Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Biomedical Research Building, #409A, 2109 Adelbert Rd., Cleveland, OH 44106, USA; Department of Biological Sciences, Case Western Reserve University School of Dental Medicine, 10900 Euclid Ave., Cleveland, OH 44106, USA.
Infect Genet Evol. 2020 Nov;85:104512. doi: 10.1016/j.meegid.2020.104512. Epub 2020 Aug 26.
Emerging results indicate that an uncontrolled host immune response, leading to a life-threatening condition called cytokine release syndrome (also termed "cytokine storm"), is the major driver of pathology in severe COVID-19. In this pandemic, considerable effort is being focused on identifying host genomic factors that increase susceptibility or resistance to the complications of COVID-19 and translating these findings to improved patient care. In this regard, the chemokine receptor-ligand nexus has been reported as potentially important in severe COVID-19 disease pathogenesis and its treatment. Valuable genomic insights into the chemokine receptor-ligand nexus have been gained from HIV infection and disease progression studies. Applying that knowledge, together with newly discovered potential host genomic factors associated with COVID-19, may lead to a more comprehensive understanding of the pathogenesis and treatment outcomes in COVID-19 patients.
新兴研究结果表明,宿主免疫反应失控导致危及生命的细胞因子释放综合征(也称为“细胞因子风暴”),是严重 COVID-19 病理的主要驱动因素。在这场大流行中,人们正在努力确定宿主基因组因素,这些因素会增加对 COVID-19 并发症的易感性或抵抗力,并将这些发现转化为改善患者护理。在这方面,趋化因子受体-配体相互作用已被报道在严重 COVID-19 疾病发病机制及其治疗中具有重要意义。从 HIV 感染和疾病进展研究中获得了有关趋化因子受体-配体相互作用的宝贵基因组见解。应用这些知识,再加上与 COVID-19 相关的新发现的潜在宿主基因组因素,可能会更全面地了解 COVID-19 患者的发病机制和治疗结果。