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SARS-CoV2-mediated suppression of NRF2-signaling reveals potent antiviral and anti-inflammatory activity of 4-octyl-itaconate and dimethyl fumarate.


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.

SUBMITTER: Olagnier D 

PROVIDER: S-EPMC7532469 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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SARS-CoV2-mediated suppression of NRF2-signaling reveals potent antiviral and anti-inflammatory activity of 4-octyl-itaconate and dimethyl fumarate.

Olagnier David D   Farahani Ensieh E   Thyrsted Jacob J   Blay-Cadanet Julia J   Herengt Angela A   Idorn Manja M   Hait Alon A   Hernaez Bruno B   Knudsen Alice A   Iversen Marie Beck MB   Schilling Mirjam M   Jørgensen Sofie E SE   Thomsen Michelle M   Reinert Line S LS   Lappe Michael M   Hoang Huy-Dung HD   Gilchrist Victoria H VH   Hansen Anne Louise AL   Ottosen Rasmus R   Nielsen Camilla G CG   Møller Charlotte C   van der Horst Demi D   Peri Suraj S   Balachandran Siddharth S   Huang Jinrong J   Jakobsen Martin M   Svenningsen Esben B EB   Poulsen Thomas B TB   Bartsch Lydia L   Thielke Anne L AL   Luo Yonglun Y   Alain Tommy T   Rehwinkel Jan J   Alcamí Antonio A   Hiscott John J   Mogensen Trine H TH   Paludan Søren R SR   Holm Christian K CK  

Nature communications 20201002 1


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  ...[more]

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