机构:[1]Capital Med Univ, Beijing Tongren Hosp, Beijing Diabet Inst, Dept Endocrinol, Beijing, Peoples R China临床科室内分泌科研究所糖尿病研究所首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Capital Med Univ, Beijing Tongren Hosp, Dept Resp & Crit Care Med, Beijing, Peoples R China临床科室呼吸与危重症医学科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[3]Capital Med Univ, Beijing Youan Hosp, Dept Sci & Technol, Beijing, Peoples R China[4]Natl Inst Food & Drug Control NIFDC, Inst Biol Prod Control, Div HIV AIDS & Sex transmitted Virus Vaccines, Beijing, Peoples R China[5]Capital Med Univ, Lab Clin Med, Beijing, Peoples R China
Diabetes, a prevalent chronic condition, significantly increases the risk of mortality from COVID-19, yet the underlying mechanisms remain elusive. Emerging evidence implicates Cathepsin L (CTSL) in diabetic complications, including nephropathy and retinopathy. Our previous research identified CTSL as a pivotal protease promoting SARS-CoV-2 infection. Here, we demonstrate elevated blood CTSL levels in individuals with diabetes, facilitating SARS-CoV-2 infection. Chronic hyperglycemia correlates positively with CTSL concentration and activity in diabetic patients, while acute hyperglycemia augments CTSL activity in healthy individuals. In vitro studies reveal high glucose, but not insulin, promotes SARS-CoV-2 infection in wild-type cells, with CTSL knockout cells displaying reduced susceptibility. Utilizing lung tissue samples from diabetic and non-diabetic patients, alongside Lepr(db/db)mice and Lepr(db/+)mice, we illustrate increased CTSL activity in both humans and mice under diabetic conditions. Mechanistically, high glucose levels promote CTSL maturation and translocation from the endoplasmic reticulum (ER) to the lysosome via the ER-Golgi-lysosome axis. Our findings underscore the pivotal role of hyperglycemia-induced CTSL maturation in diabetic comorbidities and complications.
基金:
National Natural Science Foundation of China [82300917]; National Natural Science Foundation of China [PX20240203]; Beijing Municipal Administration of Hospitals Incubating Program
第一作者机构:[1]Capital Med Univ, Beijing Tongren Hosp, Beijing Diabet Inst, Dept Endocrinol, Beijing, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tongren Hosp, Beijing Diabet Inst, Dept Endocrinol, Beijing, Peoples R China[5]Capital Med Univ, Lab Clin Med, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
He Qiong,Zhao Miao-Miao,Li Ming-Jia,et al.Hyperglycemia induced cathepsin L maturation linked to diabetic comorbidities and COVID-19 mortality[J].ELIFE.2024,13:doi:10.7554/eLife.92826.
APA:
He, Qiong,Zhao, Miao-Miao,Li, Ming-Jia,Li, Xiao-Ya,Jin, Jian-Min...&Yang, Jin-Kui.(2024).Hyperglycemia induced cathepsin L maturation linked to diabetic comorbidities and COVID-19 mortality.ELIFE,13,
MLA:
He, Qiong,et al."Hyperglycemia induced cathepsin L maturation linked to diabetic comorbidities and COVID-19 mortality".ELIFE 13.(2024)