SARS-CoV-2 Entry Factors: ACE2 and TMPRSS2 Are Expressed in Peri-Implantation Embryos and the Maternal–Fetal Interface

Wei Chen , Peng Yuan , Ming Yang , Zhiqiang Yan , Siming Kong , Jie Yan , Xixi Liu , Yidong Chen , Jie Qiao , Liying Yan

Engineering ›› 2020, Vol. 6 ›› Issue (10) : 1162 -1169.

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Engineering ›› 2020, Vol. 6 ›› Issue (10) : 1162 -1169. DOI: 10.1016/j.eng.2020.07.013
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SARS-CoV-2 Entry Factors: ACE2 and TMPRSS2 Are Expressed in Peri-Implantation Embryos and the Maternal–Fetal Interface

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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread throughout the world, leading to large-scale population infection. Angiotensin-converting enzyme 2 (ACE2) is the receptor of both severe acute respiratory syndrome coronavirus (SARS-CoV) and SARS-CoV-2. However, it is still controversial whether vertical transmission exists. In order to investigate the potential risk of SARS-CoV-2 vertical transmission, we explored ACE2 and TMPRSS2 expression patterns in peri-implantation embryos and the maternal–fetal interface using previously published single-cell transcriptome data. The results show that day 6 (D6) trophectoderm cells (TE) in peri-implantation embryos, as well as 8-week syncytiotrophoblast (STB_8W) cells and 24-week extravillous trophoblast (EVTs_24W) cells in the maternal–fetal interface, strongly co-expressed ACE2 and TMPRSS2, indicating SARS-CoV-2 infection susceptibility. The ACE2-positive-expressing cells in the three cell types mentioned above share common characteristics, which are involved in autophagy and immune-related processes. ACE2 showed no gender bias in post-implantation embryos but showed a significant gender difference in D6 TE, D6 primitive endoderms (PE), and ACE2 positive-expressing STB cells. These findings indicate that there may be different SARS-CoV-2 infection susceptibilities of D6 embryos of different genders and during the gestation of different genders. Our results reveal potential SARS-CoV-2 infection risks during embryo transfer, peri-implantation embryo development, and gestation.

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SARS-CoV-2 / ACE2 / Vertical transmission / Placenta / Peri-implantation

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Wei Chen, Peng Yuan, Ming Yang, Zhiqiang Yan, Siming Kong, Jie Yan, Xixi Liu, Yidong Chen, Jie Qiao, Liying Yan. SARS-CoV-2 Entry Factors: ACE2 and TMPRSS2 Are Expressed in Peri-Implantation Embryos and the Maternal–Fetal Interface. Engineering, 2020, 6(10): 1162-1169 DOI:10.1016/j.eng.2020.07.013

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