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.

Mycopathologia
|October 8, 2021
PubMed

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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