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Published on: May 21, 2018
Targeting autophagy regulation in NLRP3 inflammasome-mediated lung inflammation in COVID-19
Yuan-Yuan Yong1, Li Zhang1, Yu-Jiao Hu2
1Sichuan Key Medical Laboratory of New Drug Discovery and Druggability Evaluation, Materia Medica, Luzhou Key Laboratory of Activity Screening and Druggability Evaluation for Chinese Materia Medica, School of Pharmacy; Education Ministry Key Laboratory of Medical Electrophysiology, School of Preclinical Medicine, Southwest Medical University, Luzhou 646000, China.
Abstract:
Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Emerging evidence indicates that the NOD-, LRR- and pyrin domain-containing protein 3 (NLRP3) inflammasome is activated, which results in a cytokine storm at the late stage of COVID-19. Autophagy regulation is involved in the infection and replication of SARS-CoV-2 at the early stage and the inhibition of NLRP3 inflammasome-mediated lung inflammation at the late stage of COVID-19. Here, we discuss the autophagy regulation at different stages of COVID-19. Specifically, we highlight the therapeutic potential of autophagy activators in COVID-19 by inhibiting the NLRP3 inflammasome, thereby avoiding the cytokine storm. We hope this review provides enlightenment for the use of autophagy activators targeting the inhibition of the NLRP3 inflammasome, specifically the combinational therapy of autophagy modulators with the inhibitors of the NLRP3 inflammasome, antiviral drugs, or anti-inflammatory drugs in the fight against COVID-19.
Insights
Autophagy regulates SARS-CoV-2 infection and NLRP3 inflammasome activation in COVID-19. Autophagy activators show therapeutic potential by inhibiting the NLRP3 inflammasome and cytokine storm.
Area of Science:
- Immunology
- Cell Biology
- Virology
Background:
- COVID-19, caused by SARS-CoV-2, involves NLRP3 inflammasome activation leading to cytokine storms.
- Autophagy plays a dual role in SARS-CoV-2 infection, impacting viral replication and inflammation.
Purpose of the Study:
- To review autophagy regulation in COVID-19 pathogenesis.
- To highlight the therapeutic potential of autophagy activators in managing COVID-19.
Main Methods:
- Literature review focusing on autophagy and NLRP3 inflammasome in COVID-19.
- Analysis of the interplay between autophagy, SARS-CoV-2, and inflammasome activation.
Main Results:
- Autophagy modulates SARS-CoV-2 early-stage infection and replication.
- NLRP3 inflammasome activation drives late-stage inflammation and cytokine storm in COVID-19.
- Autophagy activators can inhibit NLRP3 inflammasome-mediated lung inflammation.
Conclusions:
- Autophagy modulation is crucial at different stages of COVID-19.
- Targeting autophagy, particularly with activators, offers a promising strategy to mitigate cytokine storms.
- Combination therapies involving autophagy modulators and NLRP3 inhibitors, antivirals, or anti-inflammatories warrant further investigation.
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