Human eggs, zygotes, and embryos express the receptor angiotensin 1-converting enzyme 2 and transmembrane serine protease 2 protein necessary for severe acute respiratory syndrome coronavirus 2 infection

Cumulus and granulosa cells are least susceptible to SARS-CoV-2 infection due to the lack of required receptors and proteases combination (ACE2/TMPRSS2 or CD147/CTSL) in high abundance. Co-expression of the ACE2 and TMPRSS2 proteins in MII oocytes, zygotes, and blastocysts demonstrate that these gametes and embryos have the cellular machinery required and thus are potentially susceptible to SARS-CoV-2 infection if exposed to the virus. However, we do not yet know if infection occurs in vivo, or in vitro in an ART setting.