“…In the current study all ocular and brain cell types and tissues exhibited easily detectable ACE2 receptor signals, and in agreement with previous reports underscore the ubiquitous nature of ACE2 receptor expression throughout the human visual system and CNS (Figures 1 and 2) [5,6,24].Importantly, and as indicatedin previous studies,negative controls, yeast and microbial RNA controls,synthetic homoribonucleotide polymers and random oligonucleotides showed no expression of the ACE2 receptormRNA [6]. The highest expression of ACE2 mRNA in the brain was found in the brainstem region known as the pons, situated anterior to the cerebellum between the midbrain and medulla oblongata, and an important relay center known to conduct signals from the cerebrum,through to the cerebellum and medulla oblongata,including ber tracts that involve the transmission ofvisual sensory signals into the thalamus [36,37].The pons is known to contain neural circuits that deal primarily with the regulation of respiration, taste (aguesia), audition, saccadic eye movement, facial sensation and expression and equilibrium,all of which are known to be affected or disrupted in COVID-19 disease [7,17,24,25,[36][37][38]. The respiratory tract connects to the brain without the protection of a blood-brain barrier, and that SARS-CoV-2 might in the early invasive phase attack the cardiorespiratory regulatory nodes located in the pons and medulla oblongata, giving rise to both respiratory and cardiac disruption is also commonly observed in COVID-19 patients [25,[38][39].The highest expression of the ACE2 receptor protein in the ocular cells and brain tissues involved in visual signaling and examined in this study were found in ocular choroid broblasts andretinal pigment epithelial (RPE) cells, a monolayer of pigmented cells of neuro-ectodermal origin situated between the neurosensory retina and the choroid that nourishes the visual photoreceptor cells.…”