Endoplasmic reticulum stress and NF-kB activation in SARS-CoV-2 infected cells and their response to antiviral therapy
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Published on: June 14, 2024
Desirée Bartolini1,2, Anna Maria Stabile2, Carmine Vacca1
1Department of Chemistry, Biology and Biotechnology, University of Perugia, Perugia, Italy.
Abstract:
Unfolded protein response (UPR) and endoplasmic reticulum (ER) stress are aspects of SARS-CoV-2-host cell interaction with proposed role in the cytopathic and inflammatory pathogenesis of this viral infection. The role of the NF-kB pathway in these cellular processes remains poorly characterized. When investigated in VERO-E6 cells, SARS-CoV-2 infection was found to markedly stimulate NF-kB protein expression and activity. NF-kB activation occurs early in the infection process (6 hpi) and it is associated with increased MAPK signaling and expression of the UPR inducer IRE-1α. These signal transduction processes characterize the cellular stress response to the virus promoting a pro-inflammatory environment and caspase activation in the host cell. Inhibition of viral replication by the viral protease inhibitor Nelfinavir reverts all these molecular changes also stimulating c-Jun expression, a key component of the JNK/AP-1 pathway with important role in the IRE-1α-mediated transcriptional regulation of stress response genes with anti-inflammatory and cytoprotection function. The present study demonstrates that UPR signaling and its interaction with cellular MAPKs and the NF-kB activity are important aspects of SARS-CoV-2-host cell interaction that deserve further investigation to identify more efficient therapies for this viral infection.
Insights
SARS-CoV-2 infection activates the unfolded protein response (UPR) and NF-kB pathway, promoting inflammation. Nelfinavir treatment reversed these effects, highlighting potential therapeutic targets for COVID-19.
Area of Science:
- Cellular biology
- Virology
- Immunology
Background:
- SARS-CoV-2 infection involves host cell interactions, including unfolded protein response (UPR) and endoplasmic reticulum (ER) stress.
- The role of the NF-kB pathway in SARS-CoV-2 pathogenesis is not well understood.
Purpose of the Study:
- To investigate the interplay between SARS-CoV-2, UPR, NF-kB signaling, and MAPK pathways.
- To explore the therapeutic potential of inhibiting viral replication on these cellular responses.
Main Methods:
- Analysis of NF-kB protein expression and activity in SARS-CoV-2 infected VERO-E6 cells.
- Assessment of MAPK signaling, IRE-1α expression, and caspase activation.
- Evaluation of Nelfinavir's effect on viral replication and associated molecular changes.
Main Results:
- SARS-CoV-2 infection significantly upregulated NF-kB activity early in the infection process.
- Activated NF-kB was linked to increased MAPK signaling and IRE-1α expression, indicating cellular stress.
- Nelfinavir inhibited viral replication, reverted molecular changes, and promoted anti-inflammatory c-Jun expression.
Conclusions:
- SARS-CoV-2 infection triggers UPR and NF-kB signaling, contributing to a pro-inflammatory host response.
- The interaction between UPR, MAPKs, and NF-kB is crucial in SARS-CoV-2 pathogenesis.
- Targeting these pathways, as demonstrated by Nelfinavir, may offer therapeutic strategies for COVID-19.
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