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10.1038/s41392-021-00690-5

http://scihub22266oqcxt.onion/10.1038/s41392-021-00690-5
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suck abstract from ncbi


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pmid34253708      Signal+Transduct+Target+Ther 2021 ; 6 (1): 266
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  • The zinc finger transcription factor, KLF2, protects against COVID-19 associated endothelial dysfunction #MMPMID34253708
  • Xu S; Liu Y; Ding Y; Luo S; Zheng X; Wu X; Liu Z; Ilyas I; Chen S; Han S; Little PJ; Jain MK; Weng J
  • Signal Transduct Target Ther 2021[Jul]; 6 (1): 266 PMID34253708show ga
  • Coronavirus disease 2019 (COVID-19) is regarded as an endothelial disease (endothelialitis) with its patho-mechanism being incompletely understood. Emerging evidence has demonstrated that endothelial dysfunction precipitates COVID-19 and its accompanying multi-organ injuries. Thus, pharmacotherapies targeting endothelial dysfunction have potential to ameliorate COVID-19 and its cardiovascular complications. The objective of the present study is to evaluate whether kruppel-like factor 2 (KLF2), a master regulator of vascular homeostasis, represents a therapeutic target for COVID-19-induced endothelial dysfunction. Here, we demonstrate that the expression of KLF2 was reduced and monocyte adhesion was increased in endothelial cells treated with COVID-19 patient serum due to elevated levels of pro-adhesive molecules, ICAM1 and VCAM1. IL-1beta and TNF-alpha, two cytokines elevated in cytokine release syndrome in COVID-19 patients, decreased KLF2 gene expression. Pharmacologic (atorvastatin and tannic acid) and genetic (adenoviral overexpression) approaches to augment KLF2 levels attenuated COVID-19-serum-induced increase in endothelial inflammation and monocyte adhesion. Next-generation RNA-sequencing data showed that atorvastatin treatment leads to a cardiovascular protective transcriptome associated with improved endothelial function (vasodilation, anti-inflammation, antioxidant status, anti-thrombosis/-coagulation, anti-fibrosis, and reduced angiogenesis). Finally, knockdown of KLF2 partially reversed the ameliorative effect of atorvastatin on COVID-19-serum-induced endothelial inflammation and monocyte adhesion. Collectively, the present study implicates loss of KLF2 as an important molecular event in the development of COVID-19-induced vascular disease and suggests that efforts to augment KLF2 levels may be therapeutically beneficial.
  • |*COVID-19/genetics/metabolism/pathology/prevention & control[MESH]
  • |*Human Umbilical Vein Endothelial Cells/metabolism/pathology/virology[MESH]
  • |*SARS-CoV-2/genetics/metabolism[MESH]
  • |Cytokines/biosynthesis/genetics[MESH]
  • |Gene Expression Regulation[MESH]
  • |Humans[MESH]
  • |Intercellular Adhesion Molecule-1/biosynthesis/genetics[MESH]
  • |Kruppel-Like Transcription Factors/*biosynthesis/genetics[MESH]


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