iScience (Nov 2022)

Metabolic modeling of single bronchoalveolar macrophages reveals regulators of hyperinflammation in COVID-19

  • Qiuchen Zhao,
  • Zhenyang Yu,
  • Shengyuan Zhang,
  • Xu-Rui Shen,
  • Hao Yang,
  • Yangyang Xu,
  • Yang Liu,
  • Lin Yang,
  • Qing Zhang,
  • Jiaqi Chen,
  • Mengmeng Lu,
  • Fei Luo,
  • Mingming Hu,
  • Yan Gong,
  • Conghua Xie,
  • Peng Zhou,
  • Li Wang,
  • Lishan Su,
  • Zheng Zhang,
  • Liang Cheng

Journal volume & issue
Vol. 25, no. 11
p. 105319

Abstract

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Summary: SARS-CoV-2 infection induces imbalanced immune response such as hyperinflammation in patients with severe COVID-19. Here, we studied the immunometabolic regulatory mechanisms for the pathogenesis of COVID-19. We depicted the metabolic landscape of immune cells, especially macrophages, from bronchoalveolar lavage fluid of patients with COVID-19 at single-cell level. We found that most metabolic processes were upregulated in macrophages from lungs of patients with mild COVID-19 compared to cells from healthy controls, whereas macrophages from severe COVID-19 showed downregulation of most of the core metabolic pathways including glutamate metabolism, fatty acid oxidation, citrate cycle, and oxidative phosphorylation, and upregulation of a few pathways such as glycolysis. Rewiring cellular metabolism by amino acid supplementation, glycolysis inhibition, or PPARγ stimulation reduces inflammation in macrophages stimulated with SARS-CoV-2. Altogether, this study demonstrates that metabolic imbalance of bronchoalveolar macrophages may contribute to hyperinflammation in patients with severe COVID-19 and provides insights into treating COVID-19 by immunometabolic modulation.

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