PMID- 33815663 OWN - NLM STAT- MEDLINE DCOM- 20210414 LR - 20230818 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2021 DP - 2021 TI - HIF-1, the Warburg Effect, and Macrophage/Microglia Polarization Potential Role in COVID-19 Pathogenesis. PG - 8841911 LID - 10.1155/2021/8841911 [doi] LID - 8841911 AB - Despite the international scientific community's commitment to improve clinical knowledge about coronavirus disease 2019 (COVID-19), knowledge regarding molecular details remains limited. In this review, we discuss hypoxia's potential role in the pathogenesis of the maladaptive immune reaction against severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The state of infection, with serious respiratory dysfunction, causes tissues to become hypoxic due to a discrepancy between cellular O(2) uptake and consumption similar to that seen within tumor tissue during the progression of numerous solid cancers. In this context, the heterogeneous clinical behavior and the multiorgan deterioration of COVID-19 are discussed as a function of the upregulated expression of the hypoxia-inducible factor-1 (HIF-1) and of the metabolic reprogramming associated with HIF-1 and with a proinflammatory innate immune response activation, independent of the increase in the viral load of SARS-CoV-2. Possible pharmacological strategies targeting O(2) aimed to improve prognosis are suggested. CI - Copyright (c) 2021 Elisabetta Ferraro et al. FAU - Ferraro, Elisabetta AU - Ferraro E AD - Universita di Pisa, Pisa, Italy. FAU - Germano, Maria AU - Germano M AD - Ospedale Sant'Anna, Como, Italy. FAU - Mollace, Rocco AU - Mollace R AD - Universita Magna Grecia, Catanzaro, Italy. FAU - Mollace, Vincenzo AU - Mollace V AD - Universita Magna Grecia, Catanzaro, Italy. FAU - Malara, Natalia AU - Malara N AUID- ORCID: 0000-0002-1719-293X AD - Universita Magna Grecia, Catanzaro, Italy. LA - eng PT - Journal Article PT - Review DEP - 20210312 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (Hypoxia-Inducible Factor 1) SB - IM MH - COVID-19/immunology/*metabolism/*pathology/virology MH - *Cell Polarity MH - Humans MH - Hypoxia-Inducible Factor 1/*metabolism MH - Macrophages/*metabolism MH - Microglia/*metabolism MH - SARS-CoV-2/physiology MH - *Warburg Effect, Oncologic PMC - PMC7987467 COIS- The authors declare that they have no conflicts of interest. EDAT- 2021/04/06 06:00 MHDA- 2021/04/15 06:00 PMCR- 2021/03/12 CRDT- 2021/04/05 06:00 PHST- 2020/09/18 00:00 [received] PHST- 2021/01/07 00:00 [revised] PHST- 2021/03/03 00:00 [accepted] PHST- 2021/04/05 06:00 [entrez] PHST- 2021/04/06 06:00 [pubmed] PHST- 2021/04/15 06:00 [medline] PHST- 2021/03/12 00:00 [pmc-release] AID - 10.1155/2021/8841911 [doi] PST - epublish SO - Oxid Med Cell Longev. 2021 Mar 12;2021:8841911. doi: 10.1155/2021/8841911. eCollection 2021.