA Sequencing Elucidate the Etiology of Severe COVID-19. Int. J. Mol. Sci. 2024, 25, 3280. Huminiecki, Ł. Bulk and Single-Cell RNA Sequencing Elucidate the Etiology of Severe COVID-19. Int. J. Mol. Sci. 2024, 25, 3280.

Abstract

COVID-19 was an inflammatory pneumonia caused by a respiratory infection with a coronavirus named SARS-CoV-2. Severely ill COVID-19 patients could die of acute pulmonary and systemic inflammation. Thus, there was a theory that long COVID-19 shared many similarities with systemic autoimmune diseases. There was also a theory that the SARS-CoV-2 virus could infect many cell- and tissue-types distributed throughout multiple organ systems of the body. I aim to review the above theories using unbiased high-throughput datasets cataloguing gene expression. Studies reviewed used the technology of next generation sequencing, either as bulk tissue RNA sequencing, or as single-cell RNAs sequencing; ingenious methods for signal deconvolution were then used to identify individual cell types. Datasets reviewed suggested that severe COVID-19 induced expression of genes associated with pro-inflammatory signaling, tissue development or remodeling, scarring, or cell death. The datasets also provided evidence for several inflammatory syndromes associated with COVID-19, such as neuronal COVID, acute respiratory disease syndrome, vascular inflammation, or multisystem inflammatory syndrome. Indeed, inflammatory signal during severe COVID-19 was reported in many cell types, for example in structural cells, in infiltrating immune cells, in the vascular system, or in circulating cells in the blood. There was also frequently a change in proportions of immune cell-types in the blood, epithelial cells in the lungs, or among infiltrating immune cells.

Keywords

COVID-19; SARS-CoV-2; transcriptomics; RNA-seq; scRNA-seq; inflammation; pneumonia; neuronal COVID; acute respiratory disease syndrome; multisystem inflammatory syndrome

Subject

Biology and Life Sciences, Biochemistry and Molecular Biology

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