Signaling network analysis reveals fostamatinib as a potential drug to control platelet hyperactivation during

Özge Osmanoglu1, Shishir K Gupta2,3, Anna Almasi1

  • 1Functional Genomics & Systems Biology Group, Department of Bioinformatics, Biocenter, University of Wuerzburg, Wuerzburg, Germany.

Frontiers in Immunology
|January 8, 2024
PubMed

Insights

COVID-19 patients admitted to the intensive care unit (ICU) experience more pro-thrombotic events due to platelet hyperactivation. Fostamatinib is identified as a potential drug to control these events by targeting key proteins in COVID-19 patients.

Area of Science:

  • * Molecular Biology
  • * Systems Biology
  • * Pharmacology

Background:

  • * Pro-thrombotic events are a major cause of intensive care unit (ICU) admission in COVID-19 patients.
  • * The precise signaling mechanisms driving platelet hyperactivation in COVID-19 remain unclear.
  • * Understanding these mechanisms is crucial for developing targeted therapies.

Purpose of the Study:

  • * To elucidate the signaling events and network control underlying platelet hyperactivation in COVID-19.
  • * To compare platelet transcriptome data between healthy donors, non-ICU, and ICU COVID-19 patients.
  • * To identify potential drug targets and repurpose existing medications for managing COVID-19-related thrombosis.

Main Methods:

  • * Comparative analysis of platelet transcriptome data.
  • * Construction of signaling network models integrating transcriptome data with a global human signaling network.
  • * Investigation of platelet hyperactivation control cascades and identification of indispensable proteins.
  • * Scrutiny of FDA-approved drugs targeting identified indispensable proteins.

Main Results:

  • * Significantly higher platelet network control observed in ICU COVID-19 patients compared to non-ICU patients.
  • * Identification of key subnetworks and indispensable proteins critical for controlling platelet hyperactivity.
  • * Fostamatinib identified as a potent candidate drug for preventing thrombosis in COVID-19 patients.
  • * Network analysis revealed distinct states in non-ICU and ICU patients, guiding drug prioritization.

Conclusions:

  • * SARS-CoV-2 infection dysregulates host platelets by targeting critical proteins involved in platelet activity control.
  • * Drug repurposing, specifically with fostamatinib, offers a promising strategy for managing COVID-19-associated platelet hyperactivation and thrombosis.
  • * The study provides specific pharmacological recommendations tailored to individual patient network states.
Abstract

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