August 4, 2026 · Anesthesiology · DOI: 10.1097/ALN.0000000000006306

HIF1A-dependent induction of alveolar miR-147b dampens SARS-CoV-2-associated ARDS via direct targeting of viral RNA

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The authors investigate whether alveolar microRNAs, specifically miR-147b, play a protective role against SARS-CoV-2-associated acute respiratory distress syndrome (ARDS) by targeting viral RNA. They demonstrate that miR-147b is induced by hypoxia-inducible factor 1A (HIF1A) during infection and that it directly interacts with the viral ORF8 region, providing a mechanism for its protective effects in a murine model of SARS-CoV-2 ARDS. This study highlights the potential of miR-147b as an endogenous antiviral agent that mitigates lung injury during viral pneumonia.

Xiaoyi Yuan, Jieun Kim, Katherine Figarella, Yanyu Wang, Oleg Makarevich, Wei Ruan, Yanping Hu, Xuping Xie, Tingting Mills, Harry Karmouty-Quintana, Cheng-Yen Chang, Lingegowda S Mangala, Cristian Rodriguez-Aguayo, Paola Amero, Thu T Tran, Agnieszka K Czopik, Kevin Huang, Jinlian Wang, Francesca Polverino, Gabriel Lopez-Berestein, Anil K Sood, Paul Potnuru, Scott E Evans, Marcos F Vidal Melo, Farrah Kheradmand, Pei-Yong Shi, Hongfang Liu, Holger K Eltzschig

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