在SARS-CoV-2突起蛋白表达驱动后急性凝血病
Chih-Feng Tien1, En-Ju Lin1, Wei-Hsiang Tsai1
1National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, Zhunan, Taiwan.
来自病毒性变体的SARS-CoV-2尖端蛋白可能会导致COVID-19延迟的症状,如炎症和凝血. 阿司匹林治疗减少了小鼠的死亡率,这表明S蛋白驱动的凝血有助于长期的COVID.
科学领域:
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 在COVID-19大流行期间出现具有明显致病性的SARS-CoV-2变种.
- 专注于病毒尖峰 (S) 蛋白在疾病进展和后急性后果中的作用.
研究的目的:
- 研究SARS-CoV-2尖峰 (S) 蛋白质,特别是来自Delta变种的蛋白质在疾病进展和长期COVID中的作用.
- 确定S蛋白表达是否可以在小鼠模型中诱导后COVID类症状.
- 探索针对S蛋白相关病理的潜在治疗干预措施.
主要方法:
- 在K18-hACE2转基因小鼠中,使用重组囊泡性口腔炎病毒 (VSV) 载体对祖先和Delta S蛋白的短暂表达.
- 监测肺炎,中性粒细胞激活,微血栓,死亡率,缩和全身炎症标志物 (IGFBP-1,CXCL13) 的情况.
- 对长期COVID患者血清样本进行IGFBP-1和CXCL13水平的分析.
- 评估阿司匹林在减轻小鼠S蛋白诱导病理方面的疗效.
主要成果:
- 过渡性S蛋白表达诱导轻度肺炎,中性粒细胞激活,微血栓,和~40%的死亡率在小鼠.
- 患病的小鼠表现出缩和血清IGFBP-1和CXCL13的升高.
- 在长期COVID患者中观察到IGFBP-1水平升高,在严重病例中更高的CXCL13.
- 阿司匹林治疗显著降低了暴露于Delta S蛋白的小鼠的死亡率和体重减轻.
结论:
- SARS-CoV-2 S 蛋白相关的凝血和系统性炎症可能会导致COVID-19 (长期COVID) 后急性后遗症的发展.
- 该研究提供了S蛋白表达延迟的病理影响的证据,与长期COVID病原体相关.
- 这些发现支持进一步研究S蛋白驱动机制和长期COVID的潜在抗血小板疗法.
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