Autophagy Modulation in Lymphocytes From COVID-19 Patients: New Therapeutic Target in SARS-COV-2 Infection

Marta Vomero1, Cristiana Barbati1, Tania Colasanti1

  • 1Rheumatology Unit, Department of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.

Frontiers in Pharmacology
|January 11, 2021
PubMed

Insights

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection triggers a cytokine storm, impacting lymphocyte autophagy. Targeting this pathway with anti-rheumatic drugs shows therapeutic potential for COVID-19 treatment.

Area of Science:

  • Immunology
  • Cell Biology
  • Virology

Background:

  • Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) causes COVID-19, characterized by a pro-inflammatory "cytokine storm."
  • Key cytokines like Interleukin-6 (IL-6), Tumor Necrosis Factor-alpha (TNF-α), and IL-1β are implicated in disease severity and immune cell recruitment.
  • Autophagy, a cellular degradation process, is crucial for lymphocyte function and its modulation by these cytokines is increasingly recognized.

Purpose of the Study:

  • To investigate the role of SARS-CoV-2 in modulating lymphocyte autophagy.
  • To explore the potential of targeting autophagy in lymphocytes as a therapeutic strategy for COVID-19.

Main Methods:

  • Review of existing literature on SARS-CoV-2, cytokine storm, autophagy, and lymphocyte function.
  • Analysis of preliminary studies examining SARS-CoV-2 infection in lymphocytes and its effect on autophagy.
  • Examination of the impact of anti-rheumatic drugs on autophagy in lymphocytes.

Main Results:

  • SARS-CoV-2 infection may directly impact and modulate autophagy within lymphocytes.
  • Pro-inflammatory cytokines (IL-6, TNF-α, IL-1β) play a role in modulating autophagy.
  • Certain anti-rheumatic drugs, considered for COVID-19 treatment, demonstrate the ability to modulate autophagy in lymphocytes.

Conclusions:

  • Autophagy modulation in lymphocytes represents a potential therapeutic target for managing SARS-CoV-2 infection.
  • The interplay between SARS-CoV-2, cytokines, and autophagy in lymphocytes warrants further investigation for novel treatment strategies.
  • Anti-rheumatic drugs targeting autophagy may offer a promising avenue for COVID-19 treatment.

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