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Targeting TMPRSS2 in SARS-CoV-2 Infection

Baughn, Linda B. ; Sharma, Neeraj ; Elhaik, Eran LU orcid ; Sekulic, Aleksandar ; Bryce, Alan H. and Fonseca, Rafael (2020) In Mayo Clinic Proceedings 95(9). p.1989-1999
Abstract

Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) has rapidly caused a global pandemic associated with a novel respiratory infection: coronavirus disease-19 (COVID-19). Angiotensin-converting enzyme-2 (ACE2) is necessary to facilitate SARS-CoV-2 infection, but—owing to its essential metabolic roles—it may be difficult to target it in therapies. Transmembrane protease serine 2 (TMPRSS2), which interacts with ACE2, may be a better candidate for targeted therapies. Using publicly available expression data, we show that both ACE2 and TMPRSS2 are expressed in many host tissues, including lung. The highest expression of ACE2 is found in the testes, whereas the prostate displays the highest expression of TMPRSS2. Given the increased... (More)

Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) has rapidly caused a global pandemic associated with a novel respiratory infection: coronavirus disease-19 (COVID-19). Angiotensin-converting enzyme-2 (ACE2) is necessary to facilitate SARS-CoV-2 infection, but—owing to its essential metabolic roles—it may be difficult to target it in therapies. Transmembrane protease serine 2 (TMPRSS2), which interacts with ACE2, may be a better candidate for targeted therapies. Using publicly available expression data, we show that both ACE2 and TMPRSS2 are expressed in many host tissues, including lung. The highest expression of ACE2 is found in the testes, whereas the prostate displays the highest expression of TMPRSS2. Given the increased severity of disease among older men with SARS-CoV-2 infection, we address the potential roles of ACE2 and TMPRSS2 in their contribution to the sex differences in severity of disease. We show that expression levels of ACE2 and TMPRSS2 are overall comparable between men and women in multiple tissues, suggesting that differences in the expression levels of TMPRSS2 and ACE2 in the lung and other non–sex-specific tissues may not explain the gender disparities in severity of SARS CoV-2. However, given their instrumental roles for SARS-CoV-2 infection and their pleiotropic expression, targeting the activity and expression levels of TMPRSS2 is a rational approach to treat COVID-19.

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type
Contribution to journal
publication status
published
subject
in
Mayo Clinic Proceedings
volume
95
issue
9
pages
11 pages
publisher
Mayo Clinic Proceedings
external identifiers
  • pmid:32861340
  • scopus:85089811154
ISSN
0025-6196
DOI
10.1016/j.mayocp.2020.06.018
language
English
LU publication?
yes
id
1320641f-f026-4c2b-81ed-f559b3d0e53d
date added to LUP
2020-09-07 11:55:49
date last changed
2024-09-19 05:18:32
@article{1320641f-f026-4c2b-81ed-f559b3d0e53d,
  abstract     = {{<p>Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) has rapidly caused a global pandemic associated with a novel respiratory infection: coronavirus disease-19 (COVID-19). Angiotensin-converting enzyme-2 (ACE2) is necessary to facilitate SARS-CoV-2 infection, but—owing to its essential metabolic roles—it may be difficult to target it in therapies. Transmembrane protease serine 2 (TMPRSS2), which interacts with ACE2, may be a better candidate for targeted therapies. Using publicly available expression data, we show that both ACE2 and TMPRSS2 are expressed in many host tissues, including lung. The highest expression of ACE2 is found in the testes, whereas the prostate displays the highest expression of TMPRSS2. Given the increased severity of disease among older men with SARS-CoV-2 infection, we address the potential roles of ACE2 and TMPRSS2 in their contribution to the sex differences in severity of disease. We show that expression levels of ACE2 and TMPRSS2 are overall comparable between men and women in multiple tissues, suggesting that differences in the expression levels of TMPRSS2 and ACE2 in the lung and other non–sex-specific tissues may not explain the gender disparities in severity of SARS CoV-2. However, given their instrumental roles for SARS-CoV-2 infection and their pleiotropic expression, targeting the activity and expression levels of TMPRSS2 is a rational approach to treat COVID-19.</p>}},
  author       = {{Baughn, Linda B. and Sharma, Neeraj and Elhaik, Eran and Sekulic, Aleksandar and Bryce, Alan H. and Fonseca, Rafael}},
  issn         = {{0025-6196}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{1989--1999}},
  publisher    = {{Mayo Clinic Proceedings}},
  series       = {{Mayo Clinic Proceedings}},
  title        = {{Targeting TMPRSS2 in SARS-CoV-2 Infection}},
  url          = {{http://dx.doi.org/10.1016/j.mayocp.2020.06.018}},
  doi          = {{10.1016/j.mayocp.2020.06.018}},
  volume       = {{95}},
  year         = {{2020}},
}