한빛사논문
Hyelim Kima,b,1, Han Sol Leea,1, June Hong Ahnc,1, Kyung Soo Hongc, Jong Geol Jangc, Jiseon Ana, Yong-Hyeon Muna, So-Yeol Yooa, Yoon Jung Choia, Mi-Young Yund, Gyu Yong Songa,e, Jinmyoung Joof, Dong Hee Nag,*, Hong Nam Kimb,h,*, Hee Ho Parki,j,*, Jae-Young Leea,*, Wonhwa Leek,*
aCollege of Pharmacy, Chungnam National University, Daejeon 34134, Republic of Korea
bBrain Science Institute, Korea Institute of Science and Technology (KIST), Seoul 02792, Republic of Korea
cDivision of Pulmonology and Allergy, Department of Internal Medicine, College of Medicine, Yeungnam University and Regional Center for Respiratory Diseases, Yeungnam University Medical Center, Daegu 42415, Republic of Korea
dDepartment of Beauty Science, Kwangju Women’s University, Gwangju 62396, Republic of Korea
eAREZ Co. Ltd., Daejeon 34134, Republic of Korea
fDepartment of Biomedical Engineering, School of Life Sciences, Ulsan National Institute of Science and Technology (UNIST), Ulsan 44919, Republic of Korea
gCollege of Pharmacy, Chung-Ang University, Seoul 06974, Republic of Korea
hDivision of Bio-Medical Science and Technology, KIST School, Korea University of Science and Technology, Seoul 02792, Republic of Korea
iDepartment of Biotechnology and Bioengineering, Kangwon National University, Chuncheon, Gangwon-do 24341, Republic of Korea
jInterdisciplinary Program in Biohealth-Machinery Convergence Engineering, Kangwon National University, Chuncheon, Gangwon-do 24341, Republic of Korea
kAging Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon 34141, Republic of Korea
1These authors contributed equally: Hyelim Kim, Han Sol Lee, June Hong Ahn.
*Corresponding authors.
Abstract
In response to the coronavirus disease-19 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), global efforts are focused on the development of new therapeutic interventions. For the treatment of COVID-19, selective lung-localizing strategies hold tremendous potential, as SARS-CoV-2 invades the lung via ACE2 receptors and causes severe pneumonia. Similarly, recent reports have shown the association of COVID-19 with decreased 25-hydroxycholesterol (25-HC) and increased cytokine levels. This mechanism, which involves the activation of inflammatory NF-κB- and SREBP2-mediated inflammasome signaling pathways, is believed to play a crucial role in COVID-19 pathogenesis, inducing acute respiratory distress syndrome (ARDS) and sepsis. To resolve those clinical conditions observed in severe SARS-CoV-2 patients, we report 25-HC and didodecyldimethylammonium bromide (DDAB) nanovesicles (25-HC@DDAB) as a COVID-19 drug candidate for the restoration of intracellular cholesterol level and suppression of cytokine storm. Our data demonstrate that 25-HC@DDAB can selectively accumulate the lung tissues and effectively downregulate NF-κB and SREBP2 signaling pathways in COVID-19 patient-derived PBMCs, reducing inflammatory cytokine levels. Altogether, our findings suggest that 25-HC@DDAB is a promising candidate for the treatment of symptoms associated with severe COVID-19 patients, such as decreased cholesterol level and cytokine storm.
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