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  5. On the role of bacterial metalloproteases in COVID-19 associated cytokine storm
 
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On the role of bacterial metalloproteases in COVID-19 associated cytokine storm
File(s)
COVID-metalloprotease-hyp_CellCommSig-2021.pdf (905.52 KB)
Published version
Author(s)
Foldvari-Nagy, Laszlo
Schnabel, Tamas
Dornyei, Gabriella
Korcsmaros, Tamas
Lenti, Katalin
Type
Journal Article
Abstract
The cytokine release syndrome or cytokine storm, which is the hyper-induction of inflammatory responses has a central role in the mortality rate of COVID-19 and some other viral infections. Interleukin-6 (IL-6) is a key player in the development of cytokine storms. Shedding of interleukin-6 receptor (IL-6Rα) results in the accumulation of soluble interleukin-6 receptors (sIL-6R). Only relatively few cells express membrane-bound IL-6Rα. However, sIL-6R can act on potentially all cells and organs through the ubiquitously expressed gp130, the coreceptor of IL-6Rα. Through this, so-called trans-signaling, IL-6–sIL-6R is a powerful factor in the development of cytokine storms and multiorgan involvement. Some bacteria (e.g., Serratia marcescens, Staphylococcus aureus, Pseudomonas aeruginosa, Listeria monocytogenes), commonly considered to cause co-infections during viral pneumonia, can directly induce the shedding of membrane receptors, including IL-6Rα, or enhance endogenous shedding mechanisms causing the increase of sIL-6R level. Here we hypothesise that bacteria promoting shedding and increase the sIL-6R level can be an important contributing factor for the development of cytokine storms. Therefore, inhibition of IL-6Rα shedding by drastically reducing the number of relevant bacteria may be a critical element in reducing the chance of a cytokine storm. Validation of this hypothesis can support the consideration of the prophylactic use of antibiotics more widely and at an earlier stage of infection to decrease the mortality rate of COVID-19.
Date Issued
2021-01-13
Date Acceptance
2020-12-23
Citation
Cell Communication and Signaling, 2021, 19 (1), pp.1-7
URI
http://hdl.handle.net/10044/1/94350
URL
https://biosignaling.biomedcentral.com/articles/10.1186/s12964-020-00699-3
DOI
https://www.dx.doi.org/10.1186/s12964-020-00699-3
ISSN
1478-811X
Publisher
BioMed Central
Start Page
1
End Page
7
Journal / Book Title
Cell Communication and Signaling
Volume
19
Issue
1
Copyright Statement
© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which
permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the
original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or
other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line
to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory
regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this
licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco
mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
License URL
http://creativecommons.org/licenses/by/4.0/
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000607554700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Cell Biology
IL-6
Cytokine storm
Metalloprotease
Bacteria
COVID-19
SOLUBLE INTERLEUKIN-6 RECEPTOR
STAPHYLOCOCCUS-AUREUS
VIRUS-INFECTION
IL-6 PRODUCTION
ACTIVATION
EXPRESSION
MECHANISM
GENE
TOCILIZUMAB
INDUCTION
Publication Status
Published
Article Number
ARTN 7
Date Publish Online
2021-01-13
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