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The aging transcriptome and cellular landscape of the human lung in relation to SARS-CoV-2

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  • Ryan D. Chow

    (Yale University School of Medicine
    Yale University
    Yale University
    Yale University)

  • Medha Majety

    (Yale University School of Medicine
    Yale University
    Yale University
    Yale University)

  • Sidi Chen

    (Yale University School of Medicine
    Yale University
    Yale University
    Yale University)

Abstract

Age is a major risk factor for severe coronavirus disease-2019 (COVID-19). Here, we interrogate the transcriptional features and cellular landscape of the aging human lung. By intersecting these age-associated changes with experimental data on SARS-CoV-2, we identify several factors that may contribute to the heightened severity of COVID-19 in older populations. The aging lung is transcriptionally characterized by increased cell adhesion and stress responses, with reduced mitochondria and cellular replication. Deconvolution analysis reveals that the proportions of alveolar type 2 cells, proliferating basal cells, goblet cells, and proliferating natural killer/T cells decrease with age, whereas alveolar fibroblasts, pericytes, airway smooth muscle cells, endothelial cells and IGSF21+ dendritic cells increase with age. Several age-associated genes directly interact with the SARS-CoV-2 proteome. Age-associated genes are also dysregulated by SARS-CoV-2 infection in vitro and in patients with severe COVID-19. These analyses illuminate avenues for further studies on the relationship between age and COVID-19.

Suggested Citation

  • Ryan D. Chow & Medha Majety & Sidi Chen, 2021. "The aging transcriptome and cellular landscape of the human lung in relation to SARS-CoV-2," Nature Communications, Nature, vol. 12(1), pages 1-13, December.
  • Handle: RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-020-20323-9
    DOI: 10.1038/s41467-020-20323-9
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