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肌苷:通过抑制TBK1磷酸化对SARS-CoV-2感染诱导的急性肺损伤具有广谱抗炎作用。

Inosine: A broad-spectrum anti-inflammatory against SARS-CoV-2 infection-induced acute lung injury via suppressing TBK1 phosphorylation.

作者信息

Wang Ningning, Li Entao, Deng Huifang, Yue Lanxin, Zhou Lei, Su Rina, He Baokun, Lai Chengcai, Li Gaofu, Gao Yuwei, Zhou Wei, Gao Yue

机构信息

Department of Pharmaceutical Sciences, Beijing Institute of Radiation Medicine, Beijing, 100850, China.

Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.

出版信息

J Pharm Anal. 2023 Jan;13(1):11-23. doi: 10.1016/j.jpha.2022.10.002. Epub 2022 Oct 22.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-induced cytokine storms constitute the primary cause of coronavirus disease 19 (COVID-19) progression, severity, criticality, and death. Glucocorticoid and anti-cytokine therapies are frequently administered to treat COVID-19, but have limited clinical efficacy in severe and critical cases. Nevertheless, the weaknesses of these treatment modalities have prompted the development of anti-inflammatory therapy against this infection. We found that the broad-spectrum anti-inflammatory agent inosine downregulated proinflammatory interleukin (IL)-6, upregulated anti-inflammatory IL-10, and ameliorated acute inflammatory lung injury caused by multiple infectious agents. Inosine significantly improved survival in mice infected with SARS-CoV-2. It indirectly impeded TANK-binding kinase 1 (TBK1) phosphorylation by binding stimulator of interferon genes (STING) and glycogen synthase kinase-3β (GSK3β), inhibited the activation and nuclear translocation of the downstream transcription factors interferon regulatory factor (IRF3) and nuclear factor kappa B (NF-κB), and downregulated IL-6 in the sera and lung tissues of mice infected with lipopolysaccharide (LPS), H1N1, or SARS-CoV-2. Thus, inosine administration is feasible for clinical anti-inflammatory therapy against severe and critical COVID-19. Moreover, targeting TBK1 is a promising strategy for inhibiting cytokine storms and mitigating acute inflammatory lung injury induced by SARS-CoV-2 and other infectious agents.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发的细胞因子风暴是冠状病毒病19(COVID-19)进展、严重程度、危急状况及死亡的主要原因。糖皮质激素和抗细胞因子疗法常用于治疗COVID-19,但在重症和危重症病例中的临床疗效有限。尽管如此,这些治疗方式的不足促使人们研发针对这种感染的抗炎疗法。我们发现,广谱抗炎剂肌苷可下调促炎白细胞介素(IL)-6、上调抗炎性IL-10,并改善多种感染因子所致的急性炎症性肺损伤。肌苷显著提高了感染SARS-CoV-2小鼠的存活率。它通过结合干扰素基因刺激物(STING)和糖原合酶激酶-3β(GSK3β)间接阻碍TANK结合激酶1(TBK1)磷酸化,抑制下游转录因子干扰素调节因子(IRF3)和核因子κB(NF-κB)的激活及核转位,并下调感染脂多糖(LPS)、H1N1或SARS-CoV-2小鼠血清和肺组织中的IL-6。因此,给予肌苷对于临床抗炎治疗重症和危重症COVID-19是可行的。此外, 靶向TBK1是抑制细胞因子风暴及减轻SARS-CoV-2和其他感染因子所致急性炎症性肺损伤的一种有前景的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1840/9937799/444b4ca0a825/ga1.jpg

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