The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine storm

IntroductionCoronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been a major health emergency since its emergence in late 2019. Endothelial dysfunction is a hallmark of COVID-19, leading to severe illness, i.e. coagulopathy, multi-organ fa...

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Main Authors: Zhiran Wang, Dmitrii Lebedev, Simeng Li, Sudharshan Rao, Kevin Wu, Lorcan Doyle, Kieran Wynne, Alfonso Blanco, Margaritha M. Mysior, Jeremy C. Simpson, Dimitri Scholz, Petra Wülfroth, Kai Zacharowski, Walter Kolch, Vadim Zhernovkov, Günther Eissner
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Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1591860/full
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author Zhiran Wang
Dmitrii Lebedev
Simeng Li
Sudharshan Rao
Kevin Wu
Lorcan Doyle
Kieran Wynne
Alfonso Blanco
Margaritha M. Mysior
Jeremy C. Simpson
Dimitri Scholz
Petra Wülfroth
Kai Zacharowski
Walter Kolch
Vadim Zhernovkov
Günther Eissner
author_facet Zhiran Wang
Dmitrii Lebedev
Simeng Li
Sudharshan Rao
Kevin Wu
Lorcan Doyle
Kieran Wynne
Alfonso Blanco
Margaritha M. Mysior
Jeremy C. Simpson
Dimitri Scholz
Petra Wülfroth
Kai Zacharowski
Walter Kolch
Vadim Zhernovkov
Günther Eissner
author_sort Zhiran Wang
collection DOAJ
description IntroductionCoronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been a major health emergency since its emergence in late 2019. Endothelial dysfunction is a hallmark of COVID-19, leading to severe illness, i.e. coagulopathy, multi-organ failure. FX06, a fibrin-derived peptide naturally occurring in the human body, formerly known as Bβ15-42, is a promising therapeutic candidate for endothelial complications like capillary leakage in COVID-19 and other forms of acute respiratory disorders. The aim of this project is to investigate whether FX06 can attenuate COVID-19 cytokine-triggered inflammatory processes in vitro.MethodsTo mimic the inflammatory status of COVID-19, a human pulmonary microvascular endothelial cell line (ECs) – HULEC-5a, was treated with a cytokine cocktail comprised of ten different cytokines or chemokines at concentrations found in serum profiles of COVID-19 patients with severe illness, further referred to as the severe cytokine cocktail. ECs were treated with the severe cytokine cocktail for 24 h, in the absence or presence of FX06 for 2 h.ResultsThe severe cytokine cocktail enhanced peripheral blood mononuclear cell (PBMC)-endothelial adhesion and monolayer transmigration. This deleterious effect was significantly reduced by FX06. FX06 was also shown to mitigate the cytotoxic activity of allogeneic CD8+ T cells, which increased upon cytokine treatment. FX06 restored continuous vascular endothelial (VE)-cadherin/CD144 distribution on the EC surface and reversed morphological changes mediated by the severe cytokine cocktail, such as the elongation of F-actin stress fibers. FX06 reduced capillary-like structure formation of the severe cytokine cocktail treated-ECs, indicating FX06 down-regulated the pro-inflammatory angiogenic activity caused by the severe cytokine cocktail. Additionally, FX06 might assist in maintaining the normal barrier function of ECs by altering the surface expression of Syndecan-1 (SDC1/CD138). Proteomics and phosphoproteomics analyses demonstrated that FX06 in the presence of the severe cytokine cocktail inactivated RhoGTPase, which was confirmed by western blotting that FX06 attenuated RhoA, a member of RhoGTPase, enhanced by the severe cytokine cocktail and down-regulated the expression of the phosphorylated downstream protein, ROCK1.ConclusionOverall, FX06 shows promising potential in normalizing ECs and reducing vascular leakage to protect the endothelium against the proinflammatory effect of COVID-19-triggered cytokines.
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spelling doaj-art-811bca9ff7fd49b58e5baa1fb7de033a2025-08-20T03:31:16ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-06-011610.3389/fimmu.2025.15918601591860The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine stormZhiran Wang0Dmitrii Lebedev1Simeng Li2Sudharshan Rao3Kevin Wu4Lorcan Doyle5Kieran Wynne6Alfonso Blanco7Margaritha M. Mysior8Jeremy C. Simpson9Dimitri Scholz10Petra Wülfroth11Kai Zacharowski12Walter Kolch13Vadim Zhernovkov14Günther Eissner15Systems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandFlow Cytometry Core, Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, IrelandCell Screening Laboratory, School of Biology and Environmental Science, O’Brien Centre for Science, University College Dublin, Dublin, IrelandCell Screening Laboratory, School of Biology and Environmental Science, O’Brien Centre for Science, University College Dublin, Dublin, IrelandImaging Core, Conway Institute of Biomolecular and Biomedical Research, University College, Dublin, IrelandF4 Pharma, Vienna, AustriaClinic of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, GermanySystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandSystems Biology Ireland, School of Medicine, University College Dublin, Dublin, IrelandIntroductionCoronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has been a major health emergency since its emergence in late 2019. Endothelial dysfunction is a hallmark of COVID-19, leading to severe illness, i.e. coagulopathy, multi-organ failure. FX06, a fibrin-derived peptide naturally occurring in the human body, formerly known as Bβ15-42, is a promising therapeutic candidate for endothelial complications like capillary leakage in COVID-19 and other forms of acute respiratory disorders. The aim of this project is to investigate whether FX06 can attenuate COVID-19 cytokine-triggered inflammatory processes in vitro.MethodsTo mimic the inflammatory status of COVID-19, a human pulmonary microvascular endothelial cell line (ECs) – HULEC-5a, was treated with a cytokine cocktail comprised of ten different cytokines or chemokines at concentrations found in serum profiles of COVID-19 patients with severe illness, further referred to as the severe cytokine cocktail. ECs were treated with the severe cytokine cocktail for 24 h, in the absence or presence of FX06 for 2 h.ResultsThe severe cytokine cocktail enhanced peripheral blood mononuclear cell (PBMC)-endothelial adhesion and monolayer transmigration. This deleterious effect was significantly reduced by FX06. FX06 was also shown to mitigate the cytotoxic activity of allogeneic CD8+ T cells, which increased upon cytokine treatment. FX06 restored continuous vascular endothelial (VE)-cadherin/CD144 distribution on the EC surface and reversed morphological changes mediated by the severe cytokine cocktail, such as the elongation of F-actin stress fibers. FX06 reduced capillary-like structure formation of the severe cytokine cocktail treated-ECs, indicating FX06 down-regulated the pro-inflammatory angiogenic activity caused by the severe cytokine cocktail. Additionally, FX06 might assist in maintaining the normal barrier function of ECs by altering the surface expression of Syndecan-1 (SDC1/CD138). Proteomics and phosphoproteomics analyses demonstrated that FX06 in the presence of the severe cytokine cocktail inactivated RhoGTPase, which was confirmed by western blotting that FX06 attenuated RhoA, a member of RhoGTPase, enhanced by the severe cytokine cocktail and down-regulated the expression of the phosphorylated downstream protein, ROCK1.ConclusionOverall, FX06 shows promising potential in normalizing ECs and reducing vascular leakage to protect the endothelium against the proinflammatory effect of COVID-19-triggered cytokines.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1591860/fullendothelial dysfunctionCOVID-19cytokineFX06vascular leakageARDS
spellingShingle Zhiran Wang
Dmitrii Lebedev
Simeng Li
Sudharshan Rao
Kevin Wu
Lorcan Doyle
Kieran Wynne
Alfonso Blanco
Margaritha M. Mysior
Jeremy C. Simpson
Dimitri Scholz
Petra Wülfroth
Kai Zacharowski
Walter Kolch
Vadim Zhernovkov
Günther Eissner
The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine storm
Frontiers in Immunology
endothelial dysfunction
COVID-19
cytokine
FX06
vascular leakage
ARDS
title The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine storm
title_full The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine storm
title_fullStr The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine storm
title_full_unstemmed The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine storm
title_short The fibrin-derived peptide FX06 protects human pulmonary endothelial cells against the COVID-19-triggered cytokine storm
title_sort fibrin derived peptide fx06 protects human pulmonary endothelial cells against the covid 19 triggered cytokine storm
topic endothelial dysfunction
COVID-19
cytokine
FX06
vascular leakage
ARDS
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1591860/full
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