芯片上的脉管系统平台与天然免疫系统相结合,可鉴定出血管生成素-1 衍生肽作为治疗 SARS-CoV-2 诱导炎症的药物。

Vasculature-on-a-chip platform with innate immunity enables identification of angiopoietin-1 derived peptide as a therapeutic for SARS-CoV-2 induced inflammation.

机构信息

Institute of Biomedical Engineering, University of Toronto, Toronto, Ontario, M5S 3G9, Canada.

Laboratory Medicine & Pathobiology, University of Toronto, Toronto, Ontario, Canada.

出版信息

Lab Chip. 2022 Mar 15;22(6):1171-1186. doi: 10.1039/d1lc00817j.

Abstract

Coronavirus disease 2019 (COVID-19) was primarily identified as a novel disease causing acute respiratory syndrome. However, as the pandemic progressed various cases of secondary organ infection and damage by severe respiratory syndrome coronavirus 2 (SARS-CoV-2) have been reported, including a breakdown of the vascular barrier. As SARS-CoV-2 gains access to blood circulation through the lungs, the virus is first encountered by the layer of endothelial cells and immune cells that participate in host defense. Here, we developed an approach to study SARS-CoV-2 infection using vasculature-on-a-chip. We first modeled the interaction of virus alone with the endothelialized vasculature-on-a-chip, followed by the studies of the interaction of the virus exposed-endothelial cells with peripheral blood mononuclear cells (PBMCs). In an endothelial model grown on a permeable microfluidic bioscaffold under flow conditions, both human coronavirus (HCoV)-NL63 and SARS-CoV-2 presence diminished endothelial barrier function by disrupting VE-cadherin junctions and elevating the level of pro-inflammatory cytokines such as interleukin (IL)-6, IL-8, and angiopoietin-2. Inflammatory cytokine markers were markedly more elevated upon SARS-CoV-2 infection compared to HCoV-NL63 infection. Introduction of PBMCs with monocytes into the vasculature-on-a-chip upon SARS-CoV-2 infection further exacerbated cytokine-induced endothelial dysfunction, demonstrating the compounding effects of inter-cellular crosstalk between endothelial cells and monocytes in facilitating the hyperinflammatory state. Considering the harmful effects of SARS-CoV-2 on endothelial cells, even without active virus proliferation inside the cells, a potential therapeutic approach is critical. We identified angiopoietin-1 derived peptide, QHREDGS, as a potential therapeutic capable of profoundly attenuating the inflammatory state of the cells consistent with the levels in non-infected controls, thereby improving the barrier function and endothelial cell survival against SARS-CoV-2 infection in the presence of PBMC.

摘要

新型冠状病毒病 2019(COVID-19)最初被确定为一种引起急性呼吸综合征的新型疾病。然而,随着大流行的发展,各种继发性器官感染和严重呼吸综合征冠状病毒 2(SARS-CoV-2)损伤的病例已被报道,包括血管屏障的破坏。当 SARS-CoV-2 通过肺部进入血液循环时,病毒首先遇到参与宿主防御的内皮细胞和免疫细胞层。在这里,我们开发了一种使用血管芯片研究 SARS-CoV-2 感染的方法。我们首先单独研究了病毒与内皮化血管芯片的相互作用,然后研究了暴露于内皮细胞的病毒与外周血单核细胞(PBMC)的相互作用。在流动条件下生长在可渗透的微流控生物支架上的内皮模型中,人类冠状病毒(HCoV)-NL63 和 SARS-CoV-2 的存在均通过破坏 VE-钙粘蛋白连接和升高白细胞介素(IL)-6、IL-8 和血管生成素-2 等促炎细胞因子的水平来减弱内皮屏障功能。与 HCoV-NL63 感染相比,SARS-CoV-2 感染导致炎症细胞因子标志物明显升高。在 SARS-CoV-2 感染时将单核细胞引入血管芯片中会进一步加剧细胞因子诱导的内皮功能障碍,表明内皮细胞和单核细胞之间的细胞间串扰在促进过度炎症状态方面具有复合作用。考虑到 SARS-CoV-2 对内皮细胞的有害影响,即使细胞内没有病毒的主动增殖,潜在的治疗方法也是至关重要的。我们确定了血管生成素-1 衍生肽 QHREDGS 是一种潜在的治疗方法,能够显著减轻细胞的炎症状态,使其与未感染对照的水平一致,从而改善内皮细胞在存在 PBMC 时对 SARS-CoV-2 感染的屏障功能和生存能力。

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