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Published on: December 23, 2020
Cytokines and microRNAs in SARS-CoV-2: What do we know?
Fahimeh Zamani Rarani1, Bahman Rashidi1, Mohammad Hassan Jafari Najaf Abadi2
1Department of Anatomical Sciences, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
The COVID-19 cytokine storm involves specific inflammatory molecules like TNF-α, IL-1, and IL-6. Understanding these cytokines and microRNAs may lead to better treatments for severe coronavirus disease 2019.
Area of Science:
- Immunology
- Virology
- Pathophysiology
Background:
- The COVID-19 pandemic presents a significant global health challenge with limited therapeutic options.
- Severe COVID-19 cases can lead to a dangerous 'cytokine storm,' a hyperinflammatory response causing ARDS, MODS, and mortality.
- Key pro-inflammatory cytokines, including TNF-α, IL-1, and IL-6, show altered levels in severe COVID-19, suggesting their role in the cytokine storm.
Purpose of the Study:
- To review the cytokines involved in SARS-CoV-2 infection.
- To explore the potential of interferons (IFNs) and interleukins (ILs) in COVID-19 treatment.
- To highlight the role of microRNAs in cytokine storm pathogenesis during COVID-19.
Main Methods:
- Literature review of scientific articles and research.
- Analysis of cytokine profiles in mild versus severe COVID-19 cases.
- Investigation of microRNA involvement in cytokine regulation related to SARS-CoV-2.
Main Results:
- Elevated levels of specific cytokines (TNF-α, IL-1, IL-6) are associated with severe COVID-19 and the cytokine storm.
- Interferons and interleukins are implicated in the pathophysiology of SARS-CoV-2 infection.
- Certain microRNAs play a role in modulating these cytokines during the COVID-19 cytokine storm.
Conclusions:
- Understanding the cytokine storm's pathophysiology is crucial for developing effective COVID-19 treatments.
- Targeting specific cytokines and microRNAs could offer therapeutic strategies for severe COVID-19.
- Further research into cytokine and microRNA roles may identify novel biomarkers and treatments for COVID-19.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic constitutes a global health emergency. Currently, there are no completely effective therapeutic medications for the management of this outbreak. The cytokine storm is a hyperinflammatory medical condition due to excessive and uncontrolled release of pro-inflammatory cytokines in patients suffering from severe COVID-19, leading to the development of acute respiratory distress syndrome (ARDS) and multiple organ dysfunction syndrome (MODS) and even mortality. Understanding the pathophysiology of COVID-19 can be helpful for the treatment of patients. Evidence suggests that the levels of tumor necrosis factor alpha (TNF-α) and interleukin (IL)-1 and IL-6 are dramatically different between mild and severe patients, so they may be important contributors to the cytokine storm. Several serum markers can be predictors for the cytokine storm. This review discusses the cytokines involved in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, focusing on interferons (IFNs) and ILs, and whether they can be used in COVID-19 treatment. Moreover, we highlight several microRNAs that are involved in these cytokines and their role in the cytokine storm caused by COVID-19.
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