TOP1 inhibition therapy protects against SARS-CoV-2-induced lethal inflammation
View abstract on PubMed
Summary
This summary is machine-generated.Topoisomerase 1 (TOP1) inhibition effectively suppresses lethal inflammation caused by SARS-CoV-2 infection. This approach, using the drug topotecan (TPT), shows promise for treating severe COVID-19 and reducing mortality.
Area Of Science
- Virology
- Immunology
- Pharmacology
Background
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic impacts global health.
- Elevated inflammatory cytokines correlate with increased COVID-19 severity and mortality.
Purpose Of The Study
- Investigate the role of topoisomerase 1 (TOP1) in SARS-CoV-2-induced inflammation.
- Evaluate TOP1 inhibition as a potential host-directed therapy for severe COVID-19.
Main Methods
- Multidimensional analyses including epigenetic, transcriptional, in vitro, and in vivo studies.
- Therapeutic treatment with topotecan (TPT), an FDA-approved TOP1 inhibitor, in animal models.
Main Results
- TOP1 inhibition significantly suppresses SARS-CoV-2-induced lethal inflammation.
- TPT treatment reduced morbidity and rescued mortality in hamster and mouse models, even when administered 4 days post-infection.
Conclusions
- TOP1 inhibition represents a promising host-directed therapeutic strategy against severe SARS-CoV-2 infection.
- Repurposing TPT and its derivatives for COVID-19 warrants clinical trials due to their availability and low cost.
Related Concept Videos
An inflammatory response is a localized, nonspecific immune reaction that occurs when a tissue is injured. It is characterized by redness, swelling, heat, and pain, which are commonly called the cardinal signs and symptoms of inflammation. Inflammation can sometimes result in a loss of function.
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Overview
In response to tissue injury and infection, mast cells initiate inflammation. Mast cells release chemicals that increase the permeability of adjacent blood capillaries and attract additional immune cells to the wound or site of infection. Neutrophils are phagocytic leukocytes that exit the bloodstream and engulf invading microbes. Blood clotting platelets seal the wound and fibers create a scaffold for wound healing. Macrophages engulf aging neutrophils to end the acute inflammatory...
The immune system's response to viral infections is a complex and coordinated process involving natural killer (NK) cells, T cell-mediated responses, and antibody-mediated responses.
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...
Cytotoxic T cells are a vital component of the immune system. They have the remarkable ability to identify and target antigens on infected or abnormal cells. These antigens often originate from intracellular pathogens such as viruses or abnormal proteins cancer cells produce.
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...

