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鉴定 SARS-CoV-2 诱导的与 COVID-19 患者血栓形成和血管损伤相关的关键信号通路。

Identification of key signaling pathways induced by SARS-CoV2 that underlie thrombosis and vascular injury in COVID-19 patients.

机构信息

C.S. Mott Center for Human Growth and Development, Department of Obstetrics, Gynecology, Wayne State University, Detroit, Michigan, USA.

Department of Internal Medicine Wayne State University, Detroit, Michigan, USA.

出版信息

J Leukoc Biol. 2021 Jan;109(1):35-47. doi: 10.1002/JLB.4COVR0920-552RR. Epub 2020 Nov 26.

Abstract

The SARS-CoV-2 pandemic has led to hundreds of thousands of deaths and billions of dollars in economic damage. The immune response elicited from this virus is poorly understood. An alarming number of cases have arisen where COVID-19 patients develop complications on top of the symptoms already associated with SARS, such as thrombosis, injuries of vascular system, kidney, and liver, as well as Kawasaki disease. In this review, a bioinformatics approach was used to elucidate the immune response triggered by SARS-CoV-2 infection in primary human lung epithelial and transformed human lung alveolar. Additionally, examined the potential mechanism behind several complications that have been associated with COVID-19 and determined that a specific cytokine storm is leading to excessive neutrophil recruitment. These neutrophils are directly leading to thrombosis, organ damage, and complement activation via neutrophil extracellular trap release.

摘要

SARS-CoV-2 大流行导致数十万人死亡和数十亿美元的经济损失。人们对这种病毒引起的免疫反应知之甚少。令人震惊的是,大量 COVID-19 患者在已经与 SARS 相关的症状之上出现了并发症,如血栓形成、血管系统、肾脏和肝脏损伤以及川崎病。在这篇综述中,使用生物信息学方法阐明了 SARS-CoV-2 感染在原代人肺上皮细胞和人肺肺泡细胞中引发的免疫反应。此外,还研究了与 COVID-19 相关的几种并发症背后的潜在机制,并确定特定的细胞因子风暴导致过度的中性粒细胞募集。这些中性粒细胞通过中性粒细胞胞外诱捕网的释放直接导致血栓形成、器官损伤和补体激活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aab6/10016872/63503311e765/jlb10852-gra-0001-m.jpg

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