Second Clinical College, Wenzhou Medical University, Wenzhou, China.
Ophthalmology College, Wenzhou Medical University, Wenzhou, China.
Mol Med. 2024 Jun 11;30(1):81. doi: 10.1186/s10020-024-00851-6.
BACKGROUND: Studies have highlighted a possible crosstalk between the pathogeneses of COVID-19 and systemic lupus erythematosus (SLE); however, the interactive mechanisms remain unclear. We aimed to elucidate the impact of COVID-19 on SLE using clinical information and the underlying mechanisms of both diseases. METHODS: RNA-seq datasets were used to identify shared hub gene signatures between COVID-19 and SLE, while genome-wide association study datasets were used to delineate the interaction mechanisms of the key signaling pathways. Finally, single-cell RNA-seq datasets were used to determine the primary target cells expressing the shared hub genes and key signaling pathways. RESULTS: COVID-19 may affect patients with SLE through hematologic involvement and exacerbated inflammatory responses. We identified 14 shared hub genes between COVID-19 and SLE that were significantly associated with interferon (IFN)-I/II. We also screened and obtained four core transcription factors related to these hub genes, confirming the regulatory role of the IFN-I/II-mediated Janus kinase/signal transducers and activators of transcription (JAK-STAT) signaling pathway on these hub genes. Further, SLE and COVID-19 can interact via IFN-I/II and IFN-I/II receptors, promoting the levels of monokines, including interleukin (IL)-6/10, tumor necrosis factor-α, and IFN-γ, and elevating the incidence rate and risk of cytokine release syndrome. Therefore, in SLE and COVID-19, both hub genes and core TFs are enriched within monocytes/macrophages. CONCLUSIONS: The interaction between SLE and COVID-19 promotes the activation of the IFN-I/II-triggered JAK-STAT signaling pathway in monocytes/macrophages. These findings provide a new direction and rationale for diagnosing and treating patients with SLE-COVID-19 comorbidity.
背景:研究强调了 COVID-19 和系统性红斑狼疮(SLE)发病机制之间可能存在串扰;然而,相互作用的机制尚不清楚。我们旨在利用两种疾病的临床信息和潜在机制阐明 COVID-19 对 SLE 的影响。
方法:使用 RNA-seq 数据集鉴定 COVID-19 和 SLE 之间共享的枢纽基因特征,同时使用全基因组关联研究数据集描绘关键信号通路的相互作用机制。最后,使用单细胞 RNA-seq 数据集确定表达共享枢纽基因和关键信号通路的主要靶细胞。
结果:COVID-19 可能通过血液学受累和炎症反应加剧影响 SLE 患者。我们鉴定了 COVID-19 和 SLE 之间的 14 个共享枢纽基因,这些基因与干扰素(IFN)-I/II 显著相关。我们还筛选并获得了与这些枢纽基因相关的四个核心转录因子,证实了 IFN-I/II 介导的 Janus 激酶/信号转导和转录激活因子(JAK-STAT)信号通路对这些枢纽基因的调节作用。此外,SLE 和 COVID-19 可以通过 IFN-I/II 和 IFN-I/II 受体相互作用,促进单因子(包括白细胞介素(IL)-6/10、肿瘤坏死因子-α和 IFN-γ)的水平升高,并增加细胞因子释放综合征的发生率和风险。因此,在 SLE 和 COVID-19 中,枢纽基因和核心 TFs 都在单核细胞/巨噬细胞中富集。
结论:SLE 和 COVID-19 之间的相互作用促进了单核细胞/巨噬细胞中 IFN-I/II 触发的 JAK-STAT 信号通路的激活。这些发现为诊断和治疗 SLE-COVID-19 合并症患者提供了新的方向和依据。
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