The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic mice

COVID-19 (Coronavirus disease 19) is caused by infection with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) in the respiratory system and other organ systems. Tissue injuries resulting from viral infection and host hyperinflammatory responses may lead to moderate to severe pneumonia,...

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Main Authors: Xin-Jun Wu, Karen A. Oppelt, Ming Fan, Mona A. Marie, Madison M. Swyers, Ashley J. Williams, Isabelle M. Lemasson, Rachel L. Roper, Paul Bolin, Li V. Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1549296/full
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author Xin-Jun Wu
Karen A. Oppelt
Ming Fan
Mona A. Marie
Madison M. Swyers
Ashley J. Williams
Isabelle M. Lemasson
Rachel L. Roper
Paul Bolin
Li V. Yang
author_facet Xin-Jun Wu
Karen A. Oppelt
Ming Fan
Mona A. Marie
Madison M. Swyers
Ashley J. Williams
Isabelle M. Lemasson
Rachel L. Roper
Paul Bolin
Li V. Yang
author_sort Xin-Jun Wu
collection DOAJ
description COVID-19 (Coronavirus disease 19) is caused by infection with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) in the respiratory system and other organ systems. Tissue injuries resulting from viral infection and host hyperinflammatory responses may lead to moderate to severe pneumonia, systemic complications, and even death. While anti-inflammatory agents have been used to treat patients with severe COVID-19, their therapeutic effects are limited. GPR4 (G protein-coupled receptor 4) is a pro-inflammatory receptor expressed on vascular endothelial cells, regulating leukocyte infiltration and inflammatory responses. In this study, we evaluated the effects of a GPR4 antagonist, NE-52-QQ57, in the SARS-CoV-2-infected K18-hACE2 transgenic mouse model. Our results demonstrated that GPR4 antagonist treatment increased the survival rate in this severe COVID-19 mouse model. The inflammatory response, characterized by proinflammatory cytokines and chemokines, was reduced in the GPR4 antagonist group compared with the vehicle group. Additionally, both SARS-CoV-2 RNA copy numbers and infectious viral titers in the mouse lung were decreased in the GPR4 antagonist group. The percentage of SARS-CoV-2 antigen-positive mouse brains was also decreased in the GPR4 antagonist group compared to the vehicle group. Furthermore, the GPR4 antagonist inhibited SARS-CoV-2 propagation in Vero E6 and Caco-2 cells. Together, these results suggest that GPR4 antagonism may be explored as a novel approach for the treatment of COVID-19 and other similar viral diseases.
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spelling doaj-art-1f06fdec00b94f809dd07cf0097961092025-08-20T03:17:24ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-07-011610.3389/fphar.2025.15492961549296The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic miceXin-Jun Wu0Karen A. Oppelt1Ming Fan2Mona A. Marie3Madison M. Swyers4Ashley J. Williams5Isabelle M. Lemasson6Rachel L. Roper7Paul Bolin8Li V. Yang9Department of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Comparative Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Microbiology and Immunology, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Microbiology and Immunology, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Microbiology and Immunology, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesDepartment of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, United StatesCOVID-19 (Coronavirus disease 19) is caused by infection with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) in the respiratory system and other organ systems. Tissue injuries resulting from viral infection and host hyperinflammatory responses may lead to moderate to severe pneumonia, systemic complications, and even death. While anti-inflammatory agents have been used to treat patients with severe COVID-19, their therapeutic effects are limited. GPR4 (G protein-coupled receptor 4) is a pro-inflammatory receptor expressed on vascular endothelial cells, regulating leukocyte infiltration and inflammatory responses. In this study, we evaluated the effects of a GPR4 antagonist, NE-52-QQ57, in the SARS-CoV-2-infected K18-hACE2 transgenic mouse model. Our results demonstrated that GPR4 antagonist treatment increased the survival rate in this severe COVID-19 mouse model. The inflammatory response, characterized by proinflammatory cytokines and chemokines, was reduced in the GPR4 antagonist group compared with the vehicle group. Additionally, both SARS-CoV-2 RNA copy numbers and infectious viral titers in the mouse lung were decreased in the GPR4 antagonist group. The percentage of SARS-CoV-2 antigen-positive mouse brains was also decreased in the GPR4 antagonist group compared to the vehicle group. Furthermore, the GPR4 antagonist inhibited SARS-CoV-2 propagation in Vero E6 and Caco-2 cells. Together, these results suggest that GPR4 antagonism may be explored as a novel approach for the treatment of COVID-19 and other similar viral diseases.https://www.frontiersin.org/articles/10.3389/fphar.2025.1549296/fullGPR4 antagonistSARS-CoV-2COVID-19mouse modelanti-inflammationantiviral
spellingShingle Xin-Jun Wu
Karen A. Oppelt
Ming Fan
Mona A. Marie
Madison M. Swyers
Ashley J. Williams
Isabelle M. Lemasson
Rachel L. Roper
Paul Bolin
Li V. Yang
The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic mice
Frontiers in Pharmacology
GPR4 antagonist
SARS-CoV-2
COVID-19
mouse model
anti-inflammation
antiviral
title The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic mice
title_full The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic mice
title_fullStr The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic mice
title_full_unstemmed The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic mice
title_short The GPR4 antagonist NE-52-QQ57 increases survival, mitigates the hyperinflammatory response and reduces viral load in SARS-CoV-2-infected K18-hACE2 transgenic mice
title_sort gpr4 antagonist ne 52 qq57 increases survival mitigates the hyperinflammatory response and reduces viral load in sars cov 2 infected k18 hace2 transgenic mice
topic GPR4 antagonist
SARS-CoV-2
COVID-19
mouse model
anti-inflammation
antiviral
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1549296/full
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