RT info:eu-repo/semantics/article T1 The IRE1α-XBP1 arm of the unfolded protein response is a host factor activated in SARS-CoV-2 infection A1 Fernández, Jose Javier A1 Marín, Arturo A1 Rosales, Romel A1 Penrice-Randal, Rebekah A1 Mlcochova, Petra A1 Alvarez, Yolanda A1 Villalón-Letelier, Fernando A1 Yildiz, Soner A1 Pérez, Enrique A1 Rathnasinghe, Raveen A1 Cupic, Anastasija A1 Kehrer, Thomas A1 B Uccellini, Melissa A1 Alonso, Sara A1 Martínez, Fernando A1 Lynn McGovern, Briana A1 J Clark, Jordan A1 Sharma, Parul A1 Bayón Prieto, Yolanda A1 Alonso, Andrés A1 A Albrecht, Randy A1 M White, Kris A1 Schotsaert, Michael A1 Miorin, Lisa A1 P Stewart, James A1 A Hiscox, Julian A1 K Gupta, Ravindra A1 Irigoyen, Nerea A1 García-Sastre, Adolfo A1 Sánchez Crespo, Mariano A1 Fernández, Nieves K1 Biomedicina K1 COVID-19 Cytokines Fluvoxamine Pneumonia TLR Transcription factors Unfolded protein response Viral sepsis Variants of concern K1 24 Ciencias de la Vida AB SARS-CoV-2 infection can cause severe pneumonia, wherein exacerbated inflammation plays a major role. This is reminiscent of the process commonly termed cytokine storm, a condition dependent on a disproportionated production of cytokines. This state involves the activation of the innate immune response by viral patterns and coincides with the biosynthesis of the biomass required for viral replication, which may overwhelm the capacity of the endoplasmic reticulum and drive the unfolded protein response (UPR). The UPR is a signal transduction pathway composed of three branches that is initiated by a set of sensors: inositol-requiring protein 1 (IRE1), protein kinase RNA-like ER kinase (PERK), and activating transcription factor 6 (ATF6). These sensors control adaptive processes, including the transcriptional regulation of proinflammatory cytokines. Based on this background, the role of the UPR in SARS-CoV-2 replication and the ensuing inflammatory response was investigated using in vivo and in vitro models of infection. Mice and Syrian hamsters infected with SARS-CoV-2 showed a sole activation of the Ire1α-Xbp1 arm of the UPR associated with a robust production of proinflammatory cytokines. Human lung epithelial cells showed the dependence of viral replication on the expression of UPR-target proteins branching on the IRE1α-XBP1 arm and to a lower extent on the PERK route. Likewise, activation of the IRE1α-XBP1 branch by Spike (S) proteins from different variants of concern was a uniform finding. These results show that the IRE1α-XBP1 system enhances viral replication and cytokine expression and may represent a potential therapeutic target in SARS-CoV-2 severe pneumonia. PB Elsevier YR 2024 FD 2024 LK https://uvadoc.uva.es/handle/10324/73859 UL https://uvadoc.uva.es/handle/10324/73859 LA eng NO Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease Volume 1870, Issue 5, June 2024, 167193 NO Producción Científica DS UVaDOC RD 05-feb-2025