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Published on: June 2, 2023
Pathophysiological involvement of host mitochondria in SARS-CoV-2 infection that causes COVID-19: a comprehensive
Chandan Bhowal1, Sayak Ghosh1, Debapriya Ghatak2
1Amity Institute of Biotechnology, Amity University, Plot No: 36, 37 & 38, Major Arterial Road, Action Area II, Kadampukur Village, Newtown, Kolkata, 700135, West Bengal, India.
Abstract:
SARS-CoV-2 is a positive-strand RNA virus that infects humans through the nasopharyngeal and oral route causing COVID-19. Scientists left no stone unturned to explore a targetable key player in COVID-19 pathogenesis against which therapeutic interventions can be initiated. This article has attempted to review, coordinate and accumulate the most recent observations in support of the hypothesis predicting the altered state of mitochondria concerning mitochondrial redox homeostasis, inflammatory regulations, morphology, bioenergetics and antiviral signalling in SARS-CoV-2 infection. Mitochondria is extremely susceptible to physiological as well as pathological stimuli, including viral infections. Recent studies suggest that SARS-CoV-2 pathogeneses alter mitochondrial integrity, in turn mitochondria modulate cellular response against the infection. SARS-CoV-2 M protein inhibited mitochondrial antiviral signalling (MAVS) protein aggregation in turn hinders innate antiviral response. Viral open reading frames (ORFs) also play an instrumental role in altering mitochondrial regulation of immune response. Notably, ORF-9b and ORF-6 impair MAVS activation. In aged persons, the NLRP3 inflammasome is over-activated due to impaired mitochondrial function, increased mitochondrial reactive oxygen species (mtROS), and/or circulating free mitochondrial DNA, resulting in a hyper-response of classically activated macrophages. This article also tries to understand how mitochondrial fission-fusion dynamics is affected by the virus. This review comprehends the overall mitochondrial attribute in pathogenesis as well as prognosis in patients infected with COVID-19 taking into account pertinent in vitro, pre-clinical and clinical data encompassing subjects with a broad range of severity and morbidity. This endeavour may help in exploring novel non-canonical therapeutic strategies to COVID-19 disease and associated complications.
Insights
SARS-CoV-2 infection alters mitochondria, impacting redox balance, inflammation, and antiviral responses. Targeting these mitochondrial changes may offer new COVID-19 therapies.
Area of Science:
- Virology
- Cell Biology
- Immunology
Background:
- SARS-CoV-2 causes COVID-19, prompting research into therapeutic targets.
- Mitochondria are crucial cellular organelles susceptible to viral infections.
- Mitochondrial dysfunction is increasingly implicated in viral pathogenesis.
Purpose of the Study:
- To review and synthesize recent findings on SARS-CoV-2's impact on mitochondrial function.
- To explore the role of mitochondria in COVID-19 pathogenesis and prognosis.
- To identify potential therapeutic strategies targeting mitochondrial alterations.
Main Methods:
- Literature review of in vitro, pre-clinical, and clinical studies.
- Analysis of SARS-CoV-2 interactions with mitochondrial antiviral signaling (MAVS).
- Examination of viral open reading frames (ORFs) effects on mitochondrial regulation.
Main Results:
- SARS-CoV-2 infection alters mitochondrial redox homeostasis, morphology, and bioenergetics.
- Viral proteins (M, ORF-9b, ORF-6) inhibit MAVS, impairing innate antiviral responses.
- Mitochondrial dysfunction, increased mtROS, and NLRP3 inflammasome activation are observed, particularly in aged individuals.
Conclusions:
- Mitochondria play a significant role in COVID-19 pathogenesis and disease progression.
- Mitochondrial alterations represent a promising avenue for novel therapeutic interventions.
- Understanding mitochondrial dynamics in SARS-CoV-2 infection is key for developing effective treatments.
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