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Persistent Inflammation, Maladaptive Remodeling, and Fibrosis in the Kidney Following Long COVID-like MHV-1 Mouse
Rajalakshmi Ramamoorthy1, Anna Rosa Speciale1,2, Emily M West1
1Department of Obstetrics, Gynecology and Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Diseases (Basel, Switzerland)
|August 27, 2025
Summary
Long COVID causes persistent kidney damage by altering gene expression, leading to inflammation and fibrosis. SPIKENET (SPK) treatment effectively reversed these molecular changes, offering therapeutic potential for COVID-19-associated kidney problems.
Area of Science:
- Molecular biology
- Renal pathophysiology
- Virology
Background:
- SARS-CoV-2 infection is linked to long-term kidney damage.
- Understanding the molecular mechanisms of kidney complications is crucial.
- A murine model of MHV-1-induced SARS-like illness was used to study chronic kidney changes.
Purpose of the Study:
- To characterize long-term kidney transcriptomic changes after coronavirus infection.
- To evaluate the therapeutic efficacy of SPIKENET (SPK) in mitigating these changes.
Main Methods:
- Infection of A/J mice with MHV-1, followed by renal tissue collection.
- Immunofluorescence and Next Generation RNA Sequencing for gene expression analysis.
- Bioinformatic analyses (PCA, volcano plots, GO/KEGG) and real-time PCR validation.
- Assessment of SPK treatment efficacy through comparative transcriptomic profiling.
Main Results:
- Long-term MHV-1 infection sustained upregulation of genes involved in inflammation, fibrosis, muscle regeneration, and cytoskeletal remodeling.
- Reduced expression and variability of proximal tubule transporters (SLC22, SLC22A8) indicated loss of segment-specific identity.
- Downregulation of SLC12A1 was associated with polyuria and hydronephrosis, suggesting tubular dysfunction and a pro-fibrotic phenotype.
- SPK treatment reversed most gene expression changes, restoring profiles similar to control mice.
Conclusions:
- MHV-1-induced long COVID causes persistent kidney transcriptional reprogramming, marked by chronic inflammation, cytoskeletal dysregulation, and fibrogenesis.
- SPK demonstrated significant therapeutic potential by normalizing molecular signatures and preventing long-term renal damage.
- The MHV-1 model is relevant for studying COVID-19-associated renal sequelae, and SPK warrants further investigation as a potential therapy.

