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October 6, 2020Journal of Endocrinological InvestigationOpen Access

Abundant ACE-2 mRNA expression in human thyroid cells identifies the thyroid as a potential SARS-CoV-2 target.

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Why the study?

Although COVID-19-related subacute thyroiditis has been described, direct proof of ACE-2 mRNA expression in thyroid cells was lacking.

Is the mRNA encoding for the SARS-CoV-2 receptor ACE-2 expressed in human thyroid cells?

Population

Thyroid tissue samples from 15 patients undergoing thyroidectomy for benign nodules and primary thyroid cell cultures

Design

In vitro ex vivo laboratory study using RT-PCR

Key result

ACE-2 mRNA was abundantly expressed in all human thyroid tissue samples and primary cultured thyroid follicular cells, identifying the thyroid as a potential target for SARS-CoV-2 entry.

Authors

MRMario RotondiFCFrancesca CoperchiniGRGianluca Ricci

Discussion

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Member takes

Overview

May explain COVID-19 thyroiditis; hypothesis-generating for direct viral entry, needing clinical confirmation.

Structured PICO

Is the mRNA encoding for the SARS-CoV-2 receptor ACE-2 expressed in human thyroid cells?

P
Population
15 patients (80% female) undergoing thyroidectomy for nodular goiter, from whom disease-free thyroid tissue was obtained for ex vivo analysis.
E
Exposure
RT-PCR analysis for ACE-2 mRNA expression
O
Outcome
Expression of ACE-2 mRNA in human thyroid cellssurrogate

The demonstration of ACE-2 mRNA expression in thyroid follicular cells provides a potential mechanistic basis for COVID-19-related subacute thyroiditis.

Limitations

  • Immunohistochemical studies are required to confirm that the ACE-2 protein is present on thyroid cells
  • Expression levels of ACE-2 mRNA in the thyroid were not directly compared with those in other organs
  • TMPRSS2 expression was not evaluated in the present study

Cite This Study

Rotondi et al. (2020) studied Benign thyroid nodules (n=15). ACE-2 mRNA expression vs. Housekeeping genes (GAPDH, β-actin) was evaluated on ACE-2 mRNA expression level (Cycles⁻¹). ACE-2 mRNA was abundantly expressed in all human thyroid tissue samples and primary cultured thyroid follicular cells, identifying the thyroid as a potential target for SARS-CoV-2 entry.

synapsesocial.com/papers/6aa926a2669f42ee3902c361https://doi.org/10.1007/s40618-020-01436-w
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