4.5 Review

Identification of key signaling pathways induced by SARS-CoV2 that underlie thrombosis and vascular injury in COVID-19 patients

Journal

JOURNAL OF LEUKOCYTE BIOLOGY
Volume 109, Issue 1, Pages 35-47

Publisher

OXFORD UNIV PRESS
DOI: 10.1002/JLB.4COVR0920-552RR

Keywords

chemokines; cytokines; Kawasaki disease; mast cells; preeclampsia

Funding

  1. NIH grant NIAID [1R01AI145829-01]

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The immune response triggered by SARS-CoV-2 infection and the potential mechanisms behind various complications associated with COVID-19 need further investigation.
The SARS-CoV-2 pandemic has led to hundreds of thousands of deaths and billions of dollars in economic damage. The immune response elicited from this virus is poorly understood. An alarming number of cases have arisen where COVID-19 patients develop complications on top of the symptoms already associated with SARS, such as thrombosis, injuries of vascular system, kidney, and liver, as well as Kawasaki disease. In this review, we have used a bioinformatics approach to elucidate the immune response triggered by SARS-CoV-2 infection in primary human lung epithelial and transformed human lung alveolar. Additionally, we have examined the potential mechanism behind several complications that have been associated with COVID-19 and determined that a specific cytokine storm is leading to excessive neutrophil recruitment. These neutrophils are directly leading to thrombosis, organ damage, and complement activation via neutrophil extracellular trap release.

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