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10.1038/s41586-022-04421-w

http://scihub22266oqcxt.onion/10.1038/s41586-022-04421-w
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suck abstract from ncbi


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pmid35045565      Nature 2022 ; 603 (7899): 145-151
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  • The cGAS-STING pathway drives type I IFN immunopathology in COVID-19 #MMPMID35045565
  • Domizio JD; Gulen MF; Saidoune F; Thacker VV; Yatim A; Sharma K; Nass T; Guenova E; Schaller M; Conrad C; Goepfert C; de Leval L; Garnier CV; Berezowska S; Dubois A; Gilliet M; Ablasser A
  • Nature 2022[Mar]; 603 (7899): 145-151 PMID35045565show ga
  • COVID-19, which is caused by infection with SARS-CoV-2, is characterized by lung pathology and extrapulmonary complications(1,2). Type I interferons (IFNs) have an essential role in the pathogenesis of COVID-19 (refs (3-5)). Although rapid induction of type I IFNs limits virus propagation, a sustained increase in the levels of type I IFNs in the late phase of the infection is associated with aberrant inflammation and poor clinical outcome(5-17). Here we show that the cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway, which controls immunity to cytosolic DNA, is a critical driver of aberrant type I IFN responses in COVID-19 (ref. (18)). Profiling COVID-19 skin manifestations, we uncover a STING-dependent type I IFN signature that is primarily mediated by macrophages adjacent to areas of endothelial cell damage. Moreover, cGAS-STING activity was detected in lung samples from patients with COVID-19 with prominent tissue destruction, and was associated with type I IFN responses. A lung-on-chip model revealed that, in addition to macrophages, infection with SARS-CoV-2 activates cGAS-STING signalling in endothelial cells through mitochondrial DNA release, which leads to cell death and type I IFN production. In mice, pharmacological inhibition of STING reduces severe lung inflammation induced by SARS-CoV-2 and improves disease outcome. Collectively, our study establishes a mechanistic basis of pathological type I IFN responses in COVID-19 and reveals a principle for the development of host-directed therapeutics.
  • |Animals[MESH]
  • |COVID-19/*immunology/metabolism/*pathology/virology[MESH]
  • |Cells, Cultured[MESH]
  • |DNA, Mitochondrial/metabolism[MESH]
  • |Disease Models, Animal[MESH]
  • |Disease Progression[MESH]
  • |Endothelial Cells/pathology[MESH]
  • |Female[MESH]
  • |Gene Expression Regulation/immunology[MESH]
  • |Humans[MESH]
  • |Immunity, Innate[MESH]
  • |Interferon Type I/*immunology[MESH]
  • |Lung/immunology/metabolism/pathology/virology[MESH]
  • |Macrophages/immunology[MESH]
  • |Membrane Proteins/antagonists & inhibitors/*metabolism[MESH]
  • |Mice[MESH]
  • |Mice, Inbred C57BL[MESH]
  • |Nucleotidyltransferases/*metabolism[MESH]
  • |Pneumonia/immunology/metabolism/pathology/virology[MESH]
  • |SARS-CoV-2/*immunology/pathogenicity[MESH]
  • |Signal Transduction[MESH]


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