Department of Chemical and Biological Sciences, Institute of Biosciences, São Paulo State University (UNESP), Botucatu 18618-689, SP, Brazil.
Laboratory of Mucosal Immunology, Department of Immunology, Institute of Biomedical Sciences, University of São Paulo (USP), São Paulo 05508-000, SP, Brazil.
Cells. 2023 Apr 6;12(7):1092. doi: 10.3390/cells12071092.
The COVID-19 pandemic was triggered by the coronavirus SARS-CoV-2, whose peak occurred in the years 2020 and 2021. The main target of this virus is the lung, and the infection is associated with an accentuated inflammatory process involving mainly the innate arm of the immune system. Here, we described the induction of a pulmonary inflammatory process triggered by the intranasal (IN) instillation of UV-inactivated SARS-CoV-2 in C57BL/6 female mice, and then the evaluation of the ability of vitamin D (VitD) to control this process. The assays used to estimate the severity of lung involvement included the total and differential number of cells in the bronchoalveolar lavage fluid (BALF), histopathological analysis, quantification of T cell subsets, and inflammatory mediators by RT-PCR, cytokine quantification in lung homogenates, and flow cytometric analysis of cells recovered from lung parenchyma. The IN instillation of inactivated SARS-CoV-2 triggered a pulmonary inflammatory process, consisting of various cell types and mediators, resembling the typical inflammation found in transgenic mice infected with SARS-CoV-2. This inflammatory process was significantly decreased by the IN delivery of VitD, but not by its IP administration, suggesting that this hormone could have a therapeutic potential in COVID-19 if locally applied. To our knowledge, the local delivery of VitD to downmodulate lung inflammation in COVID-19 is an original proposition.
COVID-19 大流行是由冠状病毒 SARS-CoV-2 引发的,其高峰期出现在 2020 年和 2021 年。该病毒的主要靶标是肺部,感染与主要涉及固有免疫系统的强烈炎症过程有关。在这里,我们描述了经鼻(IN)滴注紫外线灭活的 SARS-CoV-2 引发的肺部炎症过程,然后评估了维生素 D(VitD)控制该过程的能力。用于估计肺部受累严重程度的检测包括支气管肺泡灌洗液(BALF)中的总细胞和差异细胞数、组织病理学分析、T 细胞亚群定量以及 RT-PCR 测定的炎症介质、肺匀浆中的细胞因子定量和来自肺实质的细胞的流式细胞术分析。IN 滴注灭活的 SARS-CoV-2 引发了肺部炎症过程,其中包括各种细胞类型和介质,类似于感染 SARS-CoV-2 的转基因小鼠中发现的典型炎症。VitD 的 IN 给药显著降低了这种炎症过程,但 IP 给药则没有,这表明如果局部应用,这种激素在 COVID-19 中可能具有治疗潜力。据我们所知,局部给予 VitD 以下调 COVID-19 中的肺部炎症是一个原创性的提议。