Given the rapid spread of SARS-CoV-2 and rising death toll of COVID-19 in the current
absence of effective treatments, it is imperative that therapeutics are developed and made
available to patients as quickly as possible. Publicly available COVID-19 patient data can be used
to identify host therapeutic targets, tailoring treatments to the disease signatures observed in
patients. In this study, we identify potential host therapeutic targets based on gene expression
alterations observed in COVID-19 patients. We analyzed RNAseq data from airway samples of
COVID-19 patients and healthy controls to detect significantly differentially expressed genes and
pathways that present potential therapeutic targets. Our analysis revealed expression changes in
key genes involved in activation of immune pathways, as well as genes targeted by SARS-CoV2 to interfere with normal host cell functioning. Critical changes were observed in a number of
genes, including EIF2AK2, which was shown to play important roles in activating the interferon
response and interfering with host cell translational machinery in SARS-CoV-2 infection,
presenting a prospective therapeutic target. We also identified drugs with potential to modulate
multiple therapeutic targets within the most significant pathways. Our results both validate key
genes, pathways, and drug candidates that have been reported by other studies and suggest
others that have not been well-characterized and warrant further investigation by future studies.
Further investigation of these therapeutic targets and their drug interactions may lead to effective
therapeutic strategies to combat the current COVID-19 pandemic and protect against future
outbreaks.<br>