Evidence map›Paper›PMID 40503169›Full record

ArticleAutophagy reports2025

Autophagy-enhancing strategies to promote intestinal viral resistance and mucosal barrier function in SARS-CoV-2 infection.

Anusca G Rader, Alexandra P M Cloherty, Kharishma S Patel, Dima D A Almandawi, Jimena Perez-Vargas, Manon E Wildenberg, Vanesa Muncan, Renée R C E Schreurs, François Jean, Carla M S Ribeiro

Abstract read
In one paragraph

Article in Autophagy reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

10 authors.

Anusca G RaderCenter for Infection and Molecular Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-4889-3691
Alexandra P M ClohertyExperimental Immunology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Kharishma S PatelExperimental Immunology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Dima D A AlmandawiExperimental Immunology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Jimena Perez-VargasDepartment of Microbiology and Immunology, Life Sciences Institute, University of British Columbia, Vancouver, British Columbia, Canada.
Manon E WildenbergAmsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam, The Netherlands.
Vanesa MuncanAmsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam, The Netherlands.
Renée R C E SchreursExperimental Immunology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
François JeanDepartment of Microbiology and Immunology, Life Sciences Institute, University of British Columbia, Vancouver, British Columbia, Canada.
Carla M S RibeiroCenter for Infection and Molecular Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-5682-4143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of Coronavirus disease 19 (COVID-19), continues to circulate globally despite the widespread vaccination and therapeutics like Paxlovid, remdesivir, and molnupiravir. COVID-19 is associated with both respiratory and gastrointestinal manifestations, with persistent intestinal pathology contributing to the post-COVID-19 condition. We have previously demonstrated the antiviral activity of autophagy-blocking drugs, such as Berbamine dihydrochloride, against intestinal SARS-CoV-2 acquisition. In addition, the autophagy blockers restored the barrier function of infected intestinal epithelium. In this addendum, using human intestinal organoids, we present evidence for a protective role of intrinsic higher levels of autophagy flux in limiting intestinal SARS-CoV-2 infection. Pharmacological treatment with Akt inhibitor MK-2206 hydrochloride suppressed viral entry into the intestinal epithelium. This antiviral effect of MK-2206 was shown to be dependent on Synaptosomal-associated protein 29-dependent (SNAP-29)-mediated autophagy flux. Furthermore, extrinsically enhanced autophagy with MK-2206 also prevented SARS-CoV-2-induced intestinal barrier damage. Our findings thus underscore the intricate role of autophagy pathways in the dissemination and pathogenesis of intestinal SARS-CoV-2, highlighting the therapeutic potential of host-directed therapies targeting autophagy to intervene in COVID-19-associated sequelae and improve intestinal health.

Indexed as

Antiviral immunityautophagyepithelial cellsgastrointestinal pathologyhost-directed therapyhuman intestinal organoidspost-COVID-19 conditionSARS-CoV-2

Identifiers

PMID40503169
PMCPMC12153388

What OpenQuestion holds

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Registered trials

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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.