Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection: Triggering a Lethal Fight to Keep Control of

Sofia Kouidou1, Andigoni Malousi1, Alexandra-Zoi Andreou2

  • 1Lab of Biological Chemistry, Medical School, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.

Insights

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) impacts host functions by altering ten-eleven translocation (TET) enzyme activity. This review links TET deregulation to diverse COVID-19 symptoms and patient outcomes.

Area of Science:

  • Epigenetics
  • Virology
  • Molecular Biology

Background:

  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exhibits diverse effects on host functions and symptoms, suggesting involvement in fundamental cellular processes.
  • Ten-eleven translocation 2 (TET2) enzymes regulate DNA demethylation and have been implicated in controlling viral invasion and endogenous virus inactivation.
  • Previous work identified factors affected by TET activity, including DNA recognition sites and promoter flexibility.

Purpose of the Study:

  • To review TET-associated processes and factors potentially explaining SARS-CoV-2 symptoms.
  • To correlate SARS-CoV-2-induced symptoms with known TET activities from in vitro and in vivo studies.
  • To propose a role for TET enzyme balance in differential COVID-19 outcomes based on age, sex, and metabolic status.

Main Methods:

  • Literature review and synthesis of existing research on TET enzymes and SARS-CoV-2.
  • Correlation analysis of virus-induced symptoms with established TET activities.
  • Exploration of TET activity's developmental regulation, age-dependency, and link to X chromosome inactivation.

Main Results:

  • TET enzyme activity is linked to various SARS-CoV-2 symptoms, including hypoxia, neurological effects, sensory loss, and organ differentiation issues.
  • TET deregulation may explain differential COVID-19 severity in adults versus children, and higher risk in metabolically deregulated patients.
  • Age-dependent TET activity, telomere homeostasis, and XIST gene regulation via TET enzymes are proposed factors influencing COVID-19 outcomes.

Conclusions:

  • TET enzyme activity plays a crucial role in mediating the diverse cellular impacts and clinical manifestations of SARS-CoV-2 infection.
  • The balance of TET enzymes, influenced by development and epigenetics, offers a framework for understanding varied COVID-19 patient responses.
  • Further research into TET pathways could reveal therapeutic targets for mitigating SARS-CoV-2-associated pathology.

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