A review on histotechnology practices in COVID-19 pathology investigations

J Histotechnol. 2020 Sep;43(3):153-158. doi: 10.1080/01478885.2020.1779484. Epub 2020 Jul 9.

Abstract

COVID-19 disease in humans, caused by the novel SARS-CoV-2 virus, was first reported in the city of Wuhan, China in December 2019. This disease has quickly developed into a global pandemic, resulting in over 350,000 deaths worldwide and over 5 million confirmed infections in a matter of 6 months. Although the genome of this novel viral RNA was sequenced quickly and testing kits were manufactured to assist in combatting COVID-19, the diagnosis and treatment will remain relatively unsuccessful until the pathology of this disease is fully understood. Histotechnology plays an important role in understanding the pathology of many diseases, including COVID-19. The first postmortem biopsy of a COVID-19 patient was collected on 27 January 2020, and the pathology finding was published in mid-February 2020. Since then, more studies have been published in scientific literatures as the global outbreak continues. This mini-review summarizes the published articles in which histotechnology aspects were utilized with the intent to understand the pathology of COVID-19. In addition, it is anticipated there will be more molecular and immunohistochemical studies to further understand the mechanism of the disease in the near future.

Keywords: In situ hybridization; COVID-19; H&E; coronavirus; electron microscopy; immunohistochemistry; microenvironment; spatial transcriptomics; special stains.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Betacoronavirus / pathogenicity*
  • COVID-19
  • Coronavirus Infections / pathology*
  • Coronavirus Infections / virology
  • Disease Outbreaks / prevention & control*
  • Humans
  • Immunohistochemistry / methods
  • Pandemics
  • Pneumonia, Viral / pathology*
  • Pneumonia, Viral / virology
  • RNA, Viral / genetics
  • SARS-CoV-2

Substances

  • RNA, Viral