[HTML][HTML] MAFB and MAF transcription factors as macrophage checkpoints for COVID-19 severity

MA Vega, M Simon-Fuentes… - Frontiers in …, 2020 - frontiersin.org
MA Vega, M Simon-Fuentes, A Gonzalez de la Aleja, C Nieto, M Colmenares, C Herrero…
Frontiers in Immunology, 2020frontiersin.org
Defective IFN production and exacerbated inflammatory and pro-fibrotic responses are
hallmarks of SARS-CoV-2 infection in severe COVID-19. Based on these hallmarks, and
considering the pivotal role of macrophages in COVID-19 pathogenesis, we hypothesize
that the transcription factors MAFB and MAF critically contribute to COVID-19 progression by
shaping the response of macrophages to SARS-CoV-2. Our proposal stems from the recent
identification of pathogenic lung macrophage subsets in severe COVID-19, and takes into …
Defective IFN production and exacerbated inflammatory and pro-fibrotic responses are hallmarks of SARS-CoV-2 infection in severe COVID-19. Based on these hallmarks, and considering the pivotal role of macrophages in COVID-19 pathogenesis, we hypothesize that the transcription factors MAFB and MAF critically contribute to COVID-19 progression by shaping the response of macrophages to SARS-CoV-2. Our proposal stems from the recent identification of pathogenic lung macrophage subsets in severe COVID-19, and takes into consideration the previously reported ability of MAFB to dampen IFN type I production, as well as the critical role of MAFB and MAF in the acquisition and maintenance of the transcriptional signature of M-CSF–conditioned human macrophages. Solid evidences are presented that link overexpression of MAFB and silencing of MAF expression with clinical and biological features of severe COVID-19. As a whole, we propose that a high MAFB/MAF expression ratio in lung macrophages could serve as an accurate diagnostic tool for COVID-19 progression. Indeed, reversing the macrophage MAFB/MAF expression ratio might impair the exacerbated inflammatory and profibrotic responses, and restore the defective IFN type I production, thus becoming a potential strategy to limit severity of COVID-19.
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