Serum Amyloid P inhibits single stranded RNA-induced lung inflammation, lung damage, and cytokine storm in mice

PLoS One. 2021 Jan 22;16(1):e0245924. doi: 10.1371/journal.pone.0245924. eCollection 2021.

Abstract

SARS-CoV-2 is a single stranded RNA (ssRNA) virus and contains GU-rich sequences distributed abundantly in the genome. In COVID-19, the infection and immune hyperactivation causes accumulation of inflammatory immune cells, blood clots, and protein aggregates in lung fluid, increased lung alveolar wall thickness, and upregulation of serum cytokine levels. A serum protein called serum amyloid P (SAP) has a calming effect on the innate immune system and shows efficacy as a therapeutic for fibrosis in animal models and clinical trials. Here we show that aspiration of the GU-rich ssRNA oligonucleotide ORN06 into mouse lungs induces all of the above COVID-19-like symptoms. Men tend to have more severe COVID-19 symptoms than women, and in the aspirated ORN06 model, male mice tended to have more severe symptoms than female mice. Intraperitoneal injections of SAP starting from day 1 post ORN06 aspiration attenuated the ORN06-induced increase in the number of inflammatory cells and formation of clot-like aggregates in the mouse lung fluid, reduced ORN06-increased alveolar wall thickness and accumulation of exudates in the alveolar airspace, and attenuated an ORN06-induced upregulation of the inflammatory cytokines IL-1β, IL-6, IL-12p70, IL-23, and IL-27 in serum. SAP also reduced D-dimer levels in the lung fluid. In human peripheral blood mononuclear cells, SAP attenuated ORN06-induced extracellular accumulation of IL-6. Together, these results suggest that aspiration of ORN06 is a simple model for both COVID-19 as well as cytokine storm in general, and that SAP is a potential therapeutic for diseases with COVID-19-like symptoms and/or a cytokine storm.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • COVID-19 / complications
  • COVID-19 / pathology
  • COVID-19 Drug Treatment*
  • Cytokine Release Syndrome / complications
  • Cytokine Release Syndrome / drug therapy*
  • Cytokine Release Syndrome / pathology
  • Disease Models, Animal
  • Female
  • Humans
  • Lung / drug effects
  • Lung / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Pneumonia / complications
  • Pneumonia / drug therapy*
  • Pneumonia / pathology
  • Serum Amyloid P-Component / administration & dosage
  • Serum Amyloid P-Component / therapeutic use*

Substances

  • Serum Amyloid P-Component