Probable Mechanisms of COVID-19 Pathogenesis

This review paper focuses on the search for innovative directions in the study of COVID­19 viral infection with the purpose of improving the methods of its treatment and vaccination. Thus far, comprehensive data have been obtained on the ability of nonretroviral RNA viruses, including those replicat...

Full description

Bibliographic Details
Main Authors: R. N. Mustafin, E. K. Khusnutdinova
Format: Article
Language:English
Published: Bashkir State Medical University 2020-12-01
Series:Креативная хирургия и онкология
Subjects:
Online Access:https://www.surgonco.ru/jour/article/view/534
_version_ 1797872383530369024
author R. N. Mustafin
E. K. Khusnutdinova
author_facet R. N. Mustafin
E. K. Khusnutdinova
author_sort R. N. Mustafin
collection DOAJ
description This review paper focuses on the search for innovative directions in the study of COVID­19 viral infection with the purpose of improving the methods of its treatment and vaccination. Thus far, comprehensive data have been obtained on the ability of nonretroviral RNA viruses, including those replicated in the cytoplasm, to integrate fragments of their genomes into the host DNA. This mechanism provided by the reverse  transcriptase and integrase of endogenous retroelements leads to the persistence of nonretroviral RNA viruses  through the expression of viral proteins by the host genome, which may serve as a prerequisite for the survival of such viruses. DNA integration events play a role in the development of both the immunological response and protective antiviral responses through the RNA interference system. These mechanisms may depend on the phylogenetically ancient fossils of nonretroviral RNA sequences in animal genomes. The discovery of SARS-CoV-2 fragments in COVID­19 recovered patients suggests that the pathogenesis of this disease may be associated with the integration of SARS-CoV-2 genome fragments in the human genome by means of proteins of endogenous retroviral elements. This assumption can be confirmed by the data about the development in older patients of predominantly severe forms of COVID­19 with “hyperactive” immune reactions, which normally weaken with ageing. This may be attributed to age­related abnormal activation of  retrocells, which contribute to reverse transcription and integration of exogenous viruses. This assumption is supported by the presence of coronavirus components in the nuclei of infected cells and the change in the expression of LINE­1 in the lung tissue cells of SARS patients. Due to the probable role of retrocells in the COVID­19 pathogenesis, LINE­1 reverse transcriptase inhibitors and targeted therapy using microRNAs may be offered as promising treatments for COVID­19.
first_indexed 2024-04-10T00:59:01Z
format Article
id doaj.art-e5672dc63963423b97eb19131434f6ac
institution Directory Open Access Journal
issn 2307-0501
2076-3093
language English
last_indexed 2024-04-10T00:59:01Z
publishDate 2020-12-01
publisher Bashkir State Medical University
record_format Article
series Креативная хирургия и онкология
spelling doaj.art-e5672dc63963423b97eb19131434f6ac2023-03-13T10:01:09ZengBashkir State Medical UniversityКреативная хирургия и онкология2307-05012076-30932020-12-0110430231010.24060/2076-3093-2020-10-4-302-310405Probable Mechanisms of COVID-19 PathogenesisR. N. Mustafin0E. K. Khusnutdinova1Башкирский государственный медицинский университетИнститут биохимии и генетики Уфимского федерального исследовательского центра РАНThis review paper focuses on the search for innovative directions in the study of COVID­19 viral infection with the purpose of improving the methods of its treatment and vaccination. Thus far, comprehensive data have been obtained on the ability of nonretroviral RNA viruses, including those replicated in the cytoplasm, to integrate fragments of their genomes into the host DNA. This mechanism provided by the reverse  transcriptase and integrase of endogenous retroelements leads to the persistence of nonretroviral RNA viruses  through the expression of viral proteins by the host genome, which may serve as a prerequisite for the survival of such viruses. DNA integration events play a role in the development of both the immunological response and protective antiviral responses through the RNA interference system. These mechanisms may depend on the phylogenetically ancient fossils of nonretroviral RNA sequences in animal genomes. The discovery of SARS-CoV-2 fragments in COVID­19 recovered patients suggests that the pathogenesis of this disease may be associated with the integration of SARS-CoV-2 genome fragments in the human genome by means of proteins of endogenous retroviral elements. This assumption can be confirmed by the data about the development in older patients of predominantly severe forms of COVID­19 with “hyperactive” immune reactions, which normally weaken with ageing. This may be attributed to age­related abnormal activation of  retrocells, which contribute to reverse transcription and integration of exogenous viruses. This assumption is supported by the presence of coronavirus components in the nuclei of infected cells and the change in the expression of LINE­1 in the lung tissue cells of SARS patients. Due to the probable role of retrocells in the COVID­19 pathogenesis, LINE­1 reverse transcriptase inhibitors and targeted therapy using microRNAs may be offered as promising treatments for COVID­19.https://www.surgonco.ru/jour/article/view/534встройкакоронавирусобратная транскриптазаретроэлементыsars­cov­2covid­19регуляция генной экспрессиигенетическая рекомбинациярнк вирусымикро­рнктаргетная терапия
spellingShingle R. N. Mustafin
E. K. Khusnutdinova
Probable Mechanisms of COVID-19 Pathogenesis
Креативная хирургия и онкология
встройка
коронавирус
обратная транскриптаза
ретроэлементы
sars­cov­2
covid­19
регуляция генной экспрессии
генетическая рекомбинация
рнк вирусы
микро­рнк
таргетная терапия
title Probable Mechanisms of COVID-19 Pathogenesis
title_full Probable Mechanisms of COVID-19 Pathogenesis
title_fullStr Probable Mechanisms of COVID-19 Pathogenesis
title_full_unstemmed Probable Mechanisms of COVID-19 Pathogenesis
title_short Probable Mechanisms of COVID-19 Pathogenesis
title_sort probable mechanisms of covid 19 pathogenesis
topic встройка
коронавирус
обратная транскриптаза
ретроэлементы
sars­cov­2
covid­19
регуляция генной экспрессии
генетическая рекомбинация
рнк вирусы
микро­рнк
таргетная терапия
url https://www.surgonco.ru/jour/article/view/534
work_keys_str_mv AT rnmustafin probablemechanismsofcovid19pathogenesis
AT ekkhusnutdinova probablemechanismsofcovid19pathogenesis