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PeerJ . Innate immunity, therapeutic targets and monoclonal antibodies in SARS-CoV-2 infection

tetano

Editor, Senior Moderator
PeerJ


. 2025 Jun 20:13:e19462.
doi: 10.7717/peerj.19462. eCollection 2025. Innate immunity, therapeutic targets and monoclonal antibodies in SARS-CoV-2 infection

Mubashir Nazir[SUP] 1 [/SUP], Ishfaq Rashid Mir[SUP] 2 [/SUP], Shabir Ahmad Lone[SUP] 1 [/SUP], Ghazala Muteeb[SUP] 3 [/SUP], Ragib Alam[SUP] 4 [/SUP], Anis Bashir Fomda[SUP] 5 [/SUP], Nida Khan[SUP] 6 [/SUP], Asim Azhar[SUP] 7 [/SUP], Bashir Ahmad Fomda[SUP] 1 [/SUP], Wajihul Hasan Khan[SUP] 4 [/SUP]



Affiliations
Abstract

COVID-19 (coronavirus disease 2019), caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), stands as one of the most severe pandemics the world has ever faced in recent times. SARS-CoV-2 infection exhibits a wide range of symptoms, varying from severe manifestations to mild cases and even asymptomatic carriers. This diversity stems from a multitude of factors, including genetic predisposition, viral variants, and immune status. During SARS-CoV-2 infection, the immune system engages pattern recognition receptors, setting off a series of intricate signalling cascades. These cascades culminate in the activation of innate immune responses, including induction of type I and type III interferons. The emerging variants of SARS-CoV-2 pose challenges to the innate immune system defense. Therefore, investigating the innate immune response is crucial for effectively combating SARS-CoV-2 and its variants. The cyclic guanosine monophosphate-adenosine monophoshate synthase-stimulator of interferon genes (cGAS-STING) pathway, a critical innate immune mechanism, represents a promising target for intervention at multiple stages to reduce the severity and progression of SARS-CoV-2 infection. This review explores innate immunity in SARS-CoV-2 infection and other immune responses critical for SARS-CoV-2 defence. As part of the therapeutic approach, we extend our review to highlight monoclonal antibodies (mAbs) as emerging and effective therapeutics for controlling SARS-CoV-2 by targeting different stages of the innate immune system. A diverse range of mAbs has been explored to address specific targets within the innate immune pathways. A deep understanding of innate immunity and targeted monoclonal therapeutics will be instrumental in combating viruses and their variants, laying the foundation for enhanced treatment and therapeutic strategies.

Keywords: Innate immunity; Monoclonal antibody; SARS-CoV-2; STINGs; Signaling molecules.

 
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