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Innate immunity, therapeutic targets and monoclonal antibodies in SARS-CoV-2 infection

Nazir et al., PeerJ, doi:10.7717/peerj.19462, Jun 2025
https://c19early.org/nazir2.html
Comprehensive review of innate immunity, therapeutic targets, and monoclonal antibodies in SARS-CoV-2 infection, discussing multiple pathways and potential intervention strategies. Authors examine how SARS-CoV-2 triggers innate immune responses through pattern recognition receptors, activation of interferons, and cytokine production, while also evolving mechanisms to evade these defenses; highlight the cGAS-STING pathway as a promising therapeutic target and review various monoclonal antibodies that target components of the innate immune system; and detail how SARS-CoV-2 proteins interact with immune signaling pathways, discussing how targeting these interactions could lead to novel treatments.
Nazir et al., 20 Jun 2025, peer-reviewed, 10 authors. Contact: graza@kfu.edu.sa, wajihulbiotech@gmail.com.
Innate immunity, therapeutic targets and monoclonal antibodies in SARS-CoV-2 infection
Mubashir Nazir, Ishfaq Rashid Mir, Shabir Ahmad Lone, Ghazala Muteeb, Ragib Alam, Anis Bashir Fomda, Nida Khan, Asim Azhar, Bashir Ahmad Fomda, Wajihul Hasan Khan
PeerJ, doi:10.7717/peerj.19462
COVID-19 (coronavirus disease 2019), caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), stands as one of the most severe pandemics the world has ever faced in recent times. SARS-CoV-2 infection exhibits a wide range of symptoms, varying from severe manifestations to mild cases and even asymptomatic carriers. This diversity stems from a multitude of factors, including genetic predisposition, viral variants, and immune status. During SARS-CoV-2 infection, the immune system engages pattern recognition receptors, setting off a series of intricate signalling cascades. These cascades culminate in the activation of innate immune responses, including induction of type I and type III interferons. The emerging variants of SARS-CoV-2 pose challenges to the innate immune system defense. Therefore, investigating the innate immune response is crucial for effectively combating SARS-CoV-2 and its variants. The cyclic guanosine monophosphate-adenosine monophoshate synthase-stimulator of interferon genes (cGAS-STING) pathway, a critical innate immune mechanism, represents a promising target for intervention at multiple stages to reduce the severity and progression of SARS-CoV-2 infection. This review explores innate immunity in SARS-CoV-2 infection and other immune responses critical for SARS-CoV-2 defence. As part of the therapeutic approach, we extend our review to highlight monoclonal antibodies (mAbs) as emerging and effective therapeutics for controlling SARS-CoV-2 by targeting different stages of the innate immune system. A diverse range of mAbs has been explored to address specific targets within the innate immune pathways. A deep understanding of innate immunity and targeted monoclonal therapeutics will be instrumental in combating viruses and their variants, laying the foundation for enhanced treatment and therapeutic strategies.
ADDITIONAL INFORMATION AND DECLARATIONS Grant Disclosures The following grant information was disclosed by the authors: Deanship of Scientific Research, Vice Presidency for Graduate Studies and Scientific Research, King Faisal University, Saudi Arabia: No. KFU251646. Competing Interests The authors declare there are no competing interests. Author Contributions • Mubashir Nazir conceived and designed the experiments, performed the experiments, analyzed the data, prepared figures and/or tables, authored or reviewed drafts of the article, and approved the final draft. • Ishfaq Rashid Mir conceived and designed the experiments, performed the experiments, analyzed the data, prepared figures and/or tables, authored or reviewed drafts of the article, and approved the final draft. • Shabir Ahmad Lone performed the experiments, analyzed the data, prepared figures and/or tables, authored or reviewed drafts of the article, and approved the final draft. • Ghazala Muteeb performed the experiments, analyzed the data, prepared figures and/or tables, authored or reviewed drafts of the article, and approved the final draft. • Ragib Alam performed the experiments, analyzed the data, prepared figures and/or tables, authored or reviewed drafts of the article, and approved the final draft. • Anis Bashir Fomda performed the experiments, analyzed the data, prepared figures and/or tables, authored or reviewed drafts of the article, and approved the final draft. • Nida Khan performed the..
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DOI record: { "DOI": "10.7717/peerj.19462", "ISSN": [ "2167-8359" ], "URL": "http://dx.doi.org/10.7717/peerj.19462", "abstract": "<jats:p>COVID-19 (coronavirus disease 2019), caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), stands as one of the most severe pandemics the world has ever faced in recent times. SARS-CoV-2 infection exhibits a wide range of symptoms, varying from severe manifestations to mild cases and even asymptomatic carriers. This diversity stems from a multitude of factors, including genetic predisposition, viral variants, and immune status. During SARS-CoV-2 infection, the immune system engages pattern recognition receptors, setting off a series of intricate signalling cascades. These cascades culminate in the activation of innate immune responses, including induction of type I and type III interferons. The emerging variants of SARS-CoV-2 pose challenges to the innate immune system defense. Therefore, investigating the innate immune response is crucial for effectively combating SARS-CoV-2 and its variants. The cyclic guanosine monophosphate-adenosine monophoshate synthase-stimulator of interferon genes (cGAS-STING) pathway, a critical innate immune mechanism, represents a promising target for intervention at multiple stages to reduce the severity and progression of SARS-CoV-2 infection. This review explores innate immunity in SARS-CoV-2 infection and other immune responses critical for SARS-CoV-2 defence. As part of the therapeutic approach, we extend our review to highlight monoclonal antibodies (mAbs) as emerging and effective therapeutics for controlling SARS-CoV-2 by targeting different stages of the innate immune system. A diverse range of mAbs has been explored to address specific targets within the innate immune pathways. A deep understanding of innate immunity and targeted monoclonal therapeutics will be instrumental in combating viruses and their variants, laying the foundation for enhanced treatment and therapeutic strategies.</jats:p>", "alternative-id": [ "10.7717/peerj.19462" ], "article-number": "e19462", "author": [ { "affiliation": [ { "name": "Department of Microbiology, Sher-I-Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India" } ], "family": "Nazir", "given": "Mubashir", "sequence": "first" }, { "affiliation": [ { "name": "Department of Immunology and Molecular Medicine, Sher-I-Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India" } ], "family": "Mir", "given": "Ishfaq Rashid", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Microbiology, Sher-I-Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India" } ], "family": "Lone", "given": "Shabir Ahmad", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Nursing, College of Applied Medical Science, King Faisal University, Al-Ahsa, Saudi Arabia" } ], "family": "Muteeb", "given": "Ghazala", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Microbiology, All India Institute of Medical Sciences, New Delhi, Delhi, India" } ], "family": "Alam", "given": "Ragib", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India" } ], "family": "Fomda", "given": "Anis Bashir", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Chemical Engineering, Indian Institute of Technology, Delhi, New Delhi, India" } ], "family": "Khan", "given": "Nida", "sequence": "additional" }, { "affiliation": [ { "name": "Interdisciplinary Biotechnology Unit, Aligarh Muslim University, Aligarh, Uttar Pradesh, India" } ], "family": "Azhar", "given": "Asim", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Microbiology, Sher-I-Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India" } ], "family": "Fomda", "given": "Bashir Ahmad", "sequence": "additional" }, { "affiliation": [ { "name": "Department of Microbiology, All India Institute of Medical Sciences, New Delhi, Delhi, India" } ], "family": "Khan", "given": "Wajihul Hasan", "sequence": "additional" } ], "container-title": "PeerJ", "content-domain": { "crossmark-restriction": false, "domain": [] }, "created": { "date-parts": [ [ 2025, 6, 20 ] ], "date-time": "2025-06-20T08:12:46Z", "timestamp": 1750407166000 }, "deposited": { "date-parts": [ [ 2025, 6, 20 ] ], "date-time": "2025-06-20T08:12:50Z", "timestamp": 1750407170000 }, "funder": [ { "award": [ "No. KFU251646" ], "name": "Deanship of Scientific Research, Vice Presidency for Graduate Studies and Scientific Research, King Faisal University, Saudi Arabia" } ], "indexed": { "date-parts": [ [ 2025, 6, 20 ] ], "date-time": 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Please send us corrections, updates, or comments. c19early involves the extraction of 200,000+ 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. IMA and WCH provide treatment protocols.
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