Tissue factor links inflammation, thrombosis, and senescence in COVID-19.

Tissue factor links inflammation, thrombosis, and senescence in COVID-19.
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DOI:
10.1038/s41598-022-23950-y
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发表时间:
2022-11-18
期刊:
影响因子:
4.6
通讯作者:
--
中科院分区:
综合性期刊3区
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--
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COVID-19 是由 SARS-CoV-2 病毒引起的高度传染性呼吸道感染。受感染的肺上皮细胞会分泌一组趋化因子和细胞因子,引发有害的细胞因子风暴和过度血栓反应。最近的研究提出,病毒诱导的衰老是导致 COVID-19 患者细胞因子释放和炎症的原因。然而,尚不清楚细胞衰老是否通常在病毒感染后引发,以及这些患者中过度激活的炎症和血栓形成如何在功能上相互关联。为了解决这些问题,我们使用从人类患者研究、动物模型以及感染 SARS-CoV-2 和其他呼吸道病毒的细胞系中获得的单细胞和批量 RNA 测序数据集进行了基于生物信息学的荟萃分析。我们发现,大多数 SARS-CoV-2 感染患者的衰老表型显着上调,特别是在受感染的肺上皮细胞中。值得注意的是,组织因子(F3)(外源性凝血途径的关键启动子)的上调与衰老相关分泌表型(SASP)因子的上调同时发生。此外,F3 水平与 COVID-19 患者的衰老和高凝基因特征呈正相关。总之,这些数据证明了呼吸道病毒感染中衰老的普遍性,并表明 F3 是这些疾病状态中炎症、血栓形成和衰老之间的关键联系。
COVID-19 is a highly contagious respiratory infection caused by the SARS-CoV-2 virus. The infected lung epithelial cells secrete a group of chemokines and cytokines, which triggers harmful cytokine storms and hyper-thrombotic responses. Recent studies have proposed that viral-induced senescence is responsible for cytokine release and inflammation in COVID-19 patients. However, it is unknown whether cellular senescence is commonly triggered after viral infection and how inflammation and thrombosis, hyper-activated in these patients, are functionally connected. To address these questions, we conducted a bioinformatics-based meta-analysis using single-cell and bulk RNA sequencing datasets obtained from human patient studies, animal models, and cell lines infected with SARS-CoV-2 and other respiratory viruses. We found that the senescence phenotype is robustly upregulated in most SARS-CoV-2-infected patients, especially in the infected lung epithelial cells. Notably, the upregulation of Tissue factor (F3), a key initiator of the extrinsic blood coagulation pathway, occurs concurrently with the upregulation of the senescence-associated secretory phenotype (SASP) factors. Furthermore, F3 levels are positively correlated with the senescence and hyper-coagulation gene signatures in COVID-19 patients. Together, these data demonstrate the prevalence of senescence in respiratory viral infection and suggest F3 as a critical link between inflammation, thrombosis, and senescence in these disease states.
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