2019
DOI: 10.1172/jci126363
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IFN-I response timing relative to virus replication determines MERS coronavirus infection outcomes

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Cited by 518 publications
(641 citation statements)
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“…However, SARS-CoV and MERS-CoV can induce the production of double-membrane vesicles that lack PRRs and then replicate in these vesicles, thereby avoiding the host detection of their dsRNA [39]. [40,41]. Accessory protein 4a of MERS-CoV may block the induction of IFN at the level of MDA5 activation through direct interaction with double-stranded RNA [42].…”
Section: Coronavirus Immune Evasionmentioning
confidence: 99%
“…However, SARS-CoV and MERS-CoV can induce the production of double-membrane vesicles that lack PRRs and then replicate in these vesicles, thereby avoiding the host detection of their dsRNA [39]. [40,41]. Accessory protein 4a of MERS-CoV may block the induction of IFN at the level of MDA5 activation through direct interaction with double-stranded RNA [42].…”
Section: Coronavirus Immune Evasionmentioning
confidence: 99%
“…However, this effect is insufficient to decrease ARDS mortality (Ranieri et al, 2020). It has been suggested from in vivo studies in mice that the timing of IFN-I administration plays a crucial role: positive effects were observed if IFN-I was administered shortly after infection, but IFN-I failed to inhibit viral replication and had side-effects when administered later (Channappanavar et al, 2019). Following a study showing that IFNβ1b was as efficient as lopinavir/ritonavir against MERS-CoV in marmosets (Chan et al, 2015), the combination of IFNβ1b (injected intravenously) and lopinavir/ritonavir is currently investigated in a clinical trial in Saudi Arabia (Arabi et al, 2018).…”
Section: Main Textmentioning
confidence: 99%
“…From the data presented above, IFN-I might be a safe and efficient treatment against SARS-CoV-2. Knowledge acquired during studies on MERS-CoV or SARS-CoV would be critical assets in that perspective: for example, they indicate that IFNβ should be the most relevant interferon subtype, and that IFN-I should be administered as early as possible to optimize antiviral therapy and avoid adverse events (Channappanavar et al, 2019). Furthermore, COVID-19 pathology, mainly consisting in pulmonary lesions, presents similar characteristics with interferonopathies: it may suggest that SARS-CoV-2 induces an excessive IFN-I mediated antiviral response, leading to tissue damage.…”
Section: Main Textmentioning
confidence: 99%
“…Other host dsRNA PRRs, such as PKR and OAS, are also activated and operate to limit CoV replication (7)(8)(9)(10)(11). CoVs encode multiple proteins that antagonize these innate immune responses, particularly the activation of the IFN response (9,(12)(13)(14)(15)(16), ultimately leading to a dysregulated immune response and increased immunopathogenesis (17,18). Understanding the mechanisms used by CoVs to delay IFN signaling may provide opportunities for the development of antivirals and live-attenuated vaccines to limit CoV infections.…”
mentioning
confidence: 99%