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The molecular mechanism of cardiac injury in SARS-CoV-2 infection: Focus on mitochondrial dysfunction
Yang Shen1, Min Chen1, Wei Gu2
1Department of Pharmacy, Shanghai University of Medicine & Health Sciences Affiliated Zhoupu Hospital, Shanghai, China.
Insights
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection triggers mitochondrial dysfunction and NF-κB activation in cardiomyocytes, leading to cardiac injury. This study identifies key molecular mechanisms and potential therapeutic targets for COVID-19-related heart problems.
Area of Science:
- Cardiology
- Molecular Biology
- Virology
Background:
- Coronavirus disease 2019 (COVID-19) has caused widespread global infections.
- Cardiac injury is a significant complication affecting patient prognosis and quality of life post-COVID-19.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying cardiac injury induced by SARS-CoV-2 infection.
- To identify potential therapeutic strategies for COVID-19-associated cardiac damage.
Main Methods:
- Utilized RNA-Seq data (GSE184715) comparing SARS-CoV-2 infected and mock human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs).
- Identified differentially expressed genes (DEGs) and analyzed affected pathways through enrichment analysis.
- Constructed a protein-protein interaction (PPI) network to identify hub genes and employed Connectivity Map for drug screening.
Main Results:
- Identified 2705 DEGs, revealing SARS-CoV-2 induced mitochondrial dysfunction, suppressed cardiac muscle contraction, and activated NF-κB.
- Pinpointed 15 downregulated hub genes primarily involved in mitochondrial respiratory chain complex dysfunction.
- Discovered 5 candidate drugs for treating COVID-19-induced cardiac injury.
Conclusions:
- SARS-CoV-2 infection disrupts cardiomyocyte mitochondrial function, reducing respiratory chain activity and ATP synthesis, leading to apoptosis.
- Activated NF-κB signaling contributes to cytokine storms and exacerbates cardiac injury.
- The study provides insights into molecular pathways of cardiac damage and suggests potential therapeutic interventions.
Background:
Coronavirus disease 2019(COVID-19) caused a large number of infections worldwide. Although some patients recovered from the disease, some of the other problems that accompanied it, such as cardiac injury, could affect the patient's subsequent quality of life and prognosis.
Objectives:
To clarify the molecular mechanism of cardiac injury in SARS-CoV-2 Infection.
Methods:
The RNA-Seq dataset (GSE184715) comparing expression profiling of Mock human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) and SARS-CoV-2-infected hiPSC-CMs was downloaded from Gene Expression Omnibus (GEO). Differentially expressed genes(DEGs) were performed by the R software. Degs were analyzed by enrichment analysis to clarify the affected pathways. Hub genes were screened out by a PPI network constructed from Degs. Finally, Connectivity Map was used to screen for the treatment of COVID-19 induced cardiac injury.
Results:
2705 differentially expressed genes were identified. Enrichment analysis confirmed that mitochondrial dysfunction was caused by SARS-CoV-2, meanwhile, cardiac muscle contraction was suppressed and NF-κB was activated. Based on the PPI network, 15 hub genes were identified. These 15 down-regulated hub genes were mainly involved in the reduced activity of complexes in the mitochondrial respiratory chain associated with mitochondrial dysfunction. Moreover, 5 candidate drugs were identified to treat cardiac injury.
Conclusion:
In conclusion, SARS-CoV-2 infection of cardiomyocytes causes mitochondrial dysfunction, including reduced mitochondrial respiratory chain complex activity and decreased ATP synthesis, leading to cardiomyocyte apoptosis, while the activated NF-κB also induced cytokine storms, ultimately resulting in cardiac injury.
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