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Eicosanoid signaling blockade protects middle-aged mice from severe COVID-19
  • Lok-Yin Roy Wong  orcid.org/0000-0002-0727-82891 na1,
  • Jian Zheng1 na1,
  • Kevin Wilhelmsen  orcid.org/0000-0001-6518-63692,
  • Kun Li3,
  • Miguel E. Ortiz3,
  • Nicholas J. Schnicker  orcid.org/0000-0002-5189-49434,
  • Andrew Thurman5,
  • Alejandro A. Pezzulo  orcid.org/0000-0001-7544-51095,
  • Peter J. Szachowicz5,
  • Pengfei Li  orcid.org/0000-0001-9062-37351,
  • Ruangang Pan1,
  • Klaus Klumpp2,
  • Fred Aswad2,
  • Justin Rebo2,
  • Shuh Narumiya  orcid.org/0000-0001-8062-65296,
  • Makoto Murakami7,
  • Sonia Zuniga  orcid.org/0000-0003-2549-68268,
  • Isabel Sola8,
  • Luis Enjuanes8,
  • David K. Meyerholz  orcid.org/0000-0003-1552-32539,
  • Kristen Fortney2,
  • Paul B. McCray Jr.  orcid.org/0000-0002-4067-577X1,3 &
  • Stanley Perlman  orcid.org/0000-0003-4213-23541,3 

This article is about Nature.

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

The coronaviruses disease is especially severe in young people. The effectiveness of the vaccine is compromised by the emergence of the enhanced transmissibility variant. The need for further development of anti-SARS-CoV-2 therapies is emphasized by the emergence of these variant. We describe the isolation of highly virulent mouse-adapted viruses and use them to test a novel therapeutic drug in aged animals. Humans have many of the same genes that are found in mice, but they also have some of the same genes that are found in humans. Immune pressure is not required for selection according to their appearance during mouse adaptation. In aged mice, elevated levels of prostaglandin D2 and PLA 2 G2D contributed to poor outcomes. Middle-aged mice that lack expression of PLA 2 G2D are protected from severe disease. Treatment with a PTGDR antagonist, asapiprant, protected aged mice from lethal infections. The PLA 2 G2D-PGD 2 /PTGDR pathway is a useful target for therapeutic interventions because it protects aged animals.

The strategy for identifying immune cells at 6dpi in BALB/c mice was used.

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