2021
DOI: 10.1038/s41423-021-00714-8
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Mucins produced by type II pneumocyte: culprits in SARS-CoV-2 pathogenesis

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Cited by 11 publications
(11 citation statements)
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“…A typical clinical symptom of SARS-CoV-2 infection is the dry cough, which hints that the virus initially invades the alveoli where abundant alveolar macrophages (AMs) readily respond to viral particles and the released interferons may stimulate the ACE2 upregulation and mucin production. 3 Previously, we found that classically activated M1 AMs have a more acidic endosomal pH than alternatively activated M2 AMs, leading to M2 AMs possessing the ability to degrade and limit SARS-CoV-2 spread. 1 This may explain a large number of infected people without symptom or just with mild symptom, considering human AMs are more like a M2 phenotype.…”
mentioning
confidence: 94%
“…A typical clinical symptom of SARS-CoV-2 infection is the dry cough, which hints that the virus initially invades the alveoli where abundant alveolar macrophages (AMs) readily respond to viral particles and the released interferons may stimulate the ACE2 upregulation and mucin production. 3 Previously, we found that classically activated M1 AMs have a more acidic endosomal pH than alternatively activated M2 AMs, leading to M2 AMs possessing the ability to degrade and limit SARS-CoV-2 spread. 1 This may explain a large number of infected people without symptom or just with mild symptom, considering human AMs are more like a M2 phenotype.…”
mentioning
confidence: 94%
“…It has also been described that, once SARS-CoV-2 invades the alveoli, it can be taken up by local alveolar macrophages, subsequently producing proinflammatory cytokines such as type I interferon, which act on neighboring type II alveolar pneumocytes by activating aryl hydrocarbon receptors (AhR), which consequently translocate to the nucleus promoting the production of mucus that accumulates in the alveoli. The accumulation of mucus causes a gradual decrease in O2 and CO2 exchange, which in turn leads to hypoxia [145].…”
Section: Cytopathic Effects On the Respiratory Systemmentioning
confidence: 99%
“…In COVID-19 disease initially (n=16) two types of mucins were extensively investigated, of which membrane-tethered MUC1 the gel-forming MUC5AC appeared at significantly elevated levels. Therefore, normal pathogenic clearance via mucin proteins could be disrupted, facilitating SARS-CoV-2 entry to allow viral persistence [35][36][37][38]. Importantly other researchers indicate in addition to ORF3a, other SAR-COV-2 proteins include E and ORF8a that can assemble to generate ion channels [39,40].…”
Section: Ii) Case Studiesmentioning
confidence: 99%