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Metabolic Alterations in SARS-CoV-2 Infection and Its Implication in Kidney Dysfunction
Magaiver Andrade Silva1,2, Ana Ruth Paolinetti Alves da Silva1, Mariana Abrantes do Amaral2
1Laboratory of Experimental and Clinical Immunology, Department of Clinical Medicine, Faculty of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Abstract:
Clinical strategies focusing on pathogen elimination are expected in an infectious-disease outbreak, such as the severe coronavirus disease 2019 (COVID-19), to avoid organ dysfunction. However, understanding the host response to viral infection is crucial to develop an effective treatment to optimize the patient's conditions. The pathogenic viruses can promote metabolic changes during viral infection, favoring its survival, altering cell phenotype and function, and causing sustained inflammation and tissue injury. Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2), the etiological agent of COVID-19, provokes systemic and cell metabolic changes and possibly altering lipid and glucose metabolism. Besides severe acute respiratory syndrome (SARS), SARS-CoV-2 can cause acute kidney injury, which has been associated with the severity of the disease. Although it is not clear the mechanisms whereby SARS-CoV-2 induces kidney dysfunction, it is known that the virus presents kidney tropism, namely, podocytes and proximal tubular epithelial cells. Changes in renal cell metabolism and systemic metabolic disorders are important events in kidney injury progression. Here, we explored the metabolism and its interface with SARS-CoV-2 infection and raised the perspective on metabolism disturbances as a critical event to kidney dysfunction in COVID-19.
Insights
Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) infection alters host metabolism, potentially leading to kidney dysfunction. Understanding these metabolic changes is key to developing treatments for COVID-19 related kidney injury.
Area of Science:
- Virology
- Metabolic Medicine
- Nephrology
Background:
- Infectious disease outbreaks necessitate pathogen elimination strategies to prevent organ dysfunction.
- Host response to viral infections, including metabolic alterations, is critical for effective treatment development.
- Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) causes COVID-19 and is associated with systemic metabolic changes and acute kidney injury.
Purpose of the Study:
- To explore the interface between host metabolism and SARS-CoV-2 infection.
- To investigate the role of metabolic disturbances in COVID-19-induced kidney dysfunction.
- To highlight potential therapeutic targets related to metabolic pathways.
Main Methods:
- Review and analysis of existing literature on SARS-CoV-2, host metabolism, and kidney injury.
- Exploration of viral-induced metabolic alterations in host cells.
- Examination of the tropism of SARS-CoV-2 in renal cells, including podocytes and proximal tubular epithelial cells.
Main Results:
- SARS-CoV-2 infection induces significant systemic and cellular metabolic changes.
- Alterations in lipid and glucose metabolism are implicated in SARS-CoV-2 pathogenesis.
- The virus exhibits tropism for kidney cells, suggesting a direct impact on renal function.
- Metabolic dysregulation is identified as a critical factor in the progression of kidney injury during COVID-19.
Conclusions:
- Metabolic disturbances are a critical event in the development of kidney dysfunction associated with SARS-CoV-2 infection.
- Targeting metabolic pathways could offer novel therapeutic strategies for managing COVID-19.
- Further research into the specific mechanisms of metabolic alterations in kidney cells is warranted.
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