Using autopsies to dissect COVID-19 pathogenesis

Nat Microbiol. 2023 Nov;8(11):1986-1994. doi: 10.1038/s41564-023-01488-7. Epub 2023 Oct 5.

Abstract

The emergence of SARS-CoV-2 has resulted in millions of deaths as a result of COVID-19. Suitable models were missing at the beginning of the pandemic, and studies investigating disease pathogenesis relied on patients who had succumbed to COVID-19. Since then, autopsies of patients have substantially contributed to our understanding of the pathogenesis of COVID-19 and associated major organ complications. Here we summarize how autopsies have complemented experimental studies, mainly in animal models, and how they have facilitated critical knowledge of COVID-19 to improve daily clinical practice and develop therapeutic interventions. Employing advanced histopathologic and molecular genetic methods in post-mortem tissues, the COVID-19 pandemic has highlighted the importance of autopsies for virology research and clinical practice in current and emerging infectious diseases.

Publication types

  • Review

MeSH terms

  • Animals
  • Autopsy
  • COVID-19*
  • Humans
  • Models, Animal
  • Pandemics
  • SARS-CoV-2