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Mitochondria: In the Cross Fire of SARS-CoV-2 and Immunity
Johannes Burtscher1,2, Giuseppe Cappellano3,4, Akiko Omori5,6
1Institute of Sport Sciences, University of Lausanne, CH-1015 Lausanne, Switzerland.
Abstract:
The pathophysiology, immune reaction, and differential vulnerability of different population groups and viral host immune system evasion strategies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are not yet well understood. Here, we reviewed the multitude of known strategies of coronaviruses and other viruses to usurp mitochondria-associated mechanisms involved in the host innate immune response and put them in context with the current knowledge on SARS-CoV-2. We argue that maintenance of mitochondrial integrity is essential for adequate innate immune system responses and to blunt mitochondrial modulation by SARS-CoV-2. Mitochondrial health thus may determine differential vulnerabilities to SARS-CoV-2 infection rendering markers of mitochondrial functions promising potential biomarkers for SARS-CoV-2 infection risk and severity of outcome. Current knowledge gaps on our understanding of mitochondrial involvement in SARS-CoV-2 infection, lifestyle, and pharmacological strategies to improve mitochondrial integrity and potential reciprocal interactions with chronic and age-related diseases, e.g., Parkinson disease, are pointed out.
Insights
Mitochondrial health is crucial for innate immunity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Maintaining mitochondrial integrity may reduce infection risk and severity, highlighting potential biomarkers.
Area of Science:
- Immunology
- Virology
- Cell Biology
- Mitochondrial Biology
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pathophysiology and immune evasion strategies remain unclear.
- Viruses, including coronaviruses, exploit host mitochondria in immune response.
- Differential population vulnerability to SARS-CoV-2 infection requires further investigation.
Purpose of the Study:
- To review viral strategies targeting mitochondria in innate immunity.
- To contextualize these strategies with SARS-CoV-2 infection.
- To explore the role of mitochondrial integrity in SARS-CoV-2 vulnerability and outcomes.
Main Methods:
- Literature review of viral usurpation of mitochondria-associated immune mechanisms.
- Synthesis of existing knowledge on coronaviruses and SARS-CoV-2.
- Analysis of the link between mitochondrial function and host defense.
Main Results:
- Mitochondrial integrity is essential for effective innate immune responses against SARS-CoV-2.
- SARS-CoV-2 may modulate mitochondrial functions, impacting host defense.
- Mitochondrial health could explain differential vulnerability and disease severity.
Conclusions:
- Maintaining mitochondrial integrity is key to blunting SARS-CoV-2's impact.
- Markers of mitochondrial function may serve as biomarkers for infection risk and severity.
- Further research is needed on mitochondrial involvement, lifestyle, and therapeutic strategies, considering interactions with chronic diseases like Parkinson's.
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