Hydroxychloroquine Inhibits the Trained Innate Immune Response to Interferons.

Hydroxychloroquine Inhibits the Trained Innate Immune Response to Interferons.
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DOI:
10.1016/j.xcrm.2020.100146
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发表时间:
2020-12-22
期刊:
Cell reports. Medicine
影响因子:
--
通讯作者:
Duivenvoorden R
Duivenvoorden R
中科院分区:
其他
文献类型:
--
作者:
Rother N;Yanginlar C;Lindeboom RGH;Bekkering S;van Leent MMT;Buijsers B;Jonkman I;de Graaf M;Baltissen M;Lamers LA;Riksen NP;Fayad ZA;Mulder WJM;Hilbrands LB;Joosten LAB;Netea MG;Vermeulen M;van der Vlag J;Duivenvoorden R

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Hydroxychloroquine is being investigated for a potential prophylactic effect in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, but its mechanism of action is poorly understood. Circulating leukocytes from the blood of coronavirus disease 2019 (COVID-19) patients show increased responses to Toll-like receptor ligands, suggestive of trained immunity. By analyzing interferon responses of peripheral blood mononuclear cells from healthy donors conditioned with heat-killed Candida, trained innate immunity can be modeled in vitro. In this model, hydroxychloroquine inhibits the responsiveness of these innate immune cells to virus-like stimuli and interferons. This is associated with a suppression of histone 3 lysine 27 acetylation and histone 3 lysine 4 trimethylation of inflammation-related genes, changes in the cellular lipidome, and decreased expression of interferon-stimulated genes. Our findings indicate that hydroxychloroquine inhibits trained immunity in vitro, which may not be beneficial for the antiviral innate immune response to SARS-CoV-2 infection in patients. PBMCs of COVID-19 patients show increased responses to Toll-like receptor ligands Trained immunity is modeled in vitro using Candida-trained PBMCs Hydroxychloroquine inhibits changes in lipidome and histone modifications Hydroxychloroquine dampens the trained response to interferons and viral stimuli Peripheral blood mononuclear cells (PBMCs) of COVID-19 patients show increased responses to Toll-like receptor ligands, suggestive of innate immune reprogramming. Rother et al. show that hydroxychloroquine inhibits the interferon response of Candida-trained PBMCs from healthy donors in vitro and blocks associated changes in lipidome and histone modifications.
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