AUTHOR=Singh Lakhveer , Bajaj Sakshi , Gadewar Manoj , Verma Nitin , Ansari Mohd Nazam , Saeedan Abdulaziz S. , Kaithwas Gaurav , Singh Manjari TITLE=Modulation of Host Immune Response Is an Alternative Strategy to Combat SARS-CoV-2 Pathogenesis JOURNAL=Frontiers in Immunology VOLUME=Volume 12 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2021.660632 DOI=10.3389/fimmu.2021.660632 ISSN=1664-3224 ABSTRACT=The novel SARS-CoV-2 caused the disease COVID-19, is currently a pandemic worldwide. The virus requires an alveolar type-2pneumocyte host to initiate its life cycle. Viral S1spike protein helps in the attachment of virus on ACE-2 receptors present on type-2 pneumocytes, and S2 spike protein helps in the fusion of viral membrane with the host membrane. Fusion of SARS-CoV2 virus and host membrane is followed by transfer of viral RNA into the host cells which is directly translated into viral genome and a viral structural protein. As the virus replicates within type-2 pneumocytes, the host immune system is activated, and alveolar macrophages start secreting cytokines and chemokines, acting as an inflammatory mediator and chemotactic neutrophils, monocytes, natural NK cells, and CD8+ T cells that initiate local phagocytosis of infected cells. It’s not the virus that kills COVID-19 patients; instead, the aberrant host immune response kills them. Modifying the response from the host immune system could reduce the high mortality due to SARS-CoV-2 infection. The present study examines the viral life cycle in type 2pneumocytes and resultant host immune response along with possible therapeutic targets.