HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and Cons

The review analyzes the potential advantages and problems associated with using HIF prolyl hydroxylase inhibitors as a treatment for COVID-19. HIF prolyl hydroxylase inhibitors are known to boost endogenous erythropoietin (Epo) and activate erythropoiesis by stabilizing and activating the hypoxia in...

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Main Authors: Andrey A. Poloznikov, Stepan A. Nersisyan, Dmitry M. Hushpulian, Eliot H. Kazakov, Alexander G. Tonevitsky, Sergey V. Kazakov, Valery I. Vechorko, Sergey V. Nikulin, Julia A. Makarova, Irina G. Gazaryan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-01-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2020.621054/full
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author Andrey A. Poloznikov
Stepan A. Nersisyan
Dmitry M. Hushpulian
Dmitry M. Hushpulian
Eliot H. Kazakov
Alexander G. Tonevitsky
Sergey V. Kazakov
Valery I. Vechorko
Sergey V. Nikulin
Julia A. Makarova
Irina G. Gazaryan
Irina G. Gazaryan
Irina G. Gazaryan
Irina G. Gazaryan
author_facet Andrey A. Poloznikov
Stepan A. Nersisyan
Dmitry M. Hushpulian
Dmitry M. Hushpulian
Eliot H. Kazakov
Alexander G. Tonevitsky
Sergey V. Kazakov
Valery I. Vechorko
Sergey V. Nikulin
Julia A. Makarova
Irina G. Gazaryan
Irina G. Gazaryan
Irina G. Gazaryan
Irina G. Gazaryan
author_sort Andrey A. Poloznikov
collection DOAJ
description The review analyzes the potential advantages and problems associated with using HIF prolyl hydroxylase inhibitors as a treatment for COVID-19. HIF prolyl hydroxylase inhibitors are known to boost endogenous erythropoietin (Epo) and activate erythropoiesis by stabilizing and activating the hypoxia inducible factor (HIF). Recombinant Epo treatment has anti-inflammatory and healing properties, and thus, very likely, will be beneficial for moderate to severe cases of COVID-19. However, HIF PHD inhibition may have a significantly broader effect, in addition to stimulating the endogenous Epo production. The analysis of HIF target genes reveals that some HIF-targets, such as furin, could play a negative role with respect to viral entry. On the other hand, HIF prolyl hydroxylase inhibitors counteract ferroptosis, the process recently implicated in vessel damage during the later stages of COVID-19. Therefore, HIF prolyl hydroxylase inhibitors may serve as a promising treatment of COVID-19 complications, but they are unlikely to aid in the prevention of the initial stages of infection.
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spelling doaj.art-861906911e074ab98b8dd5ba057316b32022-12-21T23:07:53ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-01-011110.3389/fphar.2020.621054621054HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and ConsAndrey A. Poloznikov0Stepan A. Nersisyan1Dmitry M. Hushpulian2Dmitry M. Hushpulian3Eliot H. Kazakov4Alexander G. Tonevitsky5Sergey V. Kazakov6Valery I. Vechorko7Sergey V. Nikulin8Julia A. Makarova9Irina G. Gazaryan10Irina G. Gazaryan11Irina G. Gazaryan12Irina G. Gazaryan13Faculty of Biology and Biotechnology, HSE University, Moscow, RussiaFaculty of Biology and Biotechnology, HSE University, Moscow, RussiaP. A. Hertsen Moscow Oncology Research Center, Branch of the National Medical Research Radiological Center, Ministry of Health of the Russian Federation, Moscow, RussiaSchool of Biomedicine, Far Eastern Federal University, Vladivostok, RussiaDepartment of Anatomy and Cell Biology, New York Medical College, Valhalla, NY, United StatesFaculty of Biology and Biotechnology, HSE University, Moscow, RussiaDepartment of Chemistry and Physical Sciences, Dyson College of Arts and Sciences, Pace University, Pleasantville, NY, United StatesCity Clinical Hospital No 15 Named After O. M. Filatov, Moscow, RussiaFaculty of Biology and Biotechnology, HSE University, Moscow, RussiaFaculty of Biology and Biotechnology, HSE University, Moscow, RussiaP. A. Hertsen Moscow Oncology Research Center, Branch of the National Medical Research Radiological Center, Ministry of Health of the Russian Federation, Moscow, RussiaDepartment of Anatomy and Cell Biology, New York Medical College, Valhalla, NY, United StatesDepartment of Chemistry and Physical Sciences, Dyson College of Arts and Sciences, Pace University, Pleasantville, NY, United StatesChemical Enzymology Department, M. V. Lomonosov Moscow State University, Moscow, RussiaThe review analyzes the potential advantages and problems associated with using HIF prolyl hydroxylase inhibitors as a treatment for COVID-19. HIF prolyl hydroxylase inhibitors are known to boost endogenous erythropoietin (Epo) and activate erythropoiesis by stabilizing and activating the hypoxia inducible factor (HIF). Recombinant Epo treatment has anti-inflammatory and healing properties, and thus, very likely, will be beneficial for moderate to severe cases of COVID-19. However, HIF PHD inhibition may have a significantly broader effect, in addition to stimulating the endogenous Epo production. The analysis of HIF target genes reveals that some HIF-targets, such as furin, could play a negative role with respect to viral entry. On the other hand, HIF prolyl hydroxylase inhibitors counteract ferroptosis, the process recently implicated in vessel damage during the later stages of COVID-19. Therefore, HIF prolyl hydroxylase inhibitors may serve as a promising treatment of COVID-19 complications, but they are unlikely to aid in the prevention of the initial stages of infection.https://www.frontiersin.org/articles/10.3389/fphar.2020.621054/fullSARS-CoVhypoxia inducible factorroxadustatvadadustatadaptaquinneuradapt
spellingShingle Andrey A. Poloznikov
Stepan A. Nersisyan
Dmitry M. Hushpulian
Dmitry M. Hushpulian
Eliot H. Kazakov
Alexander G. Tonevitsky
Sergey V. Kazakov
Valery I. Vechorko
Sergey V. Nikulin
Julia A. Makarova
Irina G. Gazaryan
Irina G. Gazaryan
Irina G. Gazaryan
Irina G. Gazaryan
HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and Cons
Frontiers in Pharmacology
SARS-CoV
hypoxia inducible factor
roxadustat
vadadustat
adaptaquin
neuradapt
title HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and Cons
title_full HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and Cons
title_fullStr HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and Cons
title_full_unstemmed HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and Cons
title_short HIF Prolyl Hydroxylase Inhibitors for COVID-19 Treatment: Pros and Cons
title_sort hif prolyl hydroxylase inhibitors for covid 19 treatment pros and cons
topic SARS-CoV
hypoxia inducible factor
roxadustat
vadadustat
adaptaquin
neuradapt
url https://www.frontiersin.org/articles/10.3389/fphar.2020.621054/full
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