How Does Mucorales Benefit from the Dysregulated Iron Homeostasis During SARS-CoV-2 Infection?
Nata Pratama Hardjo Lugito1, Cucunawangsih Cucunawangsih2
1Department of Internal Medicine, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, Indonesia, 15811. nata.lugito@uph.edu.
Abstract:
Mucorales is the cause of mucormycosis, an emerging opportunistic infection in the era of coronavirus disease 2019 (COVID-19) pandemic. Condition of hyperglycemia, diabetes mellitus, and acidosis; dysregulated iron homeostasis in the form of hyperferritinemic syndrome, and high concentration of iron in circulation; and endothelial injury related to abundance glucose regulated protein 78 (GRP78), which are present in severe COVID-19, could favor Mucorales infection. In this short communication, we summarized how the dysregulated iron homeostasis in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection benefits Mucorales.
Insights
Mucormycosis, caused by Mucorales, is an opportunistic infection favored by COVID-19 conditions like hyperglycemia and iron dysregulation. SARS-CoV-2 infection
Area of Science:
- Mycology
- Infectious Diseases
- Virology
Background:
- Mucormycosis is an emerging opportunistic infection caused by Mucorales.
- The coronavirus disease 2019 (COVID-19) pandemic has seen an increase in mucormycosis cases.
- Severe COVID-19 presents conditions like hyperglycemia, acidosis, and endothelial injury that may predispose individuals to Mucorales infection.
Purpose of the Study:
- To summarize how dysregulated iron homeostasis in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection benefits Mucorales.
- To highlight the link between COVID-19-associated metabolic and vascular changes and mucormycosis pathogenesis.
Main Methods:
- Review of existing literature on COVID-19 pathophysiology and mucormycosis.
- Analysis of the role of iron homeostasis in severe COVID-19.
- Correlation of SARS-CoV-2-induced host factors with Mucorales growth.
Main Results:
- Severe COVID-19 is characterized by hyperglycemia, dysregulated iron homeostasis (hyperferritinemic syndrome), and endothelial injury.
- These conditions, particularly elevated iron levels and GRP78 expression, create a favorable environment for Mucorales.
- SARS-CoV-2 infection exacerbates iron dysregulation, promoting Mucorales growth and infection.
Conclusions:
- Dysregulated iron homeostasis in SARS-CoV-2 infection significantly benefits Mucorales.
- Understanding these host-pathogen interactions is crucial for managing mucormycosis in COVID-19 patients.
- Targeting iron metabolism could be a potential therapeutic strategy against COVID-19-associated mucormycosis.
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