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Developmental Aspects of SARS-CoV-2, Potential Role of Exosomes and Their Impact on the Human Transcriptome
Navneet Dogra1,2, Carmen Ledesma-Feliciano3, Rwik Sen4
1Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Insights
This review examines severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) virology, its transmission to fetuses, and cellular trafficking via exosomes. It explores transcriptomic impacts and RNA therapeutics for COVID-19, crucial for combating the pandemic.
Area of Science:
- Virology
- Immunology
- Genetics
Background:
- COVID-19 has caused millions of deaths globally.
- The virus now impacts younger populations, including neonates and children.
- Understanding in utero transmission and cellular mechanisms is critical.
Purpose of the Study:
- To review SARS-CoV-2 virology and its transmission routes.
- To explore the role of exosomal trafficking in SARS-CoV-2 spread.
- To discuss transcriptomic alterations and RNA-based therapeutic strategies.
Main Methods:
- Literature review of SARS-CoV-2 research.
- Analysis of studies on viral transmission and cellular mechanisms.
- Synthesis of information on transcriptomic changes and therapeutics.
Main Results:
- SARS-CoV-2 can infect and potentially transmit to fetuses.
- Exosomes may play a role in trafficking viral components between cells.
- COVID-19 significantly alters host cell transcriptomes, upregulating immune genes.
Conclusions:
- Further research is needed to link exosomal trafficking and placental transmission of SARS-CoV-2.
- Understanding these mechanisms can lead to better diagnostic and therapeutic solutions.
- This review provides a foundation for future COVID-19 research and pandemic preparedness.
Abstract:
With over 4.8 million deaths within 2 years, time is of the essence in combating COVID-19. The infection now shows devastating impacts on the younger population, who were not previously predicted to be vulnerable, such as in the older population. COVID-19-related complications have been reported in neonates whose mothers were infected with SARS-CoV-2 during pregnancy, and in children who get infected. Hence, a deeper understanding of the pathophysiology of COVID-19 during various developmental stages and placental transmission is essential. Although a connection has not yet been established between exosomal trafficking and the placental transmission of COVID-19, reports indicate that SARS-CoV-2 components may be trafficked between cells through exosomes. As the infection spreads, the transcriptome of cells is drastically perturbed, e.g., through the severe upregulation of several immune-related genes. Consequently, a major outcome of COVID-19 is an elevated immune response and the detection of viral RNA transcripts in host tissue. In this direction, this review focuses on SARS-CoV-2 virology, its in utero transmission from infected pregnant mothers to fetuses, SARS-CoV-2 and exosomal cellular trafficking, transcriptomic impacts, and RNA-mediated therapeutics against COVID-19. Future research will establish stronger connections between the above processes to develop diagnostic and therapeutic solutions towards COVID-19 and similar viral outbreaks.
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