SARS-CoV-2 aberrantly elevates mitochondrial bioenergetics to induce robust virus propagation

SARS-CoV-2 aberrantly elevates mitochondrial bioenergetics to induce robust virus propagation

2024 | Hye Jin Shin, Wooseong Lee, Keun Bon Ku, Gun Young Yoon, Hyun-Woo Moon, Chonsaeng Kim, Mi-Hwa Kim, Yoon-Sun Yi, Sangmi Jun, Bum-Tae Kim, Jong-Won Oh, Aleem Siddiqui and Seong-Jun Kim
SARS-CoV-2 aberrantly elevates mitochondrial bioenergetics to induce robust virus propagation. SARS-CoV-2, a highly transmissible respiratory pathogen, causes severe multi-organ damage. This study reveals that SARS-CoV-2 increases mitochondrial transmembrane potential through the SARS-CoV-2 RNA-nucleocapsid cluster, leading to mitochondrial elongation and enhanced oxidative phosphorylation (OXPHOS), which boosts ATP production. SARS-CoV-2 also activates the EGFR-mediated cell survival signal cascade, promoting mitochondrial EGFR trafficking, which contributes to abnormal OXPHOS and viral propagation. Approved EGFR inhibitors, particularly vandetanib, significantly reduce SARS-CoV-2 propagation by inhibiting EGFR trafficking to mitochondria and restoring normal OXPHOS and ATP levels. Vandetanib treatment in SARS-CoV-2-infected hACE2 transgenic mice reduces viral load and lung inflammation. Vandetanib also exhibits potent antiviral activity against various SARS-CoV-2 variants, including alpha, beta, delta, and omicron. These findings suggest that EGFR is a promising host target for combating SARS-CoV-2. SARS-CoV-2-induced mitochondrial alterations and EGFR trafficking during early infection play a critical role in viral propagation, highlighting the potential of EGFR inhibitors as therapeutic agents for COVID-19.SARS-CoV-2 aberrantly elevates mitochondrial bioenergetics to induce robust virus propagation. SARS-CoV-2, a highly transmissible respiratory pathogen, causes severe multi-organ damage. This study reveals that SARS-CoV-2 increases mitochondrial transmembrane potential through the SARS-CoV-2 RNA-nucleocapsid cluster, leading to mitochondrial elongation and enhanced oxidative phosphorylation (OXPHOS), which boosts ATP production. SARS-CoV-2 also activates the EGFR-mediated cell survival signal cascade, promoting mitochondrial EGFR trafficking, which contributes to abnormal OXPHOS and viral propagation. Approved EGFR inhibitors, particularly vandetanib, significantly reduce SARS-CoV-2 propagation by inhibiting EGFR trafficking to mitochondria and restoring normal OXPHOS and ATP levels. Vandetanib treatment in SARS-CoV-2-infected hACE2 transgenic mice reduces viral load and lung inflammation. Vandetanib also exhibits potent antiviral activity against various SARS-CoV-2 variants, including alpha, beta, delta, and omicron. These findings suggest that EGFR is a promising host target for combating SARS-CoV-2. SARS-CoV-2-induced mitochondrial alterations and EGFR trafficking during early infection play a critical role in viral propagation, highlighting the potential of EGFR inhibitors as therapeutic agents for COVID-19.
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