[HTML][HTML] Mucus production stimulated by IFN-AhR signaling triggers hypoxia of COVID-19

Y Liu, J Lv, J Liu, M Li, J Xie, Q Lv, W Deng, N Zhou… - Cell Research, 2020 - nature.com
Y Liu, J Lv, J Liu, M Li, J Xie, Q Lv, W Deng, N Zhou, Y Zhou, J Song, P Wang, C Qin
Cell Research, 2020nature.com
Silent hypoxia has emerged as a unique feature of coronavirus disease 2019 (COVID-19). In
this study, we show that mucins are accumulated in the bronchoalveolar lavage fluid (BALF)
of COVID-19 patients and are upregulated in the lungs of severe respiratory syndrome
coronavirus 2 (SARS-CoV-2)-infected mice and macaques. We find that induction of either
interferon (IFN)-β or IFN-γ upon SARS-CoV-2 infection results in activation of aryl
hydrocarbon receptor (AhR) signaling through an IDO-Kyn-dependent pathway, leading to …
Abstract
Silent hypoxia has emerged as a unique feature of coronavirus disease 2019 (COVID-19). In this study, we show that mucins are accumulated in the bronchoalveolar lavage fluid (BALF) of COVID-19 patients and are upregulated in the lungs of severe respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected mice and macaques. We find that induction of either interferon (IFN)-β or IFN-γ upon SARS-CoV-2 infection results in activation of aryl hydrocarbon receptor (AhR) signaling through an IDO-Kyn-dependent pathway, leading to transcriptional upregulation of the expression of mucins, both the secreted and membrane-bound, in alveolar epithelial cells. Consequently, accumulated alveolar mucus affects the blood-gas barrier, thus inducing hypoxia and diminishing lung capacity, which can be reversed by blocking AhR activity. These findings potentially explain the silent hypoxia formation in COVID-19 patients, and suggest a possible intervention strategy by targeting the AhR pathway.
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