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      CD147 and cyclophilin A: a promising potential targeted therapy for COVID-19 and associated cancer progression and chemo-resistance

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          Abstract

          Coronavirus disease-2019 (COVID-19), as a worldwide serious issue has been shown to lead to progression and poor outcomes in cancer patients. The underlying mechanisms for SARS-CoV-2 infection’s adverse effects on cancer patients have not been fully understood. We hypothesized that CD147 and Cyclophilin A (CyPA) not only can play a significant role in infection severity but also can contribute to cancer progression and chemotherapy resistance in cancer patients with COVID-19. In addition, we hypothesized that the expression of both CD147 and CyPA could be increased by Hypoxia-inducible Factor-1 alpha (HIF-1α) activation during hypoxic conditions that occurred during COVID-19. Therefore, this evidence can open a new window in the management of cancer patients during the pandemic and therapeutic approaches targeting CD147 and CyPA could be a potentially promising therapeutic approach for such patients.

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          Most cited references21

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          CD147-spike protein is a novel route for SARS-CoV-2 infection to host cells

          In face of the everlasting battle toward COVID-19 and the rapid evolution of SARS-CoV-2, no specific and effective drugs for treating this disease have been reported until today. Angiotensin-converting enzyme 2 (ACE2), a receptor of SARS-CoV-2, mediates the virus infection by binding to spike protein. Although ACE2 is expressed in the lung, kidney, and intestine, its expressing levels are rather low, especially in the lung. Considering the great infectivity of COVID-19, we speculate that SARS-CoV-2 may depend on other routes to facilitate its infection. Here, we first discover an interaction between host cell receptor CD147 and SARS-CoV-2 spike protein. The loss of CD147 or blocking CD147 in Vero E6 and BEAS-2B cell lines by anti-CD147 antibody, Meplazumab, inhibits SARS-CoV-2 amplification. Expression of human CD147 allows virus entry into non-susceptible BHK-21 cells, which can be neutralized by CD147 extracellular fragment. Viral loads are detectable in the lungs of human CD147 (hCD147) mice infected with SARS-CoV-2, but not in those of virus-infected wild type mice. Interestingly, virions are observed in lymphocytes of lung tissue from a COVID-19 patient. Human T cells with a property of ACE2 natural deficiency can be infected with SARS-CoV-2 pseudovirus in a dose-dependent manner, which is specifically inhibited by Meplazumab. Furthermore, CD147 mediates virus entering host cells by endocytosis. Together, our study reveals a novel virus entry route, CD147-spike protein, which provides an important target for developing specific and effective drug against COVID-19.
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            Severe Acute Respiratory Syndrome Coronavirus Viroporin 3a Activates the NLRP3 Inflammasome

            Nod-like receptor family, pyrin domain-containing 3 (NLRP3) regulates the secretion of proinflammatory cytokines interleukin 1 beta (IL-1β) and IL-18. We previously showed that influenza virus M2 or encephalomyocarditis virus (EMCV) 2B proteins stimulate IL-1β secretion following activation of the NLRP3 inflammasome. However, the mechanism by which severe acute respiratory syndrome coronavirus (SARS-CoV) activates the NLRP3 inflammasome remains unknown. Here, we provide direct evidence that SARS-CoV 3a protein activates the NLRP3 inflammasome in lipopolysaccharide-primed macrophages. SARS-CoV 3a was sufficient to cause the NLRP3 inflammasome activation. The ion channel activity of the 3a protein was essential for 3a-mediated IL-1β secretion. While cells uninfected or infected with a lentivirus expressing a 3a protein defective in ion channel activity expressed NLRP3 uniformly throughout the cytoplasm, NLRP3 was redistributed to the perinuclear space in cells infected with a lentivirus expressing the 3a protein. K+ efflux and mitochondrial reactive oxygen species were important for SARS-CoV 3a-induced NLRP3 inflammasome activation. These results highlight the importance of viroporins, transmembrane pore-forming viral proteins, in virus-induced NLRP3 inflammasome activation.
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              Pathological inflammation in patients with COVID-19: a key role for monocytes and macrophages.

              The COVID-19 pandemic caused by infection with SARS-CoV-2 has led to more than 200,000 deaths worldwide. Several studies have now established that the hyperinflammatory response induced by SARS-CoV-2 is a major cause of disease severity and death in infected patients. Macrophages are a population of innate immune cells that sense and respond to microbial threats by producing inflammatory molecules that eliminate pathogens and promote tissue repair. However, a dysregulated macrophage response can be damaging to the host, as is seen in the macrophage activation syndrome induced by severe infections, including in infections with the related virus SARS-CoV. Here we describe the potentially pathological roles of macrophages during SARS-CoV-2 infection and discuss ongoing and prospective therapeutic strategies to modulate macrophage activation in patients with COVID-19.
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                Author and article information

                Contributors
                hamidreza.zlpr1998@gmail.com
                Journal
                Infect Agent Cancer
                Infect Agent Cancer
                Infectious Agents and Cancer
                BioMed Central (London )
                1750-9378
                4 April 2023
                4 April 2023
                2023
                : 18
                : 20
                Affiliations
                [1 ]GRID grid.412606.7, ISNI 0000 0004 0405 433X, Department of Medical Laboratory Sciences, Faculty of Allied Medicine, , Qazvin University of Medical Sciences, ; Qazvin, Iran
                [2 ]GRID grid.510410.1, ISNI 0000 0004 8010 4431, Network of Immunity in Infection, Malignancy & Autoimmunity (NIIMA), , Universal Scientific Education & Research Network (USERN), ; Tehran, Iran
                [3 ]GRID grid.508728.0, ISNI 0000 0004 0612 1516, Student Research Committee, , Lorestan University of Medical Sciences, ; Khorramabad, Iran
                [4 ]GRID grid.412571.4, ISNI 0000 0000 8819 4698, Diagnostic Laboratory Sciences and Technology Research Center, School of Paramedical Sciences, , Shiraz University of Medical Sciences, ; Shiraz, Iran
                [5 ]GRID grid.46072.37, ISNI 0000 0004 0612 7950, Department of Virology, Faculty of Veterinary Medicine, , University of Tehran, ; Tehran, Iran
                [6 ]GRID grid.411705.6, ISNI 0000 0001 0166 0922, School of Medicine, Tehran University of Medical Sciences, ; Tehran, Iran
                [7 ]GRID grid.412571.4, ISNI 0000 0000 8819 4698, Shiraz Neuroscience Research Center, , Shiraz University of Medical Sciences, ; Shiraz, Iran
                Author information
                http://orcid.org/0000-0002-8057-2804
                Article
                501
                10.1186/s13027-023-00501-2
                10072013
                37016434
                7899bfc6-9c27-4d02-873c-5f10d0b0de32
                © The Author(s) 2023

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 13 May 2022
                : 29 March 2023
                Categories
                Correspondence
                Custom metadata
                © The Author(s) 2023

                Oncology & Radiotherapy
                covid-19,sars-cov-2,cd147,cyclophilin a,cancer progression,chemo-resistance
                Oncology & Radiotherapy
                covid-19, sars-cov-2, cd147, cyclophilin a, cancer progression, chemo-resistance

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