PT - JOURNAL ARTICLE AU - J. Tyson McDonald AU - Francisco Javier Enguita AU - Deanne Taylor AU - Richard A. Bowen AU - Robert J. Griffin AU - Waldemar Priebe AU - Mark R. Emmett AU - Marisa McGrath AU - Mohammad M. Sajadi AU - Anthony D. Harris AU - Jean Clement AU - Joseph M. Dybas AU - Nukhet Aykin-Burns AU - Joseph W. Guarnieri AU - Larry N. Singh AU - Peter Grabham AU - Stephen B. Baylin AU - Aliza Yousey AU - Andrea N. Pearson AU - Peter M. Corry AU - Amanda Saravia-Butler AU - Thomas R. Aunins AU - Prashant Nagpal AU - Cem Meydan AU - Jonathan Foox AU - Christopher Mozsary AU - Bianca Cerqueira AU - Viktorija Zaksas AU - Urminder Singh AU - Eve Syrkin Wurtele AU - Sylvain V. Costes AU - Diego Galeano AU - Alberto Paccanaro AU - Suzanne L. Meinig AU - Robert S. Hagan AU - Natalie M Bowman AU - UNC COVID-19 Pathobiology Consortium AU - Matthew C. Wolfgang AU - Selin Altinok AU - Nicolae Sapoval AU - Todd J. Treangen AU - Matthew Frieman AU - Charles Vanderburg AU - Douglas C. Wallace AU - Jonathan Schisler AU - Christopher E. Mason AU - Anushree Chatterjee AU - Robert Meller AU - Afshin Beheshti TI - The Great Deceiver: miR-2392’s Hidden Role in Driving SARS-CoV-2 Infection AID - 10.1101/2021.04.23.441024 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.04.23.441024 4099 - http://biorxiv.org/content/early/2021/04/26/2021.04.23.441024.short 4100 - http://biorxiv.org/content/early/2021/04/26/2021.04.23.441024.full AB - MicroRNAs (miRNAs) are small non-coding RNAs involved in post-transcriptional gene regulation that have a major impact on many diseases and provides an exciting avenue towards antiviral therapeutics. From patient transcriptomic data, we have discovered a circulating miRNA, miR-2392, that is directly involved with SARS-CoV-2 machinery during host infection. Specifically, we found that miR-2392 was key in driving downstream suppression of mitochondrial gene expression, increasing inflammation, glycolysis, and hypoxia as well as promoting many symptoms associated with COVID-19 infection. We demonstrate miR-2392 is present in the blood and urine of COVID-19 patients tested, but not detected in COVID-19 negative patients. These findings indicate the potential for developing a novel, minimally invasive, COVID-19 detection method. Lastly, using both in vitro human and in vivo hamster models, we have developed a novel miRNA-based antiviral therapeutic targeting miR-2392 that significantly reduces SARS-CoV-2 viability and may potentially inhibit a COVID-19 disease state in the host.Competing Interest StatementThe authors have declared no competing interest.