COVID-19 中的免疫失调与系统病理学。

Immune dysregulation and system pathology in COVID-19.

机构信息

Department of Immunology, School of Basic Medical Science, Wuhan University, Wuhan P.R. China.

State Key Laboratory of Agricultural Microbiology, College of Life Science and Technology, Huazhong Agricultural University, Wuhan China.

出版信息

Virulence. 2021 Dec;12(1):918-936. doi: 10.1080/21505594.2021.1898790.

Abstract

The coronavirus disease 19 (COVID-19) caused by the novel coronavirus known as SARS-CoV-2 has caused a global public health crisis. As of 7 January 2021, 87,640,402 confirmed cases and 1,891,692 mortalities have been reported worldwide. Studies focusing on the epidemiological and clinical characteristics of COVID-19 patients have suggested a dysregulated immune response characterized by lymphopenia and cytokine storm in these patients. The exaggerated immune response induced by the cytokine storm causes septic shock, acute respiratory distress syndrome (ARDS), and/or multiple organs failure, which increases the fatality rate of patients with SARS-CoV-2 infection. Herein, we review the recent research progress on epidemiology, clinical features, and system pathology in COVID-19. Moreover, we summarized the recent therapeutic strategies, which are either approved, under clinical trial, and/or under investigation by the local or global health authorities. We assume that treatments should focus on the use of antiviral drugs in combination with immunomodulators as well as treatment of the underlying comorbidities.

摘要

新型冠状病毒(SARS-CoV-2)引起的 2019 冠状病毒病(COVID-19)已造成全球公共卫生危机。截至 2021 年 1 月 7 日,全球已报告 87,640,402 例确诊病例和 1,891,692 例死亡病例。聚焦 COVID-19 患者的流行病学和临床特征的研究表明,这些患者的免疫反应失调,表现为淋巴细胞减少和细胞因子风暴。细胞因子风暴引起的过度免疫反应导致脓毒症休克、急性呼吸窘迫综合征(ARDS)和/或多器官衰竭,从而增加 SARS-CoV-2 感染患者的死亡率。在此,我们回顾 COVID-19 的流行病学、临床特征和系统病理学的最新研究进展。此外,我们总结了最近的治疗策略,这些策略已经获得批准,正在临床试验中,以及/或正在地方或全球卫生当局的调查中。我们假设治疗应侧重于使用抗病毒药物联合免疫调节剂,以及治疗潜在的合并症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4427/7993139/dfc2fe315620/KVIR_A_1898790_F0001_OC.jpg

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