Circulating extracellular vesicles from severe COVID-19 patients induce lung inflammation

作者：Huifeng Qian, Ruoxi Zang, Ruoyang Zhang, Guoping Zheng, Guanguan Qiu, Jianbiao Meng, Jiangmei Wang, Jie Xia, Ruoqiong Huang, Zhenkai Le, Qiang Shu, Jianguo Xu · 发表于：mSphere · 年份：2024 · DOI：10.1128/msphere.00764-24 · 被引用次数：12 · 研究领域：COVID-19 Clinical Research Studies、Extracellular vesicles in disease、Long-Term Effects of COVID-19

ABSTRACT Circulating extracellular vesicles (EVs) have been associated with the development of COVID-19 due to their roles in viral infection, inflammatory response, and thrombosis. However, the direct induction of lung inflammation by circulating EVs from severe COVID-19 patients remains unknown. EVs were extracted from the plasma of severe COVID-19 patients admitted to intensive care and healthy controls. To study the effect of COVID-19 EVs on lung inflammation, mice were intratracheally instilled with EVs. To examine the proinflammatory effects of EVs in vitro , bone marrow-derived macrophages were treated with EVs. COVID-19 but not control EVs triggered lung inflammation, as assessed by total protein level, total cell count, neutrophil count, and levels of proinflammatory cytokines in the bronchoalveolar lavage. COVID-19 EVs also promoted M1 polarization of alveolar macrophages in vivo . Treatment of bone marrow-derived macrophages with COVID-19 EVs enhanced the M1 phenotype and augmented the production of IL-1β, IL-6, and TNF-α. In summary, circulating EVs from severe COVID-19 patients induce lung inflammation in mice. EVs could become a potential therapeutic target for alleviating lung injury in COVID-19. IMPORTANCE Extracellular vesicles (EVs) have been reported to facilitate cytokine storm, coagulation, vascular dysfunction, and the spread of the virus in COVID-19. The direct role of circulating EVs from severe COVID-19 patients in lung injury remains unrecognized. Ou...