For assessment of SARS-CoV-2 RNA of the lung and dLN samples, unfixed and, where possible, non-cryopreserved (i.e., native) tissue samples were used. RNA was purified from ∼50 mg of homogenized tissue obtained from all samples by using the
MagNAPure 96 system and the
MagNAPure 96 DNA and Viral NA Large Volume kit (Roche) according to the manufacturer’s instructions. The controls without COVID-19 were validated by Rhonda PCR rapid COVID-19 test (Spindiag) according to the manufactures protocol on ∼50 mg of homogenized tissue together with a positive control.
Quantitative real-time PCR for SARS-CoV-2 was performed on RNA extracts with RT–qPCR targeting the SARS-CoV-2 E gene. Quantification of viral RNA was performed using photometrically quantified in vitro RNA transcripts
54 . Total DNA was measured in all extracts by using the
Qubit dsDNA HS Assay kit (Thermo Fisher Scientific). The RT–qPCR analysis was replicated at least once for each sample.
As a correlate of active virus replication in the tested tissues, subgenomic RNA (sgRNA) was assessed by using oligonucleotides targeting the leader transcriptional regulatory sequence and a region within the sgRNA encoding the SARS-CoV-2 E gene
55 (link). All information is presented in Table
1.
Mothes R., Pascual-Reguant A., Koehler R., Liebeskind J., Liebheit A., Bauherr S., Philipsen L., Dittmayer C., Laue M., von Manitius R., Elezkurtaj S., Durek P., Heinrich F., Heinz G.A., Guerra G.M., Obermayer B., Meinhardt J., Ihlow J., Radke J., Heppner F.L., Enghard P., Stockmann H., Aschman T., Schneider J., Corman V.M., Sander L.E., Mashreghi M.F., Conrad T., Hocke A.C., Niesner R.A., Radbruch H, & Hauser A.E. (2023). Distinct tissue niches direct lung immunopathology via CCL18 and CCL21 in severe COVID-19. Nature Communications, 14, 791.