Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic Target

Severe COVID-19 is characterized by acute respiratory distress syndrome (ARDS)-like hyperinflammation and endothelial dysfunction, that can lead to respiratory and multi organ failure and death. Interstitial lung diseases (ILD) and pulmonary fibrosis confer an increased risk for severe disease, whil...

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Main Authors: Konstantinos Ntatsoulis, Theodoros Karampitsakos, Eliza Tsitoura, Elli-Anna Stylianaki, Alexios N. Matralis, Argyrios Tzouvelekis, Katerina Antoniou, Vassilis Aidinis
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.687397/full
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author Konstantinos Ntatsoulis
Theodoros Karampitsakos
Eliza Tsitoura
Elli-Anna Stylianaki
Alexios N. Matralis
Argyrios Tzouvelekis
Katerina Antoniou
Vassilis Aidinis
author_facet Konstantinos Ntatsoulis
Theodoros Karampitsakos
Eliza Tsitoura
Elli-Anna Stylianaki
Alexios N. Matralis
Argyrios Tzouvelekis
Katerina Antoniou
Vassilis Aidinis
author_sort Konstantinos Ntatsoulis
collection DOAJ
description Severe COVID-19 is characterized by acute respiratory distress syndrome (ARDS)-like hyperinflammation and endothelial dysfunction, that can lead to respiratory and multi organ failure and death. Interstitial lung diseases (ILD) and pulmonary fibrosis confer an increased risk for severe disease, while a subset of COVID-19-related ARDS surviving patients will develop a fibroproliferative response that can persist post hospitalization. Autotaxin (ATX) is a secreted lysophospholipase D, largely responsible for the extracellular production of lysophosphatidic acid (LPA), a pleiotropic signaling lysophospholipid with multiple effects in pulmonary and immune cells. In this review, we discuss the similarities of COVID-19, ARDS and ILDs, and suggest ATX as a possible pathologic link and a potential common therapeutic target.
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spelling doaj.art-8e5bc9975668472b992f6d15272418512022-12-21T18:35:16ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-10-011210.3389/fimmu.2021.687397687397Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic TargetKonstantinos Ntatsoulis0Theodoros Karampitsakos1Eliza Tsitoura2Elli-Anna Stylianaki3Alexios N. Matralis4Argyrios Tzouvelekis5Katerina Antoniou6Vassilis Aidinis7Institute of Bio-Innovation, Biomedical Sciences Research Center Alexander Fleming, Athens, GreeceDepartment of Respiratory Medicine, School of Medicine, University of Patras, Patras, GreeceLaboratory of Molecular & Cellular Pneumonology, Department of Respiratory Medicine, School of Medicine, University of Crete, Heraklion, GreeceInstitute of Bio-Innovation, Biomedical Sciences Research Center Alexander Fleming, Athens, GreeceInstitute of Bio-Innovation, Biomedical Sciences Research Center Alexander Fleming, Athens, GreeceDepartment of Respiratory Medicine, School of Medicine, University of Patras, Patras, GreeceLaboratory of Molecular & Cellular Pneumonology, Department of Respiratory Medicine, School of Medicine, University of Crete, Heraklion, GreeceInstitute of Bio-Innovation, Biomedical Sciences Research Center Alexander Fleming, Athens, GreeceSevere COVID-19 is characterized by acute respiratory distress syndrome (ARDS)-like hyperinflammation and endothelial dysfunction, that can lead to respiratory and multi organ failure and death. Interstitial lung diseases (ILD) and pulmonary fibrosis confer an increased risk for severe disease, while a subset of COVID-19-related ARDS surviving patients will develop a fibroproliferative response that can persist post hospitalization. Autotaxin (ATX) is a secreted lysophospholipase D, largely responsible for the extracellular production of lysophosphatidic acid (LPA), a pleiotropic signaling lysophospholipid with multiple effects in pulmonary and immune cells. In this review, we discuss the similarities of COVID-19, ARDS and ILDs, and suggest ATX as a possible pathologic link and a potential common therapeutic target.https://www.frontiersin.org/articles/10.3389/fimmu.2021.687397/fullCOVID-19ARDSpulmonary fibrosisAutotaxinlysophosphatidic acid
spellingShingle Konstantinos Ntatsoulis
Theodoros Karampitsakos
Eliza Tsitoura
Elli-Anna Stylianaki
Alexios N. Matralis
Argyrios Tzouvelekis
Katerina Antoniou
Vassilis Aidinis
Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic Target
Frontiers in Immunology
COVID-19
ARDS
pulmonary fibrosis
Autotaxin
lysophosphatidic acid
title Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic Target
title_full Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic Target
title_fullStr Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic Target
title_full_unstemmed Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic Target
title_short Commonalities Between ARDS, Pulmonary Fibrosis and COVID-19: The Potential of Autotaxin as a Therapeutic Target
title_sort commonalities between ards pulmonary fibrosis and covid 19 the potential of autotaxin as a therapeutic target
topic COVID-19
ARDS
pulmonary fibrosis
Autotaxin
lysophosphatidic acid
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.687397/full
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