Inhibition of the Lectin Pathway of Complement Activation Reduces Acute Respiratory Distress Syndrome Severity in a Mouse Model of SARS-CoV-2 Infection

© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America..

Most patients with COVID-19 in the intensive care unit develop an acute respiratory distress syndrome characterized by severe hypoxemia, decreased lung compliance, and high vascular permeability. Activation of the complement system is a hallmark of moderate and severe COVID-19, with abundant deposition of complement proteins in inflamed tissue and on the endothelium during COVID-19. Using a transgenic mouse model of SARS-CoV-2 infection, we assessed the therapeutic utility of an inhibitory antibody (HG4) targeting MASP-2, a key enzyme in the lectin pathway. Treatment of infected mice with HG4 reduced the disease severity score and improved survival vs mice that received an isotype control antibody. Administration of HG4 significantly reduced the lung injury score, including alveolar inflammatory cell infiltration, alveolar edema, and alveolar hemorrhage. The ameliorating effect of MASP-2 inhibition on the severity of COVID-19 pathology is reflected by a significant reduction in the proinflammatory activation of brain microglia in HG4-treated mice.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:229

Enthalten in:

The Journal of infectious diseases - 229(2024), 3 vom: 14. März, Seite 680-690

Sprache:

Englisch

Beteiligte Personen:

Ali, Youssif M [VerfasserIn]
Carnell, George W [VerfasserIn]
Fumagalli, Stefano [VerfasserIn]
Mercurio, Domenico [VerfasserIn]
Seminara, Serena [VerfasserIn]
Lynch, Nicholas J [VerfasserIn]
Khatri, Priyanka [VerfasserIn]
Arachchilage, Chanuka H [VerfasserIn]
Mascheroni, Luca [VerfasserIn]
Kaminski, Clemens [VerfasserIn]
George, Charlotte L [VerfasserIn]
Stewart, Hazel [VerfasserIn]
Yabuki, Munehisa [VerfasserIn]
Demopulos, Gregory [VerfasserIn]
Heeney, Jonathan L [VerfasserIn]
Schwaeble, Wilhelm [VerfasserIn]

Links:

Volltext

Themen:

9007-36-7
ARDS
COVID-19
Complement System Proteins
Complement system
EC 3.4.21.-
Journal Article
Lectin pathway
Mannose-Binding Protein-Associated Serine Proteases
SARS-CoV-2

Anmerkungen:

Date Completed 15.03.2024

Date Revised 16.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/infdis/jiad462

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363709681