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回到 COVID-19 的基础:抗原和抗体——拼出完整的画面。

Back to basics in COVID-19: Antigens and antibodies-Completing the puzzle.

机构信息

Department of Immunology, Victor Babes National Institute of Pathology, Bucharest, Romania.

Department of Pathology, Colentina Clinical Hospital, Bucharest, Romania.

出版信息

J Cell Mol Med. 2021 May;25(10):4523-4533. doi: 10.1111/jcmm.16462. Epub 2021 Mar 18.

Abstract

The outbreak of the coronavirus disease 2019 (COVID-19) has gathered 1 year of scientific/clinical information. This informational asset should be thoroughly and wisely used in the coming year colliding in a global task force to control this infection. Epidemiology of this infection shows that the available estimates of SARS-CoV-2 infection prevalence largely depended on the availability of molecular testing and the extent of tested population. Within molecular diagnosis, the viability and infectiousness of the virus in the tested samples should be further investigated. Moreover, SARS-CoV-2 has a genetic normal evolution that is a dynamic process. The immune system participates to the counterattack of the viral infection by pathogen elimination, cellular homoeostasis, tissue repair and generation of memory cells that would be reactivated upon a second encounter with the same virus. In all these stages, we still have knowledge to be gathered regarding antibody persistence, protective effects and immunological memory. Moreover, information regarding the intense pro-inflammatory action in severe cases still lacks and this is important in stratifying patients for difficult to treat cases. Without being exhaustive, the review will cover these important issues to be acknowledged to further advance in the battle against the current pandemia.

摘要

2019 年冠状病毒病(COVID-19)的爆发积累了 1 年的科学/临床信息。在未来一年,我们应该在一个全球工作团队中明智地利用这一信息,以控制这一感染。该感染的流行病学表明,SARS-CoV-2 感染流行率的现有估计在很大程度上取决于分子检测的可用性和检测人群的范围。在分子诊断中,应进一步研究检测样本中病毒的生存能力和传染性。此外,SARS-CoV-2 的遗传正常进化是一个动态过程。免疫系统通过病原体清除、细胞内稳态、组织修复和记忆细胞的产生来参与病毒感染的反击,这些记忆细胞在第二次遇到相同病毒时会被重新激活。在所有这些阶段,我们仍然需要收集有关抗体持续时间、保护作用和免疫记忆的知识。此外,关于严重病例中强烈的促炎作用的信息仍然缺乏,这对于对治疗困难的病例进行分层很重要。这里不可能面面俱到,本文将涵盖这些需要被进一步了解的重要问题,以在对抗当前大流行的战斗中取得进一步进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5888/8107083/b279f438bbe8/JCMM-25-4523-g002.jpg

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