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Coronavirus disease 2019 (COVID‐19) update: From metabolic reprogramming to immunometabolism

Mohammad Rudiansyah, Saade Abdalkareem Jasim, Zeinab Gol Mohammad pour, Sara Sohrabi Athar, Ali Salimi Jeda, Rumi Iqbal Doewes, Abduladheem Turki Jalil, Dmitry Olegovich Bokov, Yasser Fakri Mustafa, Mina Noroozbeygi, Sajad Karampoor, Rasoul Mirzaei

2022Journal of Medical Virology45 citationsDOIOpen Access PDF

Abstract

The field of immunometabolism investigates and describes the effects of metabolic rewiring in immune cells throughout activation and the fates of these cells. Recently, it has been appreciated that immunometabolism plays an essential role in the progression of viral infections, cancer, and autoimmune diseases. Regarding COVID-19, the aberrant immune response underlying the progression of diseases establishes two major respiratory pathologies, including acute respiratory distress syndrome (ARDS) or pneumonia-induced acute lung injury (ALI). Both innate and adaptive immunity (T cell-based) were impaired in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Current findings have deciphered that macrophages (innate immune cells) are involved in the inflammatory response seen in COVID-19. It has been demonstrated that immune system cells can change metabolic reprogramming in some conditions, including autoimmune diseases, cancer, and infectious disease, including COVID-19. The growing findings on metabolic reprogramming in COVID-19 allow an exploration of metabolites with immunomodulatory properties as future therapies to combat this hyperinflammatory response. The elucidation of the exact role and mechanism underlying this metabolic reprograming in immune cells could help apply more precise approaches to initial diagnosis, prognosis, and in-hospital therapy. This report discusses the latest findings from COVID-19 on host metabolic reprogramming and immunometabolic responses.

Topics & Concepts

Immune systemImmunologyARDSInnate immune systemAcquired immune systemReprogrammingImmunityMedicineBiologyPneumoniaLungCellInternal medicineGeneticsCOVID-19 Clinical Research StudiesDiabetes and associated disordersRespiratory Support and Mechanisms
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