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FABP4 as a therapeutic host target controlling SARS-CoV-2 infection

Baazim et al., EMBO Molecular Medicine, doi:10.1038/s44321-024-00188-x
Jan 2025  
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In Vitro and animal study showing that inhibiting Fatty Acid-Binding Protein 4 (FABP4) reduces SARS-CoV-2 infection, viral replication, and lung damage. Authors identified elevated FABP4 levels in COVID-19 patients that strongly correlated with disease severity. In infected cells, FABP4 was recruited to viral double-membrane vesicles (DMVs) of replication organelles. Both pharmacological inhibition (using BMS309403 or CRE-14) and genetic deletion of FABP4 disrupted DMV formation, reduced viral replication in adipocytes and bronchial epithelial cells, and decreased IL-6 production. Testing in human airway epithelium organoids showed that FABP4 inhibitors reduced viral titers and DMV size and number. In Syrian hamsters infected with SARS-CoV-2, FABP4 inhibitor treatment decreased lung viral titers, alleviated infection-associated weight loss, reduced lung damage, and decreased collagen deposition. The effects covered multiple SARS-CoV-2 variants (alpha, delta, omicron, Eris) and the common cold coronavirus OC43.
Baazim et al., 22 Jan 2025, peer-reviewed, 28 authors. Contact: aykut.ozkul@ankara.edu.tr, ghotamis@hsph.harvard.edu.
This PaperMiscellaneousAll
FABP4 as a therapeutic host target controlling SARS-CoV-2 infection
Hatoon Baazim, Emre Koyuncu, Gürol Tuncman, M Furkan Burak, Lea Merkel, Nadine Bahour, Ezgi Simay Karabulut, Grace Yankun Lee, Alireza Hanifehnezhad, Zehra Firat Karagoz, Katalin Földes, Ilayda Engin, Ayse Gokce Erman, Sidika Oztop, Nazlican Filazi, Buket Gul, Ahmet Ceylan, Ozge Ozgenc Cinar, Fusun Can, Hahn Kim, Ali Al-Hakeem, Hui Li, Fatih Semerci, Xihong Lin, Erkan Yilmaz, Onder Ergonul, Aykut Ozkul, Gökhan S Hotamisligil
EMBO Molecular Medicine, doi:10.1038/s44321-024-00188-x
Host metabolic fitness is a critical determinant of infectious disease outcomes. Obesity, aging, and other related metabolic disorders are recognized as high-risk disease modifiers for respiratory infections, including coronavirus infections, though the underlying mechanisms remain unknown. Our study highlights fatty acidbinding protein 4 (FABP4), a key regulator of metabolic dysfunction and inflammation, as a modulator of SARS-CoV-2 pathogenesis, correlating strongly with disease severity in COVID-19 patients. We demonstrate that loss of FABP4 function, by genetic or pharmacological means, reduces SARS-CoV-2 replication and disrupts the formation of viral replication organelles in adipocytes and airway epithelial cells. Importantly, FABP4 inhibitor treatment of infected hamsters diminished lung viral titers, alleviated lung damage and reduced collagen deposition. These findings highlight the therapeutic potential of targeting host metabolism in limiting coronavirus replication and mitigating the pathogenesis of infection.
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DOI record: { "DOI": "10.1038/s44321-024-00188-x", "ISSN": [ "1757-4684" ], "URL": "http://dx.doi.org/10.1038/s44321-024-00188-x", "abstract": "<jats:title>Abstract</jats:title>\n <jats:p>Host metabolic fitness is a critical determinant of infectious disease outcomes. Obesity, aging, and other related metabolic disorders are recognized as high-risk disease modifiers for respiratory infections, including coronavirus infections, though the underlying mechanisms remain unknown. Our study highlights fatty acid-binding protein 4 (FABP4), a key regulator of metabolic dysfunction and inflammation, as a modulator of SARS-CoV-2 pathogenesis, correlating strongly with disease severity in COVID-19 patients. We demonstrate that loss of FABP4 function, by genetic or pharmacological means, reduces SARS-CoV-2 replication and disrupts the formation of viral replication organelles in adipocytes and airway epithelial cells. Importantly, FABP4 inhibitor treatment of infected hamsters diminished lung viral titers, alleviated lung damage and reduced collagen deposition. These findings highlight the therapeutic potential of targeting host metabolism in limiting coronavirus replication and mitigating the pathogenesis of infection.</jats:p>", "alternative-id": [ "188" ], "assertion": [ { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "Received", "name": "received", "order": 1, "value": "9 May 2024" }, { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "Revised", "name": "revised", "order": 2, "value": "16 December 2024" }, { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "Accepted", "name": "accepted", "order": 3, "value": "17 December 2024" }, { "group": { "label": "Article History", "name": "ArticleHistory" }, "label": "First Online", "name": "first_online", "order": 4, "value": "22 January 2025" }, { "group": { "label": "Disclosure and competing interests statement", "name": "EthicsHeading" }, "name": "Ethics", "order": 1, "value": "Emre Koyuncu is co-founder, director, and officer of Crescenta Biosciences and holds equity at the company. Ali Al-Hakeem and Fatih Semerci are employees of Crescenta Biosciences. Hahn Kim is co-founder, director, and consultant of Crescenta Biosciences and holds equity at the company. Hahn Kim is an employee of Princeton University; All work of Hahn Kim included herein was performed as a consultant for Crescenta, independent of Princeton University. Hahn Kim, Emre Koyuncu and Gökhan S. Hotamisligil are inventors on patent application that includes CRE-14. Gökhan S. Hotamisligil is a scientific advisor, receives compensation and holds equity at Crescenta Biosciences. He is also a member of the journal’s advisory editorial board. This has no bearing on the editorial consideration of this article for publication. 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Cell Metab 34:1–2", "volume": "34", "year": "2022" } ], "reference-count": 65, "references-count": 65, "relation": {}, "resource": { "primary": { "URL": "https://www.embopress.org/doi/full/10.1038/s44321-024-00188-x" } }, "score": 1, "short-title": [], "source": "Crossref", "subject": [], "subtitle": [], "title": "FABP4 as a therapeutic host target controlling SARS-CoV-2 infection", "type": "journal-article", "update-policy": "https://doi.org/10.1007/springer_crossmark_policy", "volume": "17" }
Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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