Mechanisms of Lung Injury Induced by SARS-CoV-2 Infection

Author:

Upadhya Samsara1,Rehman Jalees2,Malik Asrar B3,Chen Shuibing4

Affiliation:

1. Cornell University Medical College, New York, NY, United States

2. Section of Cardiology, University of Illinois at Chicago, Chicago, IL, United States

3. Department of Pharmacology and Regenerative Medicine, University of Illinois at Chicago, Chicago, Illinois, United States

4. Surgery and Biochemistry, Cornell University, New York, NY, United States

Abstract

The lung is the major target organ of SARS-CoV-2 infection, which causes COVID-19. Here, we outline the multi-step mechanisms of lung epithelial and endothelial injury induced by SARS-CoV-2: direct viral infection, chemokine/cytokine-mediated damage, and immune cell-mediated lung injury. Finally, we discuss the recent progress in terms of anti-viral therapeutics as well as the development of anti-inflammatory or immunomodulatory therapeutic approaches. This review also provides a systematic overview of the models for studying SARS-CoV-2 infection, and discusses how an understanding of mechanisms of lung injury will help identify potential targets for future drug development to mitigate lung injury.

Funder

HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases

HHS | NIH | National Heart, Lung, and Blood Institute

American Diabetes Association Research Foundation

Department of Surgery, Weill Cornell Medicine

Bill and Melinda Gates Foundation

Irma Hirschl Trust Research Award Scholar

Publisher

American Physiological Society

Subject

Physiology

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