1. The basis of complications in the context of SARS-CoV-2 infection: Pathological activation of ADAM17.
- Author
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Jiang, Shenghai, Yang, Hao, Sun, Zhongming, Zhang, Yi, Li, Yan, and Li, Jida
- Subjects
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ANGIOTENSIN converting enzyme , *SARS-CoV-2 , *MITOGEN-activated protein kinases , *VIRUS diseases - Abstract
The virulence of SARS-CoV-2 decreases with increasing infectivity, the primary approaches for antiviral treatments will be preventing or minimizing the complications resulting from virus infection. ADAM metallopeptidase domain 17 (ADAM17) activation by SARS-CoV-2 infection has a dual effect on the development of the disease: increased release of inflammatory cytokines and dysregulation of Angiotensin converting enzyme II (ACE2) on cell surfaces, inflammatory cytokine infiltration and loss of ACE2 protective function lead to a significant increase in the incidence of related complications. Importantly, pathologically activated ADAM17 showed superior features than S protein in regulating ACE2 expression and participating in the intra cellular replication of SARS-CoV-2. In short, SARS-CoV-2 elicits only a limited immune response when it promotes its own replication and pathogenicity through ADAM17. Therefore, the pathological activation of ADAM17 may also represent a diminished innate antiviral defense and an altered strategy of SARS-CoV-2 infection. In this review, we summarized recent advances in our understanding of the pathophysiology of ADAM17, with a focus on the new findings that SARS-CoV-2 affects ADAM17 expression through Furin protein converting enzyme and Mitogen-activated protein kinase (MAPK) pathway, and raises the hypothesis that SARS-CoV-2 may mediates the pathological activation of ADAM17 by hijacking the actin regulatory pathway, and discussed the underlying biological principles. • The complications induced by SARS-CoV-2 infection are related to pathological activation of ADAM17 • The mechanism of pathological activation of ADAM17 by SARS-CoV-2 remains unclear • The role of actin cytoskeleton in SARS-CoV-2 infection was hypothesized [ABSTRACT FROM AUTHOR]
- Published
- 2023
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