In Situ Endothelial SARS-CoV-2 Presence and PROS1 Plasma Levels Alteration in SARS-CoV-2-Associated Coagulopathies

BACKGROUND: Coagulation decompensation is one of the complications most frequently encountered in COVID-19 patients with a poor prognosis or long-COVID syndrome, possibly due to the persistence of SARS-CoV-2 infection in the cardiovascular system. To date, the mechanism underlying the alteration of the coagulation cascade in COVID-19 patients remains misunderstood and the anticoagulant protein S (PROS1) has been described as a potential risk factor for complications related to COVID-19, due to PLpro SARS-CoV-2 enzyme proteolysis.

METHODS: Biopsies and blood samples were collected from SARS-CoV-2 positive and negative swab test subjects with coagulopathies (peripheral arterial thrombosis), and SARS-CoV-2 presence, ACE2 and CD147 expression, and plasmatic levels of PROS1 were evaluated.

RESULTS: We reported a significant decrease of plasmatic PROS1 in the coagulopathic SARS-CoV-2 swab positive cohort, in association with SARS-CoV-2 in situ infection and CD147 peculiar expression. These data suggested that SARS-CoV-2 associated thrombotic/ischemic events might involve PROS1 cleavage by viral PLpro directly in the site of infection, leading to the loss of its anticoagulant function.

CONCLUSIONS: Based on this evidence, the identification of predisposing factors, such as CD147 increased expression, and the use of PLpro inhibitors to preserve PROS1 function, might be useful for COVID-19 coagulopathies management.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Life (Basel, Switzerland) - 14(2024), 2 vom: 08. Feb.

Sprache:

Englisch

Beteiligte Personen:

Baroni, Marcello [VerfasserIn]
Beltrami, Silvia [VerfasserIn]
Schiuma, Giovanna [VerfasserIn]
Ferraresi, Paolo [VerfasserIn]
Rizzo, Sabrina [VerfasserIn]
Passaro, Angelina [VerfasserIn]
Molina, Juana Maria Sanz [VerfasserIn]
Rizzo, Roberta [VerfasserIn]
Di Luca, Dario [VerfasserIn]
Bortolotti, Daria [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Coagulopathy
Journal Article
PLpro
PROS1
SARS-CoV-2

Anmerkungen:

Date Revised 27.02.2024

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/life14020237

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368887251