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Inhalation of ACE2 as a therapeutic target on sex-bias differences in SARS-CoV-2 infection and variant of concern
Yu Onodera1,2; Jady Liang1,3; Yuchong Li1,4; Bryan Griffin5,6; Thenuka Thanabalasingam1; Cong Lu1; JiaYi Zhu1,3; Mingyao Liu7; Theo Moraes8; Wenhua Zheng9; Jasmin Khateeb1,10; Julie Khang1; Yongbo Huang4; Mirjana Jerkic1; Masaki Nakane2; Andrew Baker1,11,12; Beverley Orser11; Ya-Wen Chen13; Gerald Wirnsberger14; Josef M. Penninger15,16; Ori D. Rotstein1,7; Arthur S. Slutsky1,4,12; Yimin Li4; Samira Mubareka5,6; Haibo Zhang1,3,4,11,12
2023-08-18
Source PublicationiScience
ISSN2589-0042
Volume26Issue:8Pages:107470
Abstract

Despite similar infection rates, COVID-19 has resulted in more deaths in men than women. To understand the underlying mechanisms behind this sex-biased difference in disease severity, we infected K18-human angiotensin converting enzyme 2 (ACE2) mice of both sexes with SARS-CoV-2. Our study revealed a unique protein expression profile in the lung microenvironment of female mice. As a result, they were less vulnerable to severe infection, with higher ACE2 expression and a higher estrogen receptor α (ERα)/androgen receptor (AR) ratio that led to increased antiviral factor levels. In male mice, inhaling recombinant ACE2 neutralized the virus and maintained the ERα/AR ratio, thereby protecting the lungs. Our findings suggest that inhaling recombinant ACE2 could serve as a decoy receptor against SARS-CoV-2 and protect male mice by offsetting ERα-associated protective mechanisms. Additionally, our study supports the potential effectiveness of recombinant ACE2 therapy in human lung organoids infected with the Delta variant. 

KeywordBiological Sciences Biology Of Gender Immune Response Virology
DOI10.1016/j.isci.2023.107470
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaScience & Technology - Other Topics
WOS SubjectMultidisciplinary Sciences
WOS IDWOS:001062978100001
PublisherElsevier Inc.
Scopus ID2-s2.0-85167516312
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
DEPARTMENT OF PHARMACEUTICAL SCIENCES
Corresponding AuthorYimin Li; Samira Mubareka; Haibo Zhang
Affiliation1.Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Unity Health Toronto, Toronto, ON, Canada
2.Department of Emergency and Critical Care Medicine, Faculty of Medicine, Yamagata University, Yamagata, Japan
3.Department of Physiology, University of Toronto, Toronto, ON, Canada
4.The State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
5.Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada
6.Department of Medical Microbiology and Infectious Disease, Sunnybrook Health Science Centre, Toronto, ON, Canada
7.Department of Surgery, University of Toronto, Toronto, ON, Canada
8.Department of Pediatrics, University of Toronto, Toronto, ON, Canada
9.Faculty of Health Science, University of Macau, Macau, China
10.Department of Internal Medicine D, Rambam Health Care Campus, Haifa, Israe
11.Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada
12.Interdepartmental Division of Critical Care Medicine University of Toronto, Toronto, ON, Canada
13.Black Family Stem Cell Institute, Department of Cell, Developmental and Regenerative Biology, Icahn School of Medicine at Mount Sinai, New York city, NY, USA
14.Apeiron Biologics AG, Campus-Vienna-Biocenter 5, Vienna, Austria
15.IInstitute of Molecular Biotechnology of the Austrian Academy of Sciences, Vienna, Austria
16.Department of Medical Genetics, Life Sciences Institute, University of British Columbia, Vancouver, BC, Canada
Recommended Citation
GB/T 7714
Yu Onodera,Jady Liang,Yuchong Li,et al. Inhalation of ACE2 as a therapeutic target on sex-bias differences in SARS-CoV-2 infection and variant of concern[J]. iScience, 2023, 26(8), 107470.
APA Yu Onodera., Jady Liang., Yuchong Li., Bryan Griffin., Thenuka Thanabalasingam., Cong Lu., JiaYi Zhu., Mingyao Liu., Theo Moraes., Wenhua Zheng., Jasmin Khateeb., Julie Khang., Yongbo Huang., Mirjana Jerkic., Masaki Nakane., Andrew Baker., Beverley Orser., Ya-Wen Chen., Gerald Wirnsberger., ...& Haibo Zhang (2023). Inhalation of ACE2 as a therapeutic target on sex-bias differences in SARS-CoV-2 infection and variant of concern. iScience, 26(8), 107470.
MLA Yu Onodera,et al."Inhalation of ACE2 as a therapeutic target on sex-bias differences in SARS-CoV-2 infection and variant of concern".iScience 26.8(2023):107470.
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