Obesity fosters severe disease outcomes in a mouse model of coronavirus
infection associated with transcriptomic abnormalities
Abstract
Obesity has been identified as an independent risk factor for severe
outcomes in humans with coronavirus disease 2019 (COVID-19) and other
infectious diseases. Here, we established a mouse model of COVID-19
using the murine betacoronavirus, mouse hepatitis virus 1 (MHV-1).
C57BL/6 and C3H/HeJ mice exposed to MHV-1 developed mild and severe
disease, respectively. Obese C57BL/6 mice developed clinical
manifestations similar to those of lean controls. In contrast, all obese
C3H/HeJ mice succumbed by 8 days post-infection, compared to a 50%
mortality rate in lean controls. Notably, both lean and obese C3H/HeJ
mice exposed to MHV-1 developed lung lesions consistent with severe
human COVID-19, with marked evidence of diffuse alveolar damage (DAD).
To identify early predictive biomarkers of worsened disease outcomes in
obese C3H/HeJ mice, we sequenced RNA from whole blood 2 days
post-infection and assessed changes in gene and pathway expression. Many
pathways uniquely altered in obese C3H/HeJ mice post-infection aligned
with those found in humans with severe COVID-19. Furthermore, we
observed altered gene expression related to the unfolded protein
response and lipid metabolism in infected obese mice compared to their
lean counterparts, suggesting a role in the severity of disease
outcomes. This study presents a novel model for studying COVID-19 and
elucidating the mechanisms underlying severe disease outcomes in obese
and other hosts.