Serveur d'exploration MERS

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Clinicopathologic, Immunohistochemical, and Ultrastructural Findings of a Fatal Case of Middle East Respiratory Syndrome Coronavirus Infection in the United Arab Emirates, April 2014

Identifieur interne : 001337 ( Main/Exploration ); précédent : 001336; suivant : 001338

Clinicopathologic, Immunohistochemical, and Ultrastructural Findings of a Fatal Case of Middle East Respiratory Syndrome Coronavirus Infection in the United Arab Emirates, April 2014

Auteurs : Dianna L. Ng [Géorgie (pays)] ; Farida Al Hosani [Émirats arabes unis] ; M. Kelly Keating [Géorgie (pays)] ; Susan I. Gerber [Géorgie (pays)] ; Tara L. Jones [Géorgie (pays)] ; Maureen G. Metcalfe [Géorgie (pays)] ; Suxiang Tong [Géorgie (pays)] ; Ying Tao [Géorgie (pays)] ; Negar N. Alami [Géorgie (pays)] ; Lia M. Haynes [Géorgie (pays)] ; Mowafaq Ali Mutei [Émirats arabes unis] ; Laila Abdel-Wareth [Émirats arabes unis] ; Timothy M. Uyeki [Géorgie (pays)] ; David L. Swerdlow [Géorgie (pays)] ; Maha Barakat [Émirats arabes unis] ; Sherif R. Zaki [Géorgie (pays)]

Source :

RBID : PMC:7093852

Descripteurs français

English descriptors

Abstract

Middle East respiratory syndrome coronavirus (MERS-CoV) infection causes an acute respiratory illness and is associated with a high case fatality rate; however, the pathogenesis of severe and fatal MERS-CoV infection is unknown. We describe the histopathologic, immunohistochemical, and ultrastructural findings from the first autopsy performed on a fatal case of MERS-CoV in the world, which was related to a hospital outbreak in the United Arab Emirates in April 2014. The main histopathologic finding in the lungs was diffuse alveolar damage. Evidence of chronic disease, including severe peripheral vascular disease, patchy cardiac fibrosis, and hepatic steatosis, was noted in the other organs. Double staining immunoassays that used anti–MERS-CoV antibodies paired with immunohistochemistry for cytokeratin and surfactant identified pneumocytes and epithelial syncytial cells as important targets of MERS-CoV antigen; double immunostaining with dipeptidyl peptidase 4 showed colocalization in scattered pneumocytes and syncytial cells. No evidence of extrapulmonary MERS-CoV antigens were detected, including the kidney. These results provide critical insights into the pathogenesis of MERS-CoV in humans.


Url:
DOI: 10.1016/j.ajpath.2015.10.024
PubMed: 26857507
PubMed Central: 7093852


Affiliations:


Links toward previous steps (curation, corpus...)


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<title xml:lang="en" level="a" type="main">Clinicopathologic, Immunohistochemical, and Ultrastructural Findings of a Fatal Case of Middle East Respiratory Syndrome Coronavirus Infection in the United Arab Emirates, April 2014</title>
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<name sortKey="Abdel Wareth, Laila" sort="Abdel Wareth, Laila" uniqKey="Abdel Wareth L" first="Laila" last="Abdel-Wareth">Laila Abdel-Wareth</name>
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<name sortKey="Uyeki, Timothy M" sort="Uyeki, Timothy M" uniqKey="Uyeki T" first="Timothy M." last="Uyeki">Timothy M. Uyeki</name>
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<name sortKey="Swerdlow, David L" sort="Swerdlow, David L" uniqKey="Swerdlow D" first="David L." last="Swerdlow">David L. Swerdlow</name>
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<name sortKey="Barakat, Maha" sort="Barakat, Maha" uniqKey="Barakat M" first="Maha" last="Barakat">Maha Barakat</name>
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<wicri:regionArea>Health Authority-Abu Dhabi, Abu Dhabi</wicri:regionArea>
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<name sortKey="Zaki, Sherif R" sort="Zaki, Sherif R" uniqKey="Zaki S" first="Sherif R." last="Zaki">Sherif R. Zaki</name>
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<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>Infectious Diseases Pathology Branch, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea>
<wicri:noRegion>Atlanta</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The American Journal of Pathology</title>
<idno type="ISSN">0002-9440</idno>
<idno type="eISSN">1525-2191</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
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<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Coronavirus Infections (pathology)</term>
<term>Dipeptidyl Peptidase 4 (immunology)</term>
<term>Fatal Outcome</term>
<term>Humans</term>
<term>Immunohistochemistry</term>
<term>Lung (diagnostic imaging)</term>
<term>Lung (pathology)</term>
<term>Lung (ultrastructure)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Middle East Respiratory Syndrome Coronavirus (genetics)</term>
<term>Middle East Respiratory Syndrome Coronavirus (immunology)</term>
<term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term>
<term>Radiography</term>
<term>United Arab Emirates</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (génétique)</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (immunologie)</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term>
<term>Dipeptidyl peptidase 4 (immunologie)</term>
<term>Humains</term>
<term>Immunohistochimie</term>
<term>Infections à coronavirus (anatomopathologie)</term>
<term>Issue fatale</term>
<term>Mâle</term>
<term>Poumon (anatomopathologie)</term>
<term>Poumon (imagerie diagnostique)</term>
<term>Poumon (ultrastructure)</term>
<term>Radiographie</term>
<term>Émirats arabes unis</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en">
<term>Dipeptidyl Peptidase 4</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Poumon</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lung</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Poumon</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
<term>Dipeptidyl peptidase 4</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Lung</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrastructure" xml:lang="en">
<term>Lung</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Fatal Outcome</term>
<term>Humans</term>
<term>Immunohistochemistry</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography</term>
<term>United Arab Emirates</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrastructure" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Immunohistochimie</term>
<term>Issue fatale</term>
<term>Mâle</term>
<term>Poumon</term>
<term>Radiographie</term>
<term>Émirats arabes unis</term>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Middle East respiratory syndrome coronavirus (MERS-CoV) infection causes an acute respiratory illness and is associated with a high case fatality rate; however, the pathogenesis of severe and fatal MERS-CoV infection is unknown. We describe the histopathologic, immunohistochemical, and ultrastructural findings from the first autopsy performed on a fatal case of MERS-CoV in the world, which was related to a hospital outbreak in the United Arab Emirates in April 2014. The main histopathologic finding in the lungs was diffuse alveolar damage. Evidence of chronic disease, including severe peripheral vascular disease, patchy cardiac fibrosis, and hepatic steatosis, was noted in the other organs. Double staining immunoassays that used anti–MERS-CoV antibodies paired with immunohistochemistry for cytokeratin and surfactant identified pneumocytes and epithelial syncytial cells as important targets of MERS-CoV antigen; double immunostaining with dipeptidyl peptidase 4 showed colocalization in scattered pneumocytes and syncytial cells. No evidence of extrapulmonary MERS-CoV antigens were detected, including the kidney. These results provide critical insights into the pathogenesis of MERS-CoV in humans.</p>
</div>
</front>
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<name sortKey="Beale, R J" uniqKey="Beale R">R.J. Beale</name>
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<name sortKey="Vincent, J L" uniqKey="Vincent J">J.L. Vincent</name>
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<name sortKey="Stockman, L J" uniqKey="Stockman L">L.J. Stockman</name>
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<author>
<name sortKey="Bellamy, R" uniqKey="Bellamy R">R. Bellamy</name>
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<author>
<name sortKey="Garner, P" uniqKey="Garner P">P. Garner</name>
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<analytic>
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<name sortKey="Zhang, Y" uniqKey="Zhang Y">Y. Zhang</name>
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<author>
<name sortKey="Sun, W" uniqKey="Sun W">W. Sun</name>
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<author>
<name sortKey="Svendsen, E R" uniqKey="Svendsen E">E.R. Svendsen</name>
</author>
<author>
<name sortKey="Tang, S" uniqKey="Tang S">S. Tang</name>
</author>
<author>
<name sortKey="Macintyre, R C" uniqKey="Macintyre R">R.C. MacIntyre</name>
</author>
<author>
<name sortKey="Yang, P" uniqKey="Yang P">P. Yang</name>
</author>
<author>
<name sortKey="Zhang, D" uniqKey="Zhang D">D. Zhang</name>
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<author>
<name sortKey="Wang, Q" uniqKey="Wang Q">Q. Wang</name>
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<country>
<li>Géorgie (pays)</li>
<li>Émirats arabes unis</li>
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<name sortKey="Ng, Dianna L" sort="Ng, Dianna L" uniqKey="Ng D" first="Dianna L." last="Ng">Dianna L. Ng</name>
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<name sortKey="Alami, Negar N" sort="Alami, Negar N" uniqKey="Alami N" first="Negar N." last="Alami">Negar N. Alami</name>
<name sortKey="Alami, Negar N" sort="Alami, Negar N" uniqKey="Alami N" first="Negar N." last="Alami">Negar N. Alami</name>
<name sortKey="Gerber, Susan I" sort="Gerber, Susan I" uniqKey="Gerber S" first="Susan I." last="Gerber">Susan I. Gerber</name>
<name sortKey="Haynes, Lia M" sort="Haynes, Lia M" uniqKey="Haynes L" first="Lia M." last="Haynes">Lia M. Haynes</name>
<name sortKey="Jones, Tara L" sort="Jones, Tara L" uniqKey="Jones T" first="Tara L." last="Jones">Tara L. Jones</name>
<name sortKey="Keating, M Kelly" sort="Keating, M Kelly" uniqKey="Keating M" first="M. Kelly" last="Keating">M. Kelly Keating</name>
<name sortKey="Metcalfe, Maureen G" sort="Metcalfe, Maureen G" uniqKey="Metcalfe M" first="Maureen G." last="Metcalfe">Maureen G. Metcalfe</name>
<name sortKey="Swerdlow, David L" sort="Swerdlow, David L" uniqKey="Swerdlow D" first="David L." last="Swerdlow">David L. Swerdlow</name>
<name sortKey="Tao, Ying" sort="Tao, Ying" uniqKey="Tao Y" first="Ying" last="Tao">Ying Tao</name>
<name sortKey="Tong, Suxiang" sort="Tong, Suxiang" uniqKey="Tong S" first="Suxiang" last="Tong">Suxiang Tong</name>
<name sortKey="Uyeki, Timothy M" sort="Uyeki, Timothy M" uniqKey="Uyeki T" first="Timothy M." last="Uyeki">Timothy M. Uyeki</name>
<name sortKey="Zaki, Sherif R" sort="Zaki, Sherif R" uniqKey="Zaki S" first="Sherif R." last="Zaki">Sherif R. Zaki</name>
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<name sortKey="Al Hosani, Farida" sort="Al Hosani, Farida" uniqKey="Al Hosani F" first="Farida" last="Al Hosani">Farida Al Hosani</name>
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<name sortKey="Abdel Wareth, Laila" sort="Abdel Wareth, Laila" uniqKey="Abdel Wareth L" first="Laila" last="Abdel-Wareth">Laila Abdel-Wareth</name>
<name sortKey="Barakat, Maha" sort="Barakat, Maha" uniqKey="Barakat M" first="Maha" last="Barakat">Maha Barakat</name>
<name sortKey="Mutei, Mowafaq Ali" sort="Mutei, Mowafaq Ali" uniqKey="Mutei M" first="Mowafaq Ali" last="Mutei">Mowafaq Ali Mutei</name>
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</tree>
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</record>

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