International Journal of Molecular Sciences,
Journal Year:
2022,
Volume and Issue:
23(18), P. 10436 - 10436
Published: Sept. 9, 2022
In
SARS-CoV-2-infected
humans,
disease
progression
is
often
associated
with
acute
respiratory
distress
syndrome
involving
severe
lung
injury,
coagulopathy,
and
thrombosis
of
the
alveolar
capillaries.
The
pathogenesis
these
pulmonary
complications
in
COVID-19
patients
has
not
been
elucidated.
Autopsy
study
showed
SARS-CoV-2
virions
vessels
sequestrated
leukocytes
infiltrates
endotheliopathy
microvascular
thrombosis.
Since
enters
infects
target
cells
by
binding
its
spike
(S)
protein
to
cellular
angiotensin-converting
enzyme
2
(ACE2),
there
evidence
that
vascular
endothelial
neutrophils
express
ACE2,
we
investigated
effect
S-proteins
cell-cell
communication
on
primary
human
(HLMEC)
expression
thrombogenic
factors
potential
mechanisms.
Using
two
different
variants
(Wuhan
Delta),
demonstrate
exposure
HLMEC
or
S-proteins,
co-culture
exposed
non-exposed
neutrophils,
induced
transcriptional
upregulation
tissue
factor
(TF),
significantly
increased
secretion
(F)-V,
thrombin,
fibrinogen
inhibited
pathway
inhibitor
(TFPI),
regulator
extrinsic
blood
coagulation,
both
cell
types.
Recombinant
(r)TFPI
a
thiol
blocker
(5,5'-dithio-bis-(2-nitrobenzoic
acid))
prevented
S-protein-induced
Factor-V,
fibrinogen.
Thrombomodulin
blocked
but
had
no
Factor-V
thrombin.
These
results
suggests
following
contact
endothelium
endothelial-neutrophil
interactions,
viral
induce
coagulopathy
via
TF
mechanisms
functional
groups.
findings
suggest
using
rTFPI
and/or
thiol-based
drugs
could
be
viable
therapeutic
strategy
against
SARS-CoV-2-induced
Bioscience Reports,
Journal Year:
2021,
Volume and Issue:
41(8)
Published: July 30, 2021
Severe
acute
respiratory
syndrome
coronavirus
2
(SARS-Cov-2)-induced
infection,
the
cause
of
disease
2019
(COVID-19),
is
characterized
by
unprecedented
clinical
pathologies.
One
most
important
pathologies,
hypercoagulation
and
microclots
in
lungs
patients.
Here
we
study
effect
isolated
SARS-CoV-2
spike
protein
S1
subunit
as
potential
inflammagen
sui
generis.
Using
scanning
electron
fluorescence
microscopy
well
mass
spectrometry,
investigate
this
to
interact
with
platelets
fibrin(ogen)
directly
blood
hypercoagulation.
platelet-poor
plasma
(PPP),
show
that
may
interfere
flow.
Mass
spectrometry
also
showed
when
added
healthy
PPP,
it
results
structural
changes
β
γ
fibrin(ogen),
complement
3,
prothrombin.
These
proteins
were
substantially
resistant
trypsinization,
presence
S1.
suggest
that,
part,
circulation
contribute
COVID-19
positive
patients
substantial
impairment
fibrinolysis.
Such
lytic
result
persistent
large
have
noted
here
previously
samples
This
observation
relevance
treatment
hypercoagulability
Clinical Science,
Journal Year:
2021,
Volume and Issue:
135(24), P. 2667 - 2689
Published: Nov. 22, 2021
The
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
causes
a
broad
range
of
clinical
responses
including
prominent
microvascular
damage.
capacity
SARS-CoV-2
to
infect
vascular
cells
is
still
debated.
Additionally,
the
Spike
(S)
protein
may
act
as
ligand
induce
non-infective
cellular
stress.
We
tested
this
hypothesis
in
pericytes
(PCs),
which
are
reportedly
reduced
heart
patients
with
disease-2019
(COVID-19).
Here
we
newly
show
that
vitro
exposure
primary
human
cardiac
PCs
wildtype
strain
or
α
and
δ
variants
caused
rare
infection
events.
Exposure
recombinant
S
alone
elicited
signalling
functional
alterations,
including:
(1)
increased
migration,
(2)
ability
support
endothelial
cell
(EC)
network
formation
on
Matrigel,
(3)
secretion
pro-inflammatory
molecules
typically
involved
cytokine
storm,
(4)
production
pro-apoptotic
factors
causing
EC
death.
Next,
adopting
blocking
strategy
against
receptors
angiotensin-converting
enzyme
(ACE2)
CD147,
discovered
stimulates
phosphorylation/activation
extracellular
signal-regulated
kinase
1/2
(ERK1/2)
through
CD147
receptor,
but
not
ACE2,
PCs.
neutralisation
either
using
antibody
mRNA
silencing,
ERK1/2
activation,
rescued
PC
function
presence
protein.
Immunoreactive
was
detected
peripheral
blood
infected
patients.
In
conclusion,
our
findings
suggest
prompt
dysfunction,
potentially
contributing
injury.
This
mechanism
have
therapeutic
implications.
Clinical Journal of the American Society of Nephrology,
Journal Year:
2021,
Volume and Issue:
16(11), P. 1755 - 1765
Published: June 14, 2021
Despite
evidence
of
multiorgan
tropism
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
in
patients
with
disease
2019
(COVID-19),
direct
viral
kidney
invasion
has
been
difficult
to
demonstrate.
The
question
whether
SARS-CoV2
can
directly
infect
the
is
relevant
understanding
pathogenesis
AKI
and
collapsing
glomerulopathy
COVID-19.
Methodologies
document
SARS-CoV-2
infection
that
have
used
include
immunohistochemistry,
immunofluorescence,
RT-PCR,
situ
hybridization,
electron
microscopy.
In
our
review
studies
date,
we
found
kidneys
COVID-19
was
detected
18
94
(19%)
by
71
144
(49%)
11
84
(13%)
hybridization.
a
smaller
number
examined
10
13
(77%).
total,
from
102
235
(43%),
presence
suggested
at
least
one
methods
used.
these
positive
findings,
caution
needed
because
many
other
negative
for
it
should
be
noted
when
detected,
only
obtained
autopsy.
There
clear
need
biopsies,
including
those
performed
early
stages
COVID-19–associated
disease.
Development
tests
detect
urine
samples
would
more
practical
as
noninvasive
way
evaluate
during
evolution
Nature Communications,
Journal Year:
2022,
Volume and Issue:
13(1)
Published: Dec. 9, 2022
Abstract
Severe
COVID-19
is
associated
with
epithelial
and
endothelial
barrier
dysfunction
within
the
lung
as
well
in
distal
organs.
While
it
appreciated
that
an
exaggerated
inflammatory
response
dysfunction,
triggers
of
vascular
leak
are
unclear.
Here,
we
report
cell-intrinsic
interactions
between
Spike
(S)
glycoprotein
SARS-CoV-2
epithelial/endothelial
cells
sufficient
to
induce
vitro
vivo,
independently
viral
replication
ACE2
receptor.
We
identify
S-triggered
transcriptional
extracellular
matrix
reorganization
TGF-β
signaling.
Using
genetic
knockouts
specific
inhibitors,
demonstrate
glycosaminoglycans,
integrins,
signaling
axis
required
for
S-mediated
dysfunction.
Notably,
show
infection
caused
which
was
reduced
by
inhibiting
integrins.
Our
findings
offer
mechanistic
insight
into
SARS-CoV-2-triggered
leak,
providing
a
starting
point
development
therapies
targeting
COVID-19.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: April 5, 2023
ABSTRACT
Coronavirus
disease
2019
(COVID-19),
caused
by
the
severe
acute
respiratory
syndrome
coronavirus
type
2
(SARS-CoV-2),
has
been
associated
mainly
with
a
range
of
neurological
symptoms,
including
brain
fog
and
tissue
loss,
raising
concerns
about
virus’s
potential
chronic
impact
on
central
nervous
system.
In
this
study,
we
utilized
mouse
models
human
post-mortem
tissues
to
investigate
presence
distribution
SARS-CoV-2
spike
protein
in
skull-meninges-brain
axis.
Our
results
revealed
accumulation
skull
marrow,
meninges,
parenchyma.
The
injection
alone
cell
death
brain,
highlighting
direct
effect
tissue.
Furthermore,
observed
deceased
long
after
their
COVID-19
infection,
suggesting
that
spike’s
persistence
may
contribute
long-term
symptoms.
was
neutrophil-related
pathways
dysregulation
proteins
involved
PI3K-AKT
as
well
complement
coagulation
pathway.
Overall,
our
findings
suggest
trafficking
from
CNS
borders
into
parenchyma
identified
differentially
regulated
present
insights
mechanisms
underlying
immediate
consequences
diagnostic
therapeutic
opportunities.
Graphical
Summary
Short
axis
presents
molecular
targets
for
complications
long-COVID-19
patients
.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(16), P. 12585 - 12585
Published: Aug. 9, 2023
COVID-19
progression
often
involves
severe
lung
injury,
inflammation,
coagulopathy,
and
leukocyte
infiltration
into
pulmonary
tissues.
The
pathogenesis
of
these
complications
is
unknown.
Because
vascular
endothelium
neutrophils
express
angiotensin-converting
enzyme-2
spike
(S)-proteins,
which
are
present
in
bodily
fluids
tissues
SARS-CoV-2-infected
patients,
we
investigated
the
effect
S-proteins
cell-cell
communication
on
human
microvascular
endothelial
cells
expression
P-selectin,
markers
NETosis,
inflammation.
Exposure
or
to
endothelial-neutrophils
co-culture
induced
P-selectin
transcription
expression,
significantly
increased
expression/secretion
IL-6,
von
Willebrand
factor
(vWF,
pro-coagulant),
citrullinated
histone
H3
(cit-H3,
NETosis
marker).
Compared
SARS-CoV-2
Wuhan
variant,
Delta
variant
1.4-15-fold
higher
IL-6
vWF.
Recombinant
tissue
pathway
inhibitor
(rTFPI),
5,5'-dithio-bis-(2-nitrobenzoic
acid)
(thiol
blocker),
thrombomodulin
(anticoagulant)
blocked
S-protein-induced
vWF,
cit-H3.
This
suggests
that
following
contact
with
endothelial-neutrophil
interactions,
increase
adhesion
molecules,
induce
coagulopathy
via
pathway,
mechanisms
involving
functional
thiol
groups,
and/or
fibrinolysis
system.
Using
rTFPI,
effectors
system
thiol-based
drugs
could
be
viable
therapeutic
strategies
against
SARS-CoV-2-induced
coagulopathy.