1. Impaired immune response mediated by prostaglandin E2 promotes severe COVID-19 disease
- Author
-
Ricke-Hoch, M, Stelling, E, Lasswitz, L, Gunesch, A, Kasten, M, Zapatero-Belinchón, F, Brogden, G, Gerold, G, Battmer, K, Pietschmann, T, Montiel, V, Balligand, J, Facciotti, F, Hirsch, E, Elbahesh, H, Rimmelzwaan, G, Hoefer, A, Kühnel, M, Jonigk, D, Eigendorf, J, Tegtbur, U, Mink, L, Scherr, M, Illig, T, Schambach, A, Pfeffer, T, Andrée, B, Hilfiker, A, Haverich, A, Hilfiker-Kleiner, D, Ricke-Hoch, Melanie, Stelling, Elisabeth, Lasswitz, Lisa, Gunesch, Antonia-Patricia, Kasten, Martina, Zapatero-Belinchón, Francisco J., Brogden, Graham, Gerold, Gisa, Battmer, Karin, Pietschmann, Thomas, Montiel, Virginie, Balligand, Jean-Luc, Facciotti, Federica, Hirsch, Emilio, Elbahesh, Husni, Rimmelzwaan, Guus, Hoefer, Anne, Kühnel, Mark, Jonigk, Danny, Eigendorf, Julian, Tegtbur, Uwe, Mink, Lena, Scherr, Michaela, Illig, Thomas, Schambach, Axel, Pfeffer, Tobias, Andrée, Birgit, Hilfiker, Andres, Haverich, Axel, Hilfiker-Kleiner, Denise, Ricke-Hoch, M, Stelling, E, Lasswitz, L, Gunesch, A, Kasten, M, Zapatero-Belinchón, F, Brogden, G, Gerold, G, Battmer, K, Pietschmann, T, Montiel, V, Balligand, J, Facciotti, F, Hirsch, E, Elbahesh, H, Rimmelzwaan, G, Hoefer, A, Kühnel, M, Jonigk, D, Eigendorf, J, Tegtbur, U, Mink, L, Scherr, M, Illig, T, Schambach, A, Pfeffer, T, Andrée, B, Hilfiker, A, Haverich, A, Hilfiker-Kleiner, D, Ricke-Hoch, Melanie, Stelling, Elisabeth, Lasswitz, Lisa, Gunesch, Antonia-Patricia, Kasten, Martina, Zapatero-Belinchón, Francisco J., Brogden, Graham, Gerold, Gisa, Battmer, Karin, Pietschmann, Thomas, Montiel, Virginie, Balligand, Jean-Luc, Facciotti, Federica, Hirsch, Emilio, Elbahesh, Husni, Rimmelzwaan, Guus, Hoefer, Anne, Kühnel, Mark, Jonigk, Danny, Eigendorf, Julian, Tegtbur, Uwe, Mink, Lena, Scherr, Michaela, Illig, Thomas, Schambach, Axel, Pfeffer, Tobias, Andrée, Birgit, Hilfiker, Andres, Haverich, Axel, and Hilfiker-Kleiner, Denise
- Abstract
The SARS-CoV-2 coronavirus has led to a pandemic with millions of people affected. The present study finds that risk-factors for severe COVID-19 disease courses, i.e. male sex, older age and sedentary life style are associated with higher prostaglandin E2 (PGE2) serum levels in blood samples from unaffected subjects. In COVID-19 patients, PGE2 blood levels are markedly elevated and correlate positively with disease severity. SARS-CoV-2 induces PGE2 generation and secretion in infected lung epithelial cells by upregulating cyclo-oxygenase (COX)-2 and reducing the PG-degrading enzyme 15-hydroxyprostaglandin-dehydrogenase. Also living human precision cut lung slices (PCLS) infected with SARS-CoV-2 display upregulated COX-2. Regular exercise in aged individuals lowers PGE2 serum levels, which leads to increased Paired-Box-Protein-Pax-5 (PAX5) expression, a master regulator of B-cell survival, proliferation and differentiation also towards long lived memory B-cells, in human pre-B-cell lines. Moreover, PGE2 levels in serum of COVID-19 patients lowers the expression of PAX5 in human pre-B-cell lines. The PGE2 inhibitor Taxifolin reduces SARS-CoV-2-induced PGE2 production. In conclusion, SARS-CoV-2, male sex, old age, and sedentary life style increase PGE2 levels, which may reduce the early anti-viral defense as well as the development of immunity promoting severe disease courses and multiple infections. Regular exercise and Taxifolin treatment may reduce these risks and prevent severe disease courses.
- Published
- 2021