Mukund Kavitha, Mathee Kalai, Subramaniam Shankar
1 Department of BioengineeringUniversity of California San Diego La Jolla CA 92093 USA.
2 Department of Human and Molecular GeneticsHerbert Wertheim College of Medicine Miami FL 33199 USA.
IEEE Open J Eng Med Biol. 2020 Aug 6;1:220-227. doi: 10.1109/OJEMB.2020.3014798. eCollection 2020.
Recently emerged beta-coronavirus SARS-CoV-2, has resulted in the current pandemic designated COVID-19. COVID-19 manifests as severe illness exhibiting systemic inflammatory response syndrome, acute respiratory distress syndrome (ARDS), thrombotic events, and shock, exacerbated further by co-morbidities and age. Recent clinical evidence suggests that the development of ARDS and subsequent pulmonary failure result from a complex interplay between cell types (endothelial, epithelial and immune) within the lung promoting inflammatory infiltration and a pro-coagulative state. How the complex molecular events mediated by SARS-CoV-2 in infected lung epithelial cells lead to thrombosis and pulmonary failure, is yet to be fully understood. We address these questions here, using publicly available transcriptomic data in the context of lung epithelia affected by SARS-CoV-2 and other respiratory infections, in vitro. We then extend our results to the understanding of in vivo lung, using a publicly available COVID-19 lung transcriptomic study. Our analysis indicates that there exists a complex interplay between the fibrinolytic system particularly plasmin, and the complement and platelet-activating systems upon SARS-CoV-2 infection, with a potential for therapeutic intervention.
最近出现的β冠状病毒严重急性呼吸综合征冠状病毒2(SARS-CoV-2)导致了当前被称为冠状病毒病2019(COVID-19)的大流行。COVID-19表现为严重疾病,呈现全身炎症反应综合征、急性呼吸窘迫综合征(ARDS)、血栓形成事件和休克,合并症和年龄会使其进一步加重。最近的临床证据表明,ARDS的发展及随后的肺衰竭是由肺内细胞类型(内皮细胞、上皮细胞和免疫细胞)之间复杂的相互作用所致,这种相互作用促进了炎症浸润和促凝状态。SARS-CoV-2在受感染的肺上皮细胞中介导的复杂分子事件如何导致血栓形成和肺衰竭,尚未完全清楚。我们在此利用公开可用的转录组数据,在体外研究受SARS-CoV-2和其他呼吸道感染影响的肺上皮细胞的背景下,解决这些问题。然后,我们利用一项公开可用的COVID-19肺转录组研究,将我们的结果扩展到对体内肺的理解。我们的分析表明,在SARS-CoV-2感染后,纤维蛋白溶解系统特别是纤溶酶与补体和血小板激活系统之间存在复杂的相互作用,具有治疗干预的潜力。