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Body temperature variation controls pre-mRNA processing and transcription of antiviral genes and SARS-CoV-2 replication

Los et al., Nucleic Acids Research, doi:10.1093/nar/gkac513
Jun 2022  
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45th treatment shown to reduce risk in December 2023, now with p = 0.026 from 4 studies.
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5,100+ studies for 112 treatments. c19early.org
In Vitro and hamster study showing that higher temperature reduces SARS-CoV-2 replication. Authors show a 1.5°C increase in temperature (from 36.5 to 38°C) enhanced the expression of antiviral genes. Elevated temperatures were found to reduce SARS-CoV-2 replication in cell cultures of Calu-3 and Caco-2 cells. An in vivo hamster model indicated that higher body temperature at the time of infection correlated with lower viral loads.
2 preclinical studies support the efficacy of thermotherapy for COVID-19:
Study covers thermotherapy, acetaminophen, ibuprofen, and indomethacin.
Los et al., 17 Jun 2022, peer-reviewed, 12 authors. Contact: florian.heyd@fu-berlin.de.
This PaperThermotherapyAll
Body temperature variation controls pre-mRNA processing and transcription of antiviral genes and SARS-CoV-2 replication
Bruna Los, Marco Preußner, Kathrin Eschke, Ricardo Martin Vidal, Azza Abdelgawad, Didrik Olofsson, Sandra Keiper, Margarida Paulo-Pedro, Alica Grindel, Stefan Meinke, Jakob Trimpert, Florian Heyd
Nucleic Acids Research, doi:10.1093/nar/gkac513
Antiviral innate immunity represents the first defense against invading viruses and is key to control viral infections, including SARS-CoV-2. Body temperature is an omnipresent variable but was neglected when addressing host defense mechanisms and susceptibility to SARS-CoV-2 infection. Here, we show that increasing temperature in a 1.5 • C window, between 36.5 and 38 • C, strongly increases the expression of genes in two branches of antiviral immunity, nitric oxide production and type I interferon response. We show that alternative splicing coupled to nonsense-mediated decay decreases STAT2 expression in colder conditions and suggest that increased STAT2 expression at elevated temperature induces the expression of diverse antiviral genes and SARS-CoV-2 restriction factors. This cascade is activated in a remarkably narrow temperature range below febrile temperature, which reflects individual, circadian and age-dependent variation. We suggest that decreased body temperature with aging contributes to reduced expression of antiviral genes in older individuals. Using cell culture and in vivo models, we show that higher body temperature correlates with reduced SARS-CoV-2 replication, which may affect the different vulnerability of children versus seniors toward severe SARS-CoV-2 infection. Altogether, our data connect body temperature and pre-mRNA processing to provide new mechanistic insight into the regulation of antiviral innate immunity.
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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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