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Angiotensin-(1–7) decreases inflammation and lung damage caused by betacoronavirus infection in mice

  • Erick Bryan de Sousa Lima,
  • Antônio Felipe S. Carvalho,
  • Isabella Zaidan,
  • Adelson Héric A. Monteiro,
  • Camila Cardoso,
  • Edvaldo S. Lara,
  • Fernanda S. Carneiro,
  • Leonardo C. Oliveira,
  • Filipe Resende,
  • Felipe Rocha da Silva Santos,
  • Luiz Pedro Souza-Costa,
  • Ian de Meira Chaves,
  • Celso M. Queiroz-Junior,
  • Remo C. Russo,
  • Robson A. S. Santos,
  • Luciana P. Tavares,
  • Mauro M. Teixeira,
  • Vivian V. Costa,
  • Lirlândia P. Sousa

摘要

Objective

Pro-resolving molecules, including the peptide Angiotensin-(1–7) [Ang-(1–7)], have potential adjunctive therapy for infections. Here we evaluate the actions of Ang-(1–7) in betacoronavirus infection in mice.

Methods

C57BL/6J mice were infected intranasally with the murine betacoronavirus MHV-3 and K18-hACE2 mice were infected with SARS-CoV-2. Mice were treated with Ang-(1–7) (30 µg/mouse, i.p.) at 24-, 36-, and 48-hours post-infection (hpi) or at 24, 36, 48, 72, and 96 h. For lethality evaluation, one additional dose of Ang-(1–7) was given at 120 hpi. At 3- and 5-days post- infection (dpi) blood cells, inflammatory mediators, viral loads, and lung histopathology were evaluated.

Results

Ang-(1–7) rescued lymphopenia in MHV-infected mice, and decreased airways leukocyte infiltration and lung damage at 3- and 5-dpi. The levels of pro-inflammatory cytokines and virus titers in lung and plasma were decreased by Ang-(1–7) during MHV infection. Ang-(1–7) improved lung function and increased survival rates in MHV-infected mice. Notably, Ang-(1–7) treatment during SARS-CoV-2 infection restored blood lymphocytes to baseline, decreased weight loss, virus titters and levels of inflammatory cytokines, resulting in improvement of pulmonary damage, clinical scores and lethality rates.

Conclusion

Ang-(1–7) protected mice from lung damage and death during betacoronavirus infections by modulating inflammation, hematological parameters and enhancing viral clearance.

Graphical Abstract