Department of Biomedical and Diagnostic Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee, USA.
Viral Immunol. 2022 Jan-Feb;35(1):24-32. doi: 10.1089/vim.2021.0150. Epub 2021 Dec 13.
The coronavirus disease 2019 (COVID-19) pandemic caused by the coronavirus-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to cause global health problems, but its impact would be minimized if the many effective vaccines that have been developed were available and in widespread use by all societies. This ideal situation is not occurring so other means of controlling COVID-19 are needed. In this short review, we make the case that manipulating host metabolic pathways could be a therapeutic approach worth exploring. The rationale for such an approach comes from the fact that viruses cause metabolic changes in cells they infect, effective host defense mechanisms against viruses requires the activity of one or more metabolic pathways, and that hosts with metabolic defects such as diabetes are more susceptible to severe consequences after COVID-19. We describe the types of approaches that could be used to redirect various aspects of host metabolism and the success that some of these maneuvers have had at controlling other virus infections. Manipulating metabolic activities to control the outcome of COVID-19 has to date received minimal attention. Manipulating host metabolism will never replace vaccines to control COVID-19 but could be used as an adjunct therapy to the extent of ongoing infection.
由冠状病毒 SARS-CoV-2 引起的 2019 年冠状病毒病(COVID-19)大流行继续给全球健康带来问题,但如果已开发的众多有效疫苗可供所有社会使用并广泛使用,其影响将最小化。这种理想情况并未发生,因此需要其他控制 COVID-19 的方法。在这篇简短的综述中,我们提出了一种观点,即操纵宿主代谢途径可能是一种值得探索的治疗方法。这种方法的基本原理是病毒会导致感染的细胞发生代谢变化,有效抵御病毒的宿主防御机制需要一种或多种代谢途径的活性,并且存在代谢缺陷(如糖尿病)的宿主在 COVID-19 后更容易受到严重后果的影响。我们描述了可以用来改变宿主代谢各个方面的方法类型,以及这些策略在控制其他病毒感染方面取得的部分成功。到目前为止,操纵代谢活动以控制 COVID-19 的结果几乎没有受到关注。操纵宿主代谢永远不会取代疫苗来控制 COVID-19,但可以在持续感染的范围内用作辅助治疗。