Medical Science
Revolutionary Insights into Long COVID: The Role of Peroxisomes in Lung Recovery
2025-03-13

Scientists at the University of Virginia School of Medicine have unveiled groundbreaking findings on how severe respiratory infections like COVID-19 impair the lungs' ability to heal. This discovery sheds light on long-term effects and offers potential new treatment avenues for chronic conditions stemming from viral infections. Their research highlights that severe infections can damage peroxisomes within macrophages, crucial organelles responsible for lung repair. Moreover, they identified an FDA-approved drug capable of enhancing peroxisome function, paving the way for innovative therapies targeting long COVID and other post-infection complications.

The study also suggests that peroxisomes play a significant role in managing inflammation after severe lung infections, potentially offering solutions for both acute and chronic health issues resulting from such infections.

Unraveling the Impact of Severe Infections on Immune Cells

Research conducted by Jie Sun and his team reveals that severe viral infections dramatically alter peroxisomes inside macrophages. This alteration hinders their development and leads to degradation, impeding their functionality. Consequently, persistent inflammation and lung scarring occur in both lab mice and human patients following severe infections. These findings underscore the importance of peroxisomes in lung repair mechanisms.

In-depth analysis shows that severe infections significantly disrupt the structure and function of peroxisomes within immune cells. This disruption prevents macrophages from effectively guiding lung tissue repair, leading to prolonged inflammation and scarring. The researchers observed this phenomenon consistently across multiple studies involving different models, reinforcing the critical role peroxisomes play in maintaining lung health post-infection. By understanding these changes, scientists can develop targeted interventions to restore peroxisome functionality and enhance recovery processes, offering hope for individuals suffering from long-term respiratory issues.

Potential Therapeutic Approaches for Long-Term Respiratory Conditions

An FDA-approved drug, sodium phenylbutyrate, has shown promise in reversing peroxisome impairment in early tests. Although further research is necessary before its deployment for treating long COVID, these results indicate potential therapeutic strategies for various post-infection complications. Targeting peroxisomes could be beneficial not only for long COVID but also for other chronic lung diseases.

Sodium phenylbutyrate demonstrates the ability to improve peroxisome function, thereby enhancing the immune system's capacity to heal lung damage. This drug's effectiveness in restoring peroxisome functionality opens doors to broader applications in treating stubborn post-infection problems caused by influenza and other respiratory viruses. Collaborative efforts with scientists and physicians aim to explore peroxisomes' exact functions in long COVID and interstitial lung disease (ILD). Developing peroxisome-targeting therapies could provide patients with relief and improved quality of life, enabling them to breathe more easily and return to normal activities. Future studies will focus on refining these treatments and expanding their applicability to diverse chronic lung conditions, ensuring comprehensive care for affected individuals worldwide.

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