Nature Communications (Sep 2023)

Pharmacological inhibition of TBK1/IKKε blunts immunopathology in a murine model of SARS-CoV-2 infection

  • Tomalika R. Ullah,
  • Matt D. Johansen,
  • Katherine R. Balka,
  • Rebecca L. Ambrose,
  • Linden J. Gearing,
  • James Roest,
  • Julian P. Vivian,
  • Sunil Sapkota,
  • W. Samantha N. Jayasekara,
  • Daniel S. Wenholz,
  • Vina R. Aldilla,
  • Jun Zeng,
  • Stefan Miemczyk,
  • Duc H. Nguyen,
  • Nicole G. Hansbro,
  • Rajan Venkatraman,
  • Jung Hee Kang,
  • Ee Shan Pang,
  • Belinda J. Thomas,
  • Arwaf S. Alharbi,
  • Refaya Rezwan,
  • Meredith O’Keeffe,
  • William A. Donald,
  • Julia I. Ellyard,
  • Wilson Wong,
  • Naresh Kumar,
  • Benjamin T. Kile,
  • Carola G. Vinuesa,
  • Graham E. Kelly,
  • Olivier F. Laczka,
  • Philip M. Hansbro,
  • Dominic De Nardo,
  • Michael P. Gantier

DOI
https://doi.org/10.1038/s41467-023-41381-9
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 13

Abstract

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Abstract TANK-binding kinase 1 (TBK1) is a key signalling component in the production of type-I interferons, which have essential antiviral activities, including against SARS-CoV-2. TBK1, and its homologue IκB kinase-ε (IKKε), can also induce pro-inflammatory responses that contribute to pathogen clearance. While initially protective, sustained engagement of type-I interferons is associated with damaging hyper-inflammation found in severe COVID-19 patients. The contribution of TBK1/IKKε signalling to these responses is unknown. Here we find that the small molecule idronoxil inhibits TBK1/IKKε signalling through destabilisation of TBK1/IKKε protein complexes. Treatment with idronoxil, or the small molecule inhibitor MRT67307, suppresses TBK1/IKKε signalling and attenuates cellular and molecular lung inflammation in SARS-CoV-2-challenged mice. Our findings additionally demonstrate that engagement of STING is not the major driver of these inflammatory responses and establish a critical role for TBK1/IKKε signalling in SARS-CoV-2 hyper-inflammation.