Title : Promising therapeutic intervention: Dietary supplementation with alphaKG reduces pulmonary fibrosis and ARDS pathogenesis in SARS-CoV-2-infected mice
Abstract:
Our recent study elucidates the protective role of alpha-ketoglutarate (αKG) in suppressing thrombosis and inflammation in mice. This effect is mediated through augmentation of prolyl hydroxylase 2 (PHD2) activity, leading to inhibition of AKT phosphorylation and HIF1-α stabilization. Recently, we described that dietary αKG supplementation attenuated lung inflammation and improved the mice survivability against SARS-CoV-2 infection. In this study, we investigated the therapeutic potential of αKG in ameliorating pulmonary fibrosis in SARS-CoV-2-induced acute respiratory distress syndrome (ARDS) in mice. Mice with acute infection developed pulmonary fibrosis, leading to ARDS pathophysiology limiting pO2 levels. We describe that supplementation with 1% αKG till 15 days post-infection (DPI) significantly reduced SARS-CoV-2 infection, and decreased inflammation and fibrosis markers like surfactant proteins B and C in the lungs and thus restoring pO2 levels. SARS-CoV-2 induced epithelial to mesenchymal transition (EMT) in the lung tissues. Notably, αKG supplementation effectively inhibited the EMT and rescued lung fibrosis by suppressing P-AKT and TGF-β, reduced ZEB-1 and vimentin, and rescued EMT. Our findings thus underscore the promising therapeutic potential of αKG in treating lung fibrosis in SARS-CoV-2-induced ARDS-like conditions.