Evidence map›Paper›PMID 40496014›Full record

ArticleFrontiers in cellular and infection microbiology2025

SARS-CoV-2 exploits steroidogenic machinery, triggers lipid metabolism for viral replication and induces immune response in Leydig cells of K18-hACE2 mice.

Salmo Azambuja de Oliveira, André Acácio Souza da Silva, Barry T Hinton, Giovanni Freitas Gomes, Thiago Mattar Cunha, Paulo Sérgio Cerri, Estela Sasso-Cerri

Erratum issuedAbstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Salmo Azambuja de OliveiraDepartment of Morphology and Genetics, Federal University of São Paulo, São Paulo, SP, Brazil.
André Acácio Souza da SilvaDepartment of Morphology and Genetics, Federal University of São Paulo, São Paulo, SP, Brazil.
Barry T HintonDepartment of Cell Biology, School of Medicine, Virginia University, Charlottesville, VA, United States.
Giovanni Freitas GomesCenter for Research in Inflammatory Diseases, Faculty of Medicine of Ribeirão Preto - USP, Ribeirão Preto, SP, Brazil.
Thiago Mattar CunhaCenter for Research in Inflammatory Diseases, Faculty of Medicine of Ribeirão Preto - USP, Ribeirão Preto, SP, Brazil.
Paulo Sérgio CerriLaboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara, SP, Brazil.
Estela Sasso-CerriLaboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: During COVID-19 pandemic, men had reduced serum testosterone and higher mortality rate than women. Variations in high density lipoprotein (HDL) levels were detected in severe COVID-19 individuals. We evaluated the response of testicular macrophages, steroidogenic activity and lipid metabolism of Leydig cells in SARS-CoV-2-infected K18-hACE2 mice. Methods: Testes were analyzed under light and electron microscope. Immunolocalization of human angiotensin converting enzyme (hACE2) and viral proteins (spike and nucleocapsid) were evaluated in association with the expression of viral recognition receptor Results: In the infected animals, the Leydig cells showed enhanced immunolocalization of hACE2, spike and nucleocapsid. The expression of Conclusion: SARS-CoV-2 infects Leydig cells, activates its immune response and impairs steroidogenesis. The virus uses the steroidogenic machinery and induces lipid metabolism pathways for its survival and replication in these cells. These findings support the low testosterone and HDL levels in men with severe COVID-19.

Indexed as

COVID-19Leydig CellsLipid MetabolismSARS-CoV-2Virus ReplicationAngiotensin-Converting Enzyme 2AnimalsCytokinesDisease Models, AnimalHumansMacrophagesMaleMiceSpike Glycoprotein, CoronavirusSteroidsTestisACE2 protein, humanAngiotensin-Converting Enzyme 2CytokinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2SteroidsTestosteronecholesterolCOVID-19cytokineselectron microscopylipogenesismacrophagesnucleocapsidtestosterone

Identifiers

PMID40496014
PMCPMC12149123

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.