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Polymerized Type I Collagen Downregulates STAT-1 Phosphorylation Through Engagement with LAIR-1 in Circulating
Elizabeth Olivares-Martínez1, Diego Francisco Hernández-Ramírez1, Carlos Alberto Núñez-Álvarez1
1Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico.
Insights
Polymerized type I collagen (PTIC) treatment reduced inflammation and improved symptoms in COVID-19 patients by acting as a LAIR1 agonist. This therapy downregulates STAT1 phosphorylation, offering potential for inflammatory diseases like COVID-19 and long COVID.
Area of Science:
- Immunology
- Molecular Biology
- Virology
Background:
- Symptomatic COVID-19 involves hyperinflammation.
- Polymerized type I collagen (PTIC) shows potential for treating COVID-19.
- LAIR1 is a suspected receptor for PTIC.
Purpose of the Study:
- To investigate the interaction between PTIC and LAIR1.
- To determine PTIC's effect on inflammatory pathways, specifically STAT1 phosphorylation.
- To evaluate PTIC's clinical efficacy in COVID-19 outpatients.
Main Methods:
- Binding assays (SPR) to assess PTIC-LAIR1 affinity.
- Western blot analysis of inflammatory markers (NF-κB, p38, STAT1) in macrophages.
- Flow cytometry and luminometry to measure monocyte subsets and serum cytokines in patients.
Main Results:
- PTIC demonstrated binding affinity to LAIR1, similar to collagen.
- PTIC downregulated STAT1 phosphorylation in IFN-γ-induced M1 macrophages.
- COVID-19 patients treated with PTIC showed reduced pro-inflammatory cytokines and Mo1 subset, correlating with symptom improvement.
Conclusions:
- PTIC acts as a LAIR1 agonist, downregulating STAT1 phosphorylation.
- PTIC effectively reduces inflammation and improves clinical outcomes in COVID-19 patients.
- PTIC holds promise for treating STAT1-mediated inflammatory conditions, including COVID-19 and long COVID.
Abstract:
The intramuscular administration of polymerized type I collagen (PTIC) for adult symptomatic COVID-19 outpatients downregulated hyperinflammation and improved symptoms. We inferred that LAIR1 is a potential receptor for PTIC. Thus, a binding assay and surface plasmon resonance binding assay were performed to estimate the affinity of the interaction between LAIR1 and PTIC. M1 macrophages derived from THP-1 cells were cultured with 2-10% PTIC for 24 h. Lysates from PTIC-treated THP-1 cells, macrophage-like cells (MLCs), M1, M1 + IFN-γ, and M1 + LPS were analyzed by Western blot for NF-κB (p65), p38, STAT1, and pSTAT1 (tyrosine701). Serum cytokine levels and monocyte LAIR1 expressions (Mo1 and Mo2) were analyzed by luminometry and flow cytometry in symptomatic COVID-19 outpatients on PTIC treatment. PTIC-bound LAIR1 had a similar affinity to collagen in M1 macrophages. It downregulated pSTAT1 in IFN-γ-induced M1. COVID-19 patients under PTIC treatment showed a significant decrease in Mo1 percentages and cytokines (IP-10/MIF/eotaxin/IL-8/IL-1RA/M-CSF) associated with STAT1 and an increase in the Mo2 subset. The inflammatory mediators and Mo1 downregulation were related to better oxygen saturation and decreased dyspnea, chest pain, cough, and chronic fatigue syndrome in the acute and long-term phase of infection. PTIC is an agonist of LAIR1 and downregulates STAT-1 phosphorylation. PTIC could be relevant for treating STAT1-mediated inflammatory diseases, including COVID-19 and long COVID.
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