SARS-CoV-2 emerged in December 2019 in Wuhan, China, and rapidly spreads around the world[14]. Symptoms of SARS-CoV-2 patients are similar to acute respiratory syndrome, but little is known about specific molecular mechanism. Currently, there is no particular anti-nCoV treatment or effective vaccine, and COVID-19 management is mainly supportive[15]. However, the molecular mechanisms of the disease still remain unclear.
Identification of the key genes and signal pathways related to SARS-CoV-2 infection is important for understanding the molecular mechanisms in COVID-19. In our study, we first performed bioinformatics analysis based on two microarray datasets (GSE153970 and GSE150819). A total of 145 genes were identified as DEGs in SARS-CoV-2 infected model. Furthermore, among these DEGs, 5 hub genes were selected in the PPI network by cytoHubba, including CXCL8, CXCL1, CXCL2, CCL20, and CSF2. In addition, we found that the hub genes upregulated were related to Cytokine-cytokine receptor interaction, IL-17 signaling pathway, and Rheumatoid arthritis in SARS-CoV-2 infection.
As far as we know, CXCL8, CXCL1, CXCL2, CCL20, and CSF2 are cytokines, a category of small proteins that are secreted by cells associated with intercellular signaling, which consist of interferons, interleukins, chemokines, colony-stimulating factors, tumor necrosis factor. Chemokines are one of the largest family of cytokines, with over 40 members that combine with one or more of G-protein-coupled receptors[16]. In 1918 virus infected macaques, the cytokines of IL-6, IL-8, CCL2, and CCL5 were up-regulated in the lungs[17, 18]. The H5N1 virus infection could cause severe inflammatory and innate immune responses, such as durable expression of CCL2, CXCL10, and CXCL9[19, 20]. Moreover, persistent expression of CXCL10, CCL2, IFNAR1, IFNGR1, and CD58 were also found in the lungs of SARS-CoV infected patients[21]. According to our knowledge, SARS-CoV-2 infection resulted in the storm of inflammatory response and proinflammatory genes, particularly chemokines, was significantly elevated in COVID-19 patients[22].
In the study, we found the top 5 genes containing CXCL8, CXCL1, CXCL2, CCL20, and CSF2 were up-regulated in SARS-CoV-2 infection. CXCL1, CXCL2, and CXCL8 belonging to the subfamily of CXC chemokines, which are involved in inflammatory response and occurrence of several tumors by binding with the G protein-coupled receptors. CXCL1/CXCL2 are critical for neutrophil recruitment in immune response[23]. CXCL8 is a pro-inflammatory cytokine by binding with the CXCR-1 and CXCR-2 involved in multiple intracellular signaling pathways[24]. It has been reported that serum CXCL-8 levels were significantly higher and correlate positively with depth of tumor invasion and CRP concentrations in oesophageal cancer patients, suggesting CXCL8 might be a tumor marker of oesophageal cancer[25]. CXCL1 and CXCL8 expression was significantly up-regulated, and through binding to CXCR2 participate in gastric carcinoma proliferation, migration and apoptosis[26]. CC chemokine receptor 6 (CCR6) as the only one known receptor of CC chemokine ligand 20 (CCL20), was involved in the humoral immunity and T-B cell immunobiology[27]. Colony stimulating factor-2 (CSF2), produced by various cells, which is considered to mediate inflammation, autoimmunity and host defense responses[28]. Consistent with previous findings, our study showed that the five hub genes induced immune response play important roles in the pathogenesis of SARS-CoV-2.
Cytokine−cytokine receptor interaction has been proved to play roles in multiple viral infections, such as megalocytivirus, HBV, HCV, and EBV[29-31]. The IL-17 family consists of six members, IL-17A, IL-17B, IL-17C, IL-17D, IL-17E, and IL-17F, which is produced by activated T cells and involves in inflammatory response. IL-17 family of cytokines by combining with IL-17 receptor family activate extracellular signal-regulated protein kinase, c-jun N-terminal kinase, and p38 mitogen-activated protein kinases pathway, leading to the up-regulated expression of IL-1, IL-6, and NF-κB[32, 33]. IL-17A is contribute to clear extracellular pathogens, however, IL-17 signaling pathway may cause lung injury and respiratory failure in SARS-CoV-2 Infections[34]. Rheumatoid arthritis is a systemic autoimmune disease affecting multiple organs and tissues, which primary characteristics are systemic inflammation, synovitis[35]. Previous study has showed that CXCL8 is related to inflammation responses in Rheumatoid arthritis[34, 36]. It is worth noting that modifying anti-rheumatic drugs (bDMARDs) and target synthetic DMARDs (tsDMARDs), known to be small molecule inhibitors, are not only potential drugs to treat Rheumatoid arthritis, but also block the viral entry, inhibit the hyperimmune activation and reduce cytokine storm[37], suggesting that small molecule inhibitors might be potential drugs for SARS-CoV-2 treatment. Based on the above findings, it is convinced that the hub genes were associated with Cytokine−cytokine receptor interaction, IL−17 signaling pathway, and Rheumatoid arthritis in SARS-CoV-2 infection.
There are some limitations in our study. First, the microarray datasets was downloaded from the GEO database, and not made by the authors. Furthermore, more experimental and clinical studies should be performed to verify the function of hub genes in development of disease and clinical treatment of CIVID-19. However, our findings also provided some valuable clues in the CIVID-19.