Multiorgan tropism of SARS-CoV-2 lineage B.1.1.7

Int J Legal Med. 2021 Nov;135(6):2347-2349. doi: 10.1007/s00414-021-02691-z. Epub 2021 Sep 6.


Due to the development of novel functionalities, distinct SARS-CoV-2 variants such as B.1.1.7 fuel the current pandemic. B.1.1.7 is not only more transmissible, but may also cause an increased mortality compared to previous SARS-CoV-2 variants. Human tissue analysis of the SARS-CoV-2 lineage B.1.1.7 is urgently needed, and we here present autopsy data from 7 consecutive SARS-CoV-2 B.1.1.7 cases. The initial RT-qPCR analyses from nasopharyngeal swabs taken post mortem included typing assays for B.1.1.7. We quantitated SARS-CoV-2 B.1.1.7 viral load in autopsy tissue of multiple organs. Highest levels of SARS-CoV-2 B.1.1.7 copies normalized to ß-globin were detected in the respiratory system (lung and pharynx), followed by the liver and heart. Importantly, SARS-CoV-2 lineage B.1.1.7 was found in 100% of cases in the lungs and in 85.7% in pharynx tissue. Detection also in the kidney and brain highlighting a pronounced organ tropism. Comparison of the given results to a former cohort of SARS-CoV-2 deaths during the first wave in spring 2020 showed resembling organ tropism. Our results indicate that also SARS-CoV-2 B.1.1.7 has a relevant organ tropism beyond the respiratory tract. We speculate that B.1.1.7 spike protein's affinity to human ACE2 facilitates transmission, organ tropism, and ultimately morbidity and mortality. Further studies and larger cohorts are obligatory to proof this link.

Keywords: Autopsy; B.1.1.7; Organ tropism; SARS-CoV-2; Variants of concern.

MeSH terms

  • Aged
  • Autopsy
  • Female
  • Heart / virology
  • Humans
  • Kidney / virology
  • Liver / virology
  • Lung / virology
  • Male
  • Middle Aged
  • Pharynx / virology
  • SARS-CoV-2 / physiology*
  • Viral Load*
  • Viral Tropism*