Therapeutic Targeting of Transcription Factors to Control the Cytokine Release Syndrome in COVID-19.

Therapeutic Targeting of Transcription Factors to Control the Cytokine Release Syndrome in COVID-19.
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DOI:
10.3389/fphar.2021.673485
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发表时间:
2021
影响因子:
5.6
通讯作者:
Fuxman Bass JI
Fuxman Bass JI
中科院分区:
医学2区
文献类型:
--
作者:
Santoso CS;Li Z;Rottenberg JT;Liu X;Shen VX;Fuxman Bass JI

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Treatment of the cytokine release syndrome (CRS) has become an important part of rescuing hospitalized COVID-19 patients. Here, we systematically explored the transcriptional regulators of inflammatory cytokines involved in the COVID-19 CRS to identify candidate transcription factors (TFs) for therapeutic targeting using approved drugs. We integrated a resource of TF-cytokine gene interactions with single-cell RNA-seq expression data from bronchoalveolar lavage fluid cells of COVID-19 patients. We found 581 significantly correlated interactions, between 95 TFs and 16 cytokines upregulated in the COVID-19 patients, that may contribute to pathogenesis of the disease. Among these, we identified 19 TFs that are targets of FDA approved drugs. We investigated the potential therapeutic effect of 10 drugs and 25 drugs combinations on inflammatory cytokine production, which revealed two drugs that inhibited cytokine production and numerous combinations that show synergistic efficacy in downregulating cytokine production. Further studies of these candidate repurposable drugs could lead to a therapeutic regimen to treat the CRS in COVID-19 patients.
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