Department of Biological Sciences, The University of Texas at El Paso, El Paso, TX, United States.
Front Immunol. 2021 Jul 13;12:690477. doi: 10.3389/fimmu.2021.690477. eCollection 2021.
The positive-sense single stranded RNA virus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), resulted in a global pandemic with horrendous health and economic consequences not seen in a century. At a finer scale, immunologically, many of these devastating effects by SARS-CoV-2 can be traced to a "cytokine storm" resulting in the simultaneous activation of Janus Kinases (JAKs) and Signal Transducers and Activators of Transcription (STAT) proteins downstream of the many cytokine receptor families triggered by elevated cytokines found in Coronavirus Disease 2019 (COVID-19). In this report, cytokines found in the storm are discussed in relation to the JAK-STAT pathway in response to SARS-CoV-2 and the lessons learned from RNA viruses and previous Coronaviruses (CoVs). Therapeutic strategies to counteract the SARS-CoV-2 mediated storm are discussed with an emphasis on cell signaling and JAK inhibition.
正链单链 RNA 病毒,严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2),引发了一场全球性大流行,造成了一个世纪以来未曾见过的可怕健康和经济后果。从更精细的免疫层面来看,SARS-CoV-2 的许多这些破坏性影响可追溯到“细胞因子风暴”,导致许多细胞因子受体家族触发的细胞因子升高,继而同时激活 Janus 激酶(JAK)和信号转导和转录激活因子(STAT)蛋白。在本报告中,讨论了风暴中的细胞因子与 SARS-CoV-2 反应中的 JAK-STAT 途径以及从 RNA 病毒和先前的冠状病毒(CoVs)中吸取的教训。讨论了对抗 SARS-CoV-2 介导的风暴的治疗策略,重点是细胞信号传导和 JAK 抑制。