严重急性呼吸综合征冠状病毒2(SARS-CoV-2)驱动JAK1/2依赖性局部补体过度激活。

SARS-CoV-2 drives JAK1/2-dependent local complement hyperactivation.

作者信息

Yan Bingyu, Freiwald Tilo, Chauss Daniel, Wang Luopin, West Erin, Mirabelli Carmen, Zhang Charles J, Nichols Eva-Maria, Malik Nazish, Gregory Richard, Bantscheff Marcus, Ghidelli-Disse Sonja, Kolev Martin, Frum Tristan, Spence Jason R, Sexton Jonathan Z, Alysandratos Konstantinos D, Kotton Darrell N, Pittaluga Stefania, Bibby Jack, Niyonzima Nathalie, Olson Matthew R, Kordasti Shahram, Portilla Didier, Wobus Christiane E, Laurence Arian, Lionakis Michail S, Kemper Claudia, Afzali Behdad, Kazemian Majid

机构信息

Department of Biochemistry, Purdue University, West Lafayette, IN, USA.

Immunoregulation Section, Kidney Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NIH, Bethesda, MD, USA.

出版信息

Sci Immunol. 2021 Apr 7;6(58). doi: 10.1126/sciimmunol.abg0833.

Abstract

Patients with coronavirus disease 2019 (COVID-19) present a wide range of acute clinical manifestations affecting the lungs, liver, kidneys and gut. Angiotensin converting enzyme (ACE) 2, the best-characterized entry receptor for the disease-causing virus SARS-CoV-2, is highly expressed in the aforementioned tissues. However, the pathways that underlie the disease are still poorly understood. Here, we unexpectedly found that the complement system was one of the intracellular pathways most highly induced by SARS-CoV-2 infection in lung epithelial cells. Infection of respiratory epithelial cells with SARS-CoV-2 generated activated complement component C3a and could be blocked by a cell-permeable inhibitor of complement factor B (CFBi), indicating the presence of an inducible cell-intrinsic C3 convertase in respiratory epithelial cells. Within cells of the bronchoalveolar lavage of patients, distinct signatures of complement activation in myeloid, lymphoid and epithelial cells tracked with disease severity. Genes induced by SARS-CoV-2 and the drugs that could normalize these genes both implicated the interferon-JAK1/2-STAT1 signaling system and NF-κB as the main drivers of their expression. Ruxolitinib, a JAK1/2 inhibitor, normalized interferon signature genes and all complement gene transcripts induced by SARS-CoV-2 in lung epithelial cell lines, but did not affect NF-κB-regulated genes. Ruxolitinib, alone or in combination with the antiviral remdesivir, inhibited C3a protein produced by infected cells. Together, we postulate that combination therapy with JAK inhibitors and drugs that normalize NF-κB-signaling could potentially have clinical application for severe COVID-19.

摘要

2019冠状病毒病(COVID-19)患者表现出一系列影响肺部、肝脏、肾脏和肠道的急性临床表现。血管紧张素转换酶(ACE)2是致病病毒SARS-CoV-2最具特征的进入受体,在上述组织中高度表达。然而,该疾病的潜在发病机制仍知之甚少。在此,我们意外地发现补体系统是肺上皮细胞中被SARS-CoV-2感染诱导程度最高的细胞内信号通路之一。SARS-CoV-2感染呼吸道上皮细胞会产生活化的补体成分C3a,并且可被一种可穿透细胞的补体因子B抑制剂(CFBi)阻断,这表明呼吸道上皮细胞中存在一种可诱导的细胞内源性C3转化酶。在患者支气管肺泡灌洗细胞中,髓样细胞、淋巴细胞和上皮细胞中补体激活的不同特征与疾病严重程度相关。SARS-CoV-2诱导的基因以及可使这些基因正常化的药物均表明干扰素-JAK1/2-STAT1信号系统和NF-κB是其表达的主要驱动因素。JAK1/2抑制剂鲁索替尼可使肺上皮细胞系中SARS-CoV-2诱导的干扰素特征基因和所有补体基因转录本正常化,但不影响NF-κB调节的基因。鲁索替尼单独使用或与抗病毒药物瑞德西韦联合使用,均可抑制受感染细胞产生的C3a蛋白。我们共同推测,JAK抑制剂与使NF-κB信号正常化的药物联合治疗可能对重症COVID-19具有临床应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1a8/8139422/3921688daeca/abg0833-F1.jpg

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