Identification of FasL as a crucial host factor driving COVID-19 pathology and lethality

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Marie Christine Albert
  • Iratxe Uranga-Murillo
  • Maykel Arias
  • Diego De Miguel
  • Natacha Peña
  • Antonella Montinaro
  • Ana Beatriz Varanda
  • Sebastian J. Theobald
  • Itziar Areso
  • Julia Saggau
  • Manuel Koch
  • Gianmaria Liccardi
  • Nieves Peltzer
  • Jan Rybniker
  • Ramón Hurtado-Guerrero
  • Pedro Merino
  • Marta Monzón
  • Juan J. Badiola
  • Roman Reindl-Schwaighofer
  • Rebeca Sanz-Pamplona
  • Og 8 flere
  • Alberto Cebollada-Solanas
  • Zsolt Megyesfalvi
  • Balazs Dome
  • Maria Secrier
  • Boris Hartmann
  • Michael Bergmann
  • Julián Pardo
  • Henning Walczak
The dysregulated immune response and inflammation resulting in severe COVID-19 are still incompletely understood. Having recently determined that aberrant death-ligand-induced cell death can cause lethal inflammation, we hypothesized that this process might also cause or contribute to inflammatory disease and lung failure following SARS-CoV-2 infection. To test this hypothesis, we developed a novel mouse-adapted SARS-CoV-2 model (MA20) that recapitulates key pathological features of COVID-19. Concomitantly with occurrence of cell death and inflammation, FasL expression was significantly increased on inflammatory monocytic macrophages and NK cells in the lungs of MA20-infected mice. Importantly, therapeutic FasL inhibition markedly increased survival of both, young and old MA20-infected mice coincident with substantially reduced cell death and inflammation in their lungs. Intriguingly, FasL was also increased in the bronchoalveolar lavage fluid of critically-ill COVID-19 patients. Together, these results identify FasL as a crucial host factor driving the immuno-pathology that underlies COVID-19 severity and lethality, and imply that patients with severe COVID-19 may significantly benefit from therapeutic inhibition of FasL.
OriginalsprogEngelsk
TidsskriftCell Death and Differentiation
ISSN1350-9047
DOI
StatusAccepteret/In press - 2024

Bibliografisk note

Publisher Copyright:
© The Author(s) 2024.

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