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新型冠状病毒肺炎免疫反应和治疗效果。

The Immune Response and Effectiveness of COVID-19 Therapies.

机构信息

Department of Immunology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Basic Sciences in Infectious Diseases Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Adv Exp Med Biol. 2021;1321:115-126. doi: 10.1007/978-3-030-59261-5_10.

DOI:10.1007/978-3-030-59261-5_10
PMID:33656718
Abstract

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is highly pathogenic with relatively high mortality and morbidity. In addition to pneumonia, acute respiratory distress syndrome, and microembolic disorder, a high proportion of patients with SARS-CoV-2 develop lymphopenia and cytokine storm disorder. This review explores the underlying mechanisms behind the pathogenesis of SARS-CoV-2, especially the immune mechanisms, which could be potentially used as therapeutic targets for the management of COVID-19.

摘要

由严重急性呼吸综合征冠状病毒 2 型(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)具有高致病性,死亡率和发病率相对较高。除了肺炎、急性呼吸窘迫综合征和微栓塞障碍外,相当一部分 SARS-CoV-2 患者还会出现淋巴细胞减少症和细胞因子风暴障碍。本综述探讨了 SARS-CoV-2 发病机制背后的潜在机制,特别是免疫机制,这些机制可能被用作 COVID-19 管理的治疗靶点。

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本文引用的文献

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Reduction and Functional Exhaustion of T Cells in Patients With Coronavirus Disease 2019 (COVID-19).新型冠状病毒病(COVID-19)患者 T 细胞减少和功能耗竭。
Front Immunol. 2020 May 1;11:827. doi: 10.3389/fimmu.2020.00827. eCollection 2020.
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Convalescent plasma in Covid-19: Possible mechanisms of action.恢复期血浆治疗 COVID-19:可能的作用机制。
Autoimmun Rev. 2020 Jul;19(7):102554. doi: 10.1016/j.autrev.2020.102554. Epub 2020 May 5.
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Human Leukocyte Antigen Susceptibility Map for Severe Acute Respiratory Syndrome Coronavirus 2.
肺泡水肿在 COVID-19 中的作用。
Cells. 2021 Jul 26;10(8):1897. doi: 10.3390/cells10081897.
人类白细胞抗原易感性图谱与严重急性呼吸综合征冠状病毒 2。
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Can we use interleukin-6 (IL-6) blockade for coronavirus disease 2019 (COVID-19)-induced cytokine release syndrome (CRS)?我们能否使用白细胞介素 6(IL-6)阻断剂治疗 2019 冠状病毒病(COVID-19)引起的细胞因子释放综合征(CRS)?
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Corona (COVID-19) time musings: Our involvement in COVID-19 pathogenesis, diagnosis, treatment and vaccine planning.新冠(COVID-19)时期的思考:我们在新冠病毒致病机制、诊断、治疗及疫苗研发计划中的参与情况
Autoimmun Rev. 2020 Jun;19(6):102538. doi: 10.1016/j.autrev.2020.102538. Epub 2020 Apr 5.
6
The Role of Cytokines including Interleukin-6 in COVID-19 induced Pneumonia and Macrophage Activation Syndrome-Like Disease.细胞因子(包括白细胞介素 6)在 COVID-19 诱导性肺炎和巨噬细胞活化综合征样疾病中的作用。
Autoimmun Rev. 2020 Jun;19(6):102537. doi: 10.1016/j.autrev.2020.102537. Epub 2020 Apr 3.
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Cytokine release syndrome in severe COVID-19: interleukin-6 receptor antagonist tocilizumab may be the key to reduce mortality.严重 COVID-19 中的细胞因子释放综合征:白细胞介素-6 受体拮抗剂托珠单抗可能是降低死亡率的关键。
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Immunosuppression for hyperinflammation in COVID-19: a double-edged sword?新冠病毒感染中针对过度炎症反应的免疫抑制:一把双刃剑?
Lancet. 2020 Apr 4;395(10230):1111. doi: 10.1016/S0140-6736(20)30691-7. Epub 2020 Mar 24.