Humanized mice reveal a macrophage-enriched gene signature defining human lung tissue protection during SARS-CoV-2 infection. Author Devin Kenney, Aoife O'Connell, Jacquelyn Turcinovic, Paige Montanaro, Ryan Hekman, Tomokazu Tamura, Andrew Berneshawi, Thomas Cafiero, Salam Abdullatif, Benjamin Blum, Stanley Goldstein, Brigitte Heller, Hans Gertje, Esther Bullitt, Alexander Trachtenberg, Elizabeth Chavez, Evans Nono, Catherine Morrison, Anna Tseng, Amira Sheikh, Susanna Kurnick, Kyle Grosz, Markus Bosmann, Maria Ericsson, Bertrand Huber, Mohsan Saeed, Alejandro Balazs, Kevin Francis, Alexander Klose, Neal Paragas, Joshua Campbell, John Connor, Andrew Emili, Nicholas Crossland, Alexander Ploss, Florian Douam Publication Year 2022 Type Journal Article Abstract The human immunological mechanisms defining the clinical outcome of SARS-CoV-2 infection remain elusive. This knowledge gap is mostly driven by the lack of appropriate experimental platforms recapitulating human immune responses in a controlled human lung environment. Here, we report a mouse model (i.e., HNFL mice) co-engrafted with human fetal lung xenografts (fLX) and a myeloid-enhanced human immune system to identify cellular and molecular correlates of lung protection during SARS-CoV-2 infection. Unlike mice solely engrafted with human fLX, HNFL mice are protected against infection, severe inflammation, and histopathological phenotypes. Lung tissue protection from infection and severe histopathology associates with macrophage infiltration and differentiation and the upregulation of a macrophage-enriched signature composed of 11 specific genes mainly associated with the type I interferon signaling pathway. Our work highlights the HNFL model as a transformative platform to investigate, in controlled experimental settings, human myeloid immune mechanisms governing lung tissue protection during SARS-CoV-2 infection. Keywords Animals, Disease Models, Animal, Mice, Humans, Immunity, Innate, Lung, Macrophages, COVID-19, SARS-CoV-2 Journal Cell Rep Volume 39 Issue 3 Pages 110714 Date Published 2022 Apr 19 ISSN Number 2211-1247 DOI 10.1016/j.celrep.2022.110714 Alternate Journal Cell Rep PMCID PMC8977517 PMID 35421379 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML