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Abstract Antiviral strategies to inhibit Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) and the pathogenic consequences of COVID-19 are urgently required. Here, we demonstrate that the NRF2 antioxidant gene expression pathway is suppressed in biopsies obtained from COVID-19 patients. Further, we uncover that NRF2 agonists 4-octyl-itaconate (4-OI) and the clinically approved dimethyl fumarate (DMF) induce a cellular antiviral program that potently inhibits replication of SARS-CoV2 across cell lines. The inhibitory effect of 4-OI and DMF extends to the replication of several other pathogenic viruses including Herpes Simplex Virus-1 and-2, Vaccinia virus, and Zika virus through a type I interferon (IFN)-independent mechanism. In addition, 4-OI and DMF limit host inflammatory responses to SARS-CoV2 infection associated with airway COVID-19 pathology. In conclusion, NRF2 agonists 4-OI and DMF induce a distinct IFN-independent antiviral program that is broadly effective in limiting virus replication and in suppressing the pro-inflammatory responses of human pathogenic viruses, including SARS-CoV2.
Adult, Male, DEFENSE, NF-E2-Related Factor 2, Science, Dimethyl Fumarate, 4-octyl-itaconate, Immunology, Pneumonia, Viral, Anti-Inflammatory Agents, General Physics and Astronomy, Gene Expression, SARS-COV-2, SOFTWARE, Microbiology, Antiviral Agents, General Biochemistry, Genetics and Molecular Biology, Article, Antioxidants, NRF2, ACTIVATION, Betacoronavirus, Síndrome respiratorio agudo grave, NRF2- signaling, Humans, Lung, Pandemics, SARS-CoV-2, INDUCTION, Q, COVID-19, General Chemistry, Coronavirus, INTERFERON REGULATORY FACTOR-3, Gene Knockdown Techniques, SARS-CoV2, Interferon Type I, Female, Coronavirus Infections, Signal Transduction
Adult, Male, DEFENSE, NF-E2-Related Factor 2, Science, Dimethyl Fumarate, 4-octyl-itaconate, Immunology, Pneumonia, Viral, Anti-Inflammatory Agents, General Physics and Astronomy, Gene Expression, SARS-COV-2, SOFTWARE, Microbiology, Antiviral Agents, General Biochemistry, Genetics and Molecular Biology, Article, Antioxidants, NRF2, ACTIVATION, Betacoronavirus, Síndrome respiratorio agudo grave, NRF2- signaling, Humans, Lung, Pandemics, SARS-CoV-2, INDUCTION, Q, COVID-19, General Chemistry, Coronavirus, INTERFERON REGULATORY FACTOR-3, Gene Knockdown Techniques, SARS-CoV2, Interferon Type I, Female, Coronavirus Infections, Signal Transduction
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| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 1% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 0.1% |
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