Evidence map›Paper›PMID 34838735›Full record

ArticleVascular pharmacology2022

Mitochondrial DNA and TLR9 activation contribute to SARS-CoV-2-induced endothelial cell damage.

Tiago J Costa, Simone R Potje, Thais F C Fraga-Silva, Júlio A da Silva-Neto, Paula R Barros, Daniel Rodrigues, Mirele R Machado, Ronaldo B Martins, Rosangela A Santos-Eichler, Maira N Benatti and 17 more

Open access · greenAbstract read
In one paragraph

Article in Vascular pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 2 syntheses or guidelines pooled it, 122 citations in OpenAlex.

  1. Pooled it
  2. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
  3. Review
  4. Review
  5. Defective RNA Polymerase III sensing of mitochondrial DNA in pulmonary epithelial cells impairs type I IFN immunity to SARS-CoV-2.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
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  15. SARS-CoV-2 nucleocapsid protein directly prevents cGAS-DNA recognition through competitive binding.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Article
  17. Review
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  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 4 institutions in 2 countries.

Tiago J CostaDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil; Department of Biological Chemistry, The Johns Hopkins University School of Medicine, USA. Electronic address: tjcosta@usp.br.
Simone R PotjeDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil; Minas Gerais State University - UEMG, Brazil.
Thais F C Fraga-SilvaDepartment of Biochemistry and Immunology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Júlio A da Silva-NetoDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Paula R BarrosDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Daniel RodriguesDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Mirele R MachadoDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Ronaldo B MartinsVirology Research Center, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Rosangela A Santos-EichlerDepartment of Pharmacology, Institute of Biomedical Science, University of São Paulo - USP, Brazil.
Maira N BenattiDepartment of Clinical Medicine, Division of Internal Medicine, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Keyla S G de SáDepartment of Cell and Molecular Biology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Carlos Eduardo L AlmadoInstitute of Biological and Health Sciences, Federal University of Mato Grosso - UFMT, Brazil.
Ítalo A CastroVirology Research Center, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Marjorie C PontelliVirology Research Center, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Leonardo La SerraVirology Research Center, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Fernando S CarneiroDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Christiane BecariDepartment of Surgery and Anatomy, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Paulo Louzada-JuniorDepartment of Clinical Medicine, Division of Internal Medicine, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Rene D R OliveiraDepartment of Clinical Medicine, Division of Internal Medicine, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Dario S ZamboniDepartment of Cell and Molecular Biology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Eurico ArrudaVirology Research Center, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Maria Auxiliadora-MartinsDepartment of Surgery and Anatomy, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Fernanda R C GiachiniInstitute of Biological and Health Sciences, Federal University of Mato Grosso - UFMT, Brazil.
Vânia L D BonatoDepartment of Biochemistry and Immunology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil.
Natasha E ZacharaDepartment of Biological Chemistry, The Johns Hopkins University School of Medicine, USA.
Gisele F BomfimInstitute of Health Sciences, Federal University of Mato Grosso - UFMT, Brazil.
Rita C TostesDepartment of Pharmacology, Ribeirao Preto Medical School, University of São Paulo - USP, Brazil. Electronic address: rtostes@usp.br.
Universidade de São Paulo · BRJohns Hopkins Medicine · USUniversidade do Estado de Minas Gerais · BRUniversidade Federal de Mato Grosso · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMitochondria play a central role in the host response to viral infection and immunity, being key to antiviral signaling and exacerbating inflammatory processes. Mitochondria and Toll-like receptor (TLR) have been suggested as potential targets in SARS-CoV-2 infection. However, the involvement of TLR9 in SARS-Cov-2-induced endothelial dysfunction and potential contribution to cardiovascular complications in COVID-19 have not been demonstrated. This study determined whether infection of endothelial cells by SARS-CoV-2 affects mitochondrial function and induces mitochondrial DNA (mtDNA) release. We also questioned whether TLR9 signaling mediates the inflammatory responses induced by SARS-CoV-2 in endothelial cells. EXPERIMENTAL APPROACH: Human umbilical vein endothelial cells (HUVECs) were infected by SARS-CoV-2 and immunofluorescence was used to confirm the infection. Mitochondrial function was analyzed by specific probes and mtDNA levels by real-time polymerase chain reaction (RT-PCR). Inflammatory markers were measured by ELISA, protein expression by western blot, intracellular calcium (Ca KEY

resultsSARS-CoV-2 infected HUVECs, which express ACE2 and TMPRSS2 proteins, and promoted mitochondrial dysfunction, i.e. it increased mitochondria-derived superoxide anion, mitochondrial membrane potential, and mtDNA release, leading to activation of TLR9 and NF-kB, and release of cytokines. SARS-CoV-2 also decreased nitric oxide synthase (eNOS) expression and inhibited Ca CONCLUSION AND APPLICATIONS: SARS-CoV-2 infection impairs mitochondrial function and activates TLR9 signaling in endothelial cells. TLR9 triggers inflammatory responses that lead to endothelial cell dysfunction, potentially contributing to the severity of symptoms in COVID-19. Targeting mitochondrial metabolic pathways may help to define novel therapeutic strategies for COVID-19.

Indexed as

COVID-19DNA, MitochondrialAnimalsEndothelial CellsHumansMiceMitochondriaSARS-CoV-2Toll-Like Receptor 9DNA, MitochondrialTLR9 protein, humanTlr9 protein, mouseToll-Like Receptor 9Endothelial dysfunctionMitochondriaSARS-CoV-2Toll like receptor 9

Identifiers

PMID34838735
PMCPMC8612754
OpenAlexW3215834080

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.