GlycoMantra Inc., bwtech South of the University of Maryland Baltimore County, 1450 South Rolling Road, Baltimore, MD 21227, USA.
Int J Mol Sci. 2024 Aug 1;25(15):8421. doi: 10.3390/ijms25158421.
Nearly six million people worldwide have died from the coronavirus disease (COVID-19) outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Although COVID-19 vaccines are largely successful in reducing the severity of the disease and deaths, the decline in vaccine-induced immunity over time and the continuing emergence of new viral variants or mutations underscore the need for an alternative strategy for developing broad-spectrum host-mediated therapeutics against SARS-CoV-2. A key feature of severe COVID-19 is dysregulated innate immune signaling, culminating in a high expression of numerous pro-inflammatory cytokines and chemokines and a lack of antiviral interferons (IFNs), particularly type I (alpha and beta) and type III (lambda). As a natural host defense, the myeloid differentiation primary response protein, MyD88, plays pivotal roles in innate and acquired immune responses via the signal transduction pathways of Toll-like receptors (TLRs), a type of pathogen recognition receptors (PRRs). However, recent studies have highlighted that infection with viruses upregulates MyD88 expression and impairs the host antiviral response by negatively regulating type I IFN. Galectin-3 (Gal3), another key player in viral infections, has been shown to modulate the host immune response by regulating viral entry and activating TLRs, the NLRP3 inflammasome, and NF-κB, resulting in the release of pro-inflammatory cytokines and contributing to the overall inflammatory response, the so-called "cytokine storm". These studies suggest that the specific inhibition of MyD88 and Gal3 could be a promising therapy for COVID-19. This review presents future directions for MyD88- and Gal3-targeted antiviral drug discovery, highlighting the potential to restore host immunity in SARS-CoV-2 infections.
全球有近 600 万人死于由严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 感染引起的冠状病毒病 (COVID-19) 爆发。尽管 COVID-19 疫苗在很大程度上成功地降低了疾病和死亡的严重程度,但随着时间的推移,疫苗诱导的免疫力下降以及新的病毒变体或突变的不断出现,突显了开发针对 SARS-CoV-2 的广谱宿主介导治疗药物的替代策略的必要性。严重 COVID-19 的一个关键特征是先天免疫信号失调,最终导致大量促炎细胞因子和趋化因子的高表达以及抗病毒干扰素 (IFN) 的缺乏,特别是 I 型 (alpha 和 beta) 和 III 型 (lambda)。作为一种天然宿主防御机制,髓样分化初级反应蛋白 MyD88 通过 Toll 样受体 (TLR) 的信号转导途径在先天和获得性免疫反应中发挥关键作用,TLR 是一种病原体识别受体 (PRR)。然而,最近的研究强调,病毒感染上调 MyD88 表达并通过负调控 I 型 IFN 损害宿主抗病毒反应。半乳糖凝集素-3 (Gal3) 是病毒感染中的另一个关键参与者,它通过调节病毒进入和激活 TLRs、NLRP3 炎性小体和 NF-κB,释放促炎细胞因子并促进整体炎症反应,从而调节宿主免疫反应,这种反应被称为“细胞因子风暴”。这些研究表明,MyD88 和 Gal3 的特异性抑制可能是 COVID-19 的一种有前途的治疗方法。本综述提出了针对 MyD88 和 Gal3 的抗病毒药物发现的未来方向,强调了在 SARS-CoV-2 感染中恢复宿主免疫的潜力。
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