SARS-CoV-2 causes gastric damage: structural and ultrastructural evaluation.

Publication date: Jun 21, 2025

SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infects the gastrointestinal tract; however, its effects on the stomach and underlying mechanisms remain unknown. The presence of ACE2 (angiotensin-converting enzyme 2) receptors in the gastric mucosa suggests that the stomach is vulnerable to infection. This study is the first to examine SARS-CoV-2’s impact on distinct cell types within gastric tissue, alongside the involvement of protective mechanisms and cell death pathways. K18-hACE2 transgenic mice (n = 20) were divided into control and SARS-CoV-2 groups, and their gastric tissues were analyzed on day 8 post-infection to represent the acute phase. Epithelial degeneration, hemorrhage, glandular cell damage, inflammatory infiltration, and muscle injury were assessed and scored, alongside apoptosis, pyroptosis, necroptosis, and Galectin-3 expression levels. Ultrastructural changes were identified using transmission electron microscopy. The SARS-CoV-2 group exhibited significant epithelial desquamation, extensive tissue damage (P 

Concepts Keywords
Coronavirus Cell death
Gastric Galectin-3
K18 Pyroptosis
Mucosa SARS-CoV-2
Necroptosis Stomach

Semantics

Type Source Name
disease MESH causes
disease MESH infection
disease IDO cell
disease MESH hemorrhage
pathway REACTOME Apoptosis
pathway REACTOME Pyroptosis
pathway KEGG Necroptosis

Original Article

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