2020
DOI: 10.1038/s41577-020-0346-x
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Dysregulation of type I interferon responses in COVID-19

Abstract: Infection with SARS-CoV-2 can lead to excessive production of pro-inflammatory cytokines, but the production of type I interferons, which are key antiviral mediators, is reportedly blunted. Here, we discuss how imbalanced interferon responses may contribute to the pathology of COVID-19.

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Cited by 396 publications
(442 citation statements)
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“…Suppression of IFN signaling by SARS-CoV-2 has been reported by several studies 26,27 , possibly explaining only a moderate effect of SARS-CoV-2 infection on dACE2 induction in our experiments. While type I and type III IFNs are barely detectable in COVID-19 patients 28,29 , high levels of IFN-γ have been reported 29,30 . Specifically, a 3'-scRNA-seq analysis showed ACE2 induction by SARS-CoV-2 infection in ciliated epithelia, where high levels of IFN-γ producing immune cells were also detected 5 .…”
Section: Discussionmentioning
confidence: 94%
“…Suppression of IFN signaling by SARS-CoV-2 has been reported by several studies 26,27 , possibly explaining only a moderate effect of SARS-CoV-2 infection on dACE2 induction in our experiments. While type I and type III IFNs are barely detectable in COVID-19 patients 28,29 , high levels of IFN-γ have been reported 29,30 . Specifically, a 3'-scRNA-seq analysis showed ACE2 induction by SARS-CoV-2 infection in ciliated epithelia, where high levels of IFN-γ producing immune cells were also detected 5 .…”
Section: Discussionmentioning
confidence: 94%
“…In particular, tocilizumab, an anti-IL-6 receptor monoclonal antibody, has been tested in COVID-19 patients and showed promising results [13]. Conversely, IFN-beta expression is inhibited by SARS-CoV-1 infections [14], while a general type I interferon inhibition has been observed in SARS-CoV-2 infections [15]. Type I interferons have antiviral properties and may be actively repressed by SARS-CoV-1 and SARS-CoV-2 during infection to escape the host immune response.…”
Section: Introductionmentioning
confidence: 99%
“…Previously, we and several others have proposed structural simulation models of ACE2 and the viral S-Receptor binding domain (S-RBD) to predict SARS-CoV2 susceptibility across representative vertebrates, especially major domestic and wild mammalian species [30][31][32][33]. The structural affinity between ACE2 and S-RBD plays a primary role in the viral attachment and accessibility in cells, and the specific early cellular responses that regulate ACE2 expression and signal early immune responses determine the host susceptibility to the virus [34][35][36][37][38][39][40]. We propose an integrative model, which incorporates both ACE2-RBD structural affinity (primarily determined by cross-species genetic difference) and epigenetic regulation of key genes during the early phase of the virus-host interaction, to predict host COVID-19 susceptibility and disease progression [30][31][32][33].…”
Section: Introductionmentioning
confidence: 99%
“…Ang2-AT1R activation also induces pyroptosis, a highly inflammatory form of programmed cell death accompanying cytotoxicity caused by viral infections [41,45,46]. Aggregately, SARS-CoV2 itself also activates NF-κB via various pattern recognition receptors (PPRs) [33][34][35][36][37][38][39][40]. Therefore, IL-6 and IL-6 AMP are biomarkers of hyperactivation of inflammatory machinery exacerbated by ACE2 blocking and viral infection, which represent key cytokines in deciphering cytokine-related syndrome and disease progression of COVID-19 [41,45,46].…”
Section: Introductionmentioning
confidence: 99%