C5aR1 signaling triggers lung immunopathology in COVID-19 through neutrophil extracellular traps

被引:16
|
作者
Silva, Bruna M. [1 ,2 ]
Gomes, Giovanni F. [1 ]
Veras, Flavio P. [1 ]
Cambier, Seppe [3 ]
Silva, Gabriel V. L. [1 ,2 ]
Quadros, Andreza U. [1 ]
Caetite, Diego B. [1 ,2 ]
Nascimento, Daniele C. [1 ,2 ]
Silva, Camilla M. [1 ,2 ]
Silva, Juliana C. [1 ]
Damasceno, Samara [1 ]
Schneider, Ayda H. [1 ]
Beretta, Fabio [3 ]
Batah, Sabrina S. [4 ]
Castro, Icaro M. S. [5 ]
Paiva, Isadora M. [1 ]
Rodrigues, Tamara [1 ,2 ]
Salina, Ana [1 ,6 ]
Martins, Ronaldo [6 ,7 ]
Cebinelli, Guilherme C. M. [1 ,2 ]
Bibo, Naira L. [1 ]
Jorge, Daniel M. [6 ,7 ]
Nakaya, Helder I. [5 ]
Zamboni, Dario S. [1 ,6 ]
Leiria, Luiz O. [1 ,2 ]
Fabro, Alexandre T. [4 ]
Alves-Filho, Jose C. [1 ,2 ]
Arruda, Eurico [6 ,7 ]
Louzada-Junior, Paulo [1 ,8 ,9 ,10 ]
Oliveira, Rene D. [1 ,8 ,9 ,10 ]
Cunha, Larissa D. [1 ,6 ]
Van Mol, Pierre [11 ]
Vanderbeke, Lore [12 ]
Feys, Simon [12 ]
Wauters, Els [11 ]
Brandolini, Laura [13 ]
Aramini, Andrea [13 ]
Cunha, Fernando Q. [1 ,2 ]
Koehl, Joerg [14 ,15 ]
Allegretti, Marcello [13 ]
Lambrechts, Diether [4 ,16 ]
Wauters, Joost [12 ,17 ]
Proost, Paul [3 ]
Cunha, Thiago M. [1 ,2 ]
机构
[1] Univ Sao Paulo, Ctr Res Inflammatory Dis CRID, Dept Pharmacol, Ribeirao Preto, SP, Brazil
[2] Univ Sao Paulo, Ribeirao Preto Med Sch, Grad Program Basic & Appl Immunol, Ribeirao Preto, SP, Brazil
[3] Katholieke Univ Leuven, Rega Inst, Dept Microbiol Immunol & Transplantat, Lab Mol Immunol, Leuven, Belgium
[4] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Pathol & Legal Med, Ribeirao Preto, SP, Brazil
[5] Hosp Israelita Albert Einstein, Sao Paulo, Brazil
[6] Univ Sao Paulo, Dept Cell & Mol Biol, Ribeirao Preto, SP, Brazil
[7] Univ Sao Paulo, Virol Res Ctr, Ribeirao Preto, SP, Brazil
[8] Univ Sao Paulo, Div Clin Immunol, Ribeirao Preto, SP, Brazil
[9] Univ Sao Paulo, Div Emergency, Ribeirao Preto, SP, Brazil
[10] Univ Sao Paulo, Infect Dis & Intens Care Unit, Ribeirao Preto Med Sch, Ribeirao Preto, SP, Brazil
[11] Katholieke Univ Leuven, Dept Chron Dis & Metab, Lab Resp Dis & Thorac Surg BREATHE, Leuven, Belgium
[12] Katholieke Univ Leuven, Dept Microbiol Immunol & Transplantat, Lab Clin Infect & Inflammatory Disorders, Leuven, Belgium
[13] Dompe Farmaceut Spa, R&D Dept, Via Campo Pile, Laquila, Italy
[14] Cincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH USA
[15] Univ Lubeck, Inst Syst Inflammat Res, Ratzebuger Allee, Lubeck, Germany
[16] Katholieke Univ Leuven, VIB, Dept Human Genet, Lab Translat Genet, Leuven, Belgium
[17] Univ Hosp Leuven, Med Intens Care Unit, Leuven, Belgium
基金
巴西圣保罗研究基金会;
关键词
COMPLEMENT ACTIVATION; INHIBITION; TOCILIZUMAB; INFECTIONS; ROLES; CELLS;
D O I
10.1172/JCI163105
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Patients with severe COVID-19 develop acute respiratory distress syndrome (ARDS) that may progress to cytokine storm syndrome, organ dysfunction, and death. Considering that complement component 5a (C5a), through its cellular receptor C5aR1, has potent proinflammatory actions and plays immunopathological roles in inflammatory diseases, we investigated whether the C5a/C5aR1 pathway could be involved in COVID-19 pathophysiology. C5a/C5aR1 signaling increased locally in the lung, especially in neutrophils of critically ill patients with COVID-19 compared with patients with influenza infection, as well as in the lung tissue of K18-hACE2 Tg mice (Tg mice) infected with SARS-CoV-2. Genetic and pharmacological inhibition of C5aR1 signaling ameliorated lung immunopathology in Tg-infected mice. Mechanistically, we found that C5aR1 signaling drives neutrophil extracellular traps-dependent (NETs-dependent) immunopathology. These data confirm the immunopathological role of C5a/C5aR1 signaling in COVID-19 and indicate that antagonists of C5aR1 could be useful for COVID-19 treatment.
引用
收藏
页数:18
相关论文
共 21 条
  • [1] Vascular occlusion by neutrophil extracellular traps in COVID-19
    Leppkes, Moritz
    Knopl, Jasmin
    Naschberger, Elisabeth
    Lindemann, Aylin
    Singh, Jeeshan
    Herrmann, Irmgard
    Stuerzl, Michael
    Staats, Leonie
    Mahajan, Aparna
    Schauer, Christine
    Kremer, Anita N.
    Voelkl, Simon
    Amann, Kerstin
    Evert, Katja
    Falkies, Christina
    Wehrfritz, Andrea
    Rieker, Ralf J.
    Hartmann, Arndt
    Kremer, Andreas E.
    Neurath, Markus F.
    Munoz, Luis E.
    Schett, Georg
    Herrmann, Martin
    EBIOMEDICINE, 2020, 58
  • [2] Neutrophils and Neutrophil Extracellular Traps Drive Necroinflammation in COVID-19
    Tomar, Bhawna
    Anders, Hans-Joachim
    Desai, Jyaysi
    Mulay, Shrikant R.
    CELLS, 2020, 9 (06)
  • [3] COVID-19, neutrophil extracellular traps and vascular complications in obstetric practice
    Makatsariya, Alexander
    Slukhanchuk, Ekaterina
    Bitsadze, Viktoriya
    Khizroeva, Jamilya
    Tretyakova, Maria
    Tsibizova, Valentina
    Dobryakov, Andrey
    Elalamy, Ismail
    Gris, Jean C.
    JOURNAL OF PERINATAL MEDICINE, 2020, 48 (09) : 985 - 994
  • [4] Neutrophil Extracellular Traps (NETs) and Covid-19: A new frontiers for therapeutic modality
    Al-Kuraishy, Hayder M.
    Al-Gareeb, Ali I.
    Al-hussaniy, Hany Akeel
    Al-Harcan, Nasser A. Hadi
    Alexiou, Athanasios
    Batiha, Gaber El-Saber
    INTERNATIONAL IMMUNOPHARMACOLOGY, 2022, 104
  • [5] Signaling Through FcγRIIA and the C5a-C5aR Pathway Mediate Platelet Hyperactivation in COVID-19
    Apostolidis, Sokratis A.
    Sarkar, Amrita
    Giannini, Heather M.
    Goel, Rishi R.
    Mathew, Divij
    Suzuki, Aae
    Baxter, Amy E.
    Greenplate, Allison R.
    Alanio, Cecile
    Abdel-Hakeem, Mohamed
    Oldridge, Derek A.
    Giles, Josephine R.
    Wu, Jennifer E.
    Chen, Zeyu
    Huang, Yinghui Jane
    Belman, Jonathan
    Pattekar, Ajinkya
    Manne, Sasikanth
    Kuthuru, Oliva
    Dougherty, Jeanette
    Weiderhold, Brittany
    Weisman, Ariel R.
    Ittner, Caroline A. G.
    Gouma, Sigrid
    Dunbar, Debora
    Frank, Ian
    Huang, Alexander C.
    Vella, Laura A.
    Reilly, John P.
    Hensley, Scott E.
    Rauova, Lubica
    Zhao, Liang
    Meyer, Nuala J.
    Poncz, Mortimer
    Abrams, Charles S.
    Wherry, E. John
    FRONTIERS IN IMMUNOLOGY, 2022, 13
  • [6] C5a and C5aR1 are key drivers of microvascular platelet aggregation in clinical entities spanning from aHUS to COVID-19
    Aiello, Sistiana
    Gastoldi, Sara
    Galbusera, Miriam
    Ruggenenti, Piero
    Portalupi, Valentina
    Rota, Stefano
    Rubis, Nadia
    Liguori, Lucia
    Conti, Sara
    Tironi, Matteo
    Gamba, Sara
    Santarsiero, Donata
    Benigni, Ariela
    Remuzzi, Giuseppe
    Noris, Marina
    BLOOD ADVANCES, 2022, 6 (03) : 866 - 881
  • [7] Mechanism of activation and biased signaling in complement receptor C5aR1
    Feng, Yuying
    Zhao, Chang
    Deng, Yue
    Wang, Heli
    Ma, Liang
    Liu, Sicen
    Tian, Xiaowen
    Wang, Bo
    Bin, Yan
    Chen, Peipei
    Yan, Wei
    Fu, Ping
    Shao, Zhenhua
    CELL RESEARCH, 2023, 33 (04) : 312 - 324
  • [8] Association of COVID-19 inflammation with activation of the C5a-C5aR1 axis
    Carvelli, Julien
    Demaria, Olivier
    Vely, Frederic
    Batista, Luciana
    Benmansour, Nassima Chouaki
    Fares, Joanna
    Carpentier, Sabrina
    Thibult, Marie-Laure
    Morel, Ariane
    Remark, Romain
    Andre, Pascale
    Represa, Agnes
    Piperoglou, Christelle
    Cordier, Pierre Yves
    Le Dault, Erwan
    Guervilly, Christophe
    Simeone, Pierre
    Gainnier, Marc
    Morel, Yannis
    Ebbo, Mikael
    Schleinitz, Nicolas
    Vivier, Eric
    NATURE, 2020, 588 (7836) : 146 - +
  • [9] Transcriptional Insights of Oxidative Stress and Extracellular Traps in Lung Tissues of Fatal COVID-19 Cases
    Hosseini, Aref
    Stojkov, Darko
    Fettrelet, Timothee
    Bilyy, Rostyslav
    Yousefi, Shida
    Simon, Hans-Uwe
    INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2023, 24 (03)
  • [10] Insights into the Role of Neutrophils and Neutrophil Extracellular Traps in Causing Cardiovascular Complications in Patients with COVID-19: A Systematic Review
    Nappi, Francesco
    Bellomo, Francesca
    Singh, Sanjeet Singh Avtaar
    JOURNAL OF CLINICAL MEDICINE, 2022, 11 (09)