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新型冠状病毒(SARS-CoV-2)免疫反应综述。

A review on the immune responses against novel emerging coronavirus (SARS-CoV-2).

机构信息

Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, PO-Box: 6617713446, Sanandaj, Iran.

Lung Diseases and Allergy Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

出版信息

Immunol Res. 2021 Jun;69(3):213-224. doi: 10.1007/s12026-021-09198-0. Epub 2021 Apr 29.

Abstract

Coronavirus disease 2019 (COVID-19) is a highly contagious disease caused by a newly identified coronavirus called the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) which was initially emerged in Wuhan, China in late December 2019 and then rapidly extended to other countries worldwide. COVID-19 is now known as a pandemic threat to global public health. It possesses a wide spectrum of clinical manifestations, ranging from asymptomatic infection to mild, moderate, and ultimately severe pneumonia accompanied by multi-organ system dysfunction that can cause the death of the afflicted patients. The host immune system plays a critical role in defending against potentially pathogenic microorganisms such as coronaviruses, and it eliminates and eradicates these invading agents by triggering effective immune responses. However, there exists evidence indicating that in critically ill cases of the COVID-19, dysregulated immune responses and hyper-inflammation lead to acute respiratory distress syndrome (ARDS) and multi-organ failure. Achieving a profound understanding of the pathological immune responses involved in the pathogenesis of COVID-19 will boost our comprehending of disease pathogenesis and its progression toward severe form, contributing to the identification and rational design of effective therapies. In this review, we have tried to summarize the current knowledge regarding the role of immune responses against SARS-CoV-2 and also give a glimpse of the immune evasion strategies of this virus.

摘要

新型冠状病毒病(COVID-19)是一种由新型冠状病毒引起的高度传染性疾病,该病毒被称为严重急性呼吸综合征冠状病毒 2(SARS-CoV-2),最初于 2019 年 12 月在中国武汉出现,随后迅速蔓延至世界其他国家。COVID-19 现在被认为是对全球公共卫生的大流行威胁。它具有广泛的临床表现,从无症状感染到轻度、中度和最终严重肺炎,伴有多器官系统功能障碍,可导致患者死亡。宿主免疫系统在抵御潜在的致病微生物(如冠状病毒)方面起着至关重要的作用,它通过触发有效的免疫反应来消除和根除这些入侵物。然而,有证据表明,在 COVID-19 的重症病例中,失调的免疫反应和过度炎症导致急性呼吸窘迫综合征(ARDS)和多器官衰竭。深入了解 COVID-19 发病机制中涉及的病理免疫反应将有助于我们理解疾病的发病机制及其向严重形式的进展,有助于确定和合理设计有效的治疗方法。在这篇综述中,我们试图总结目前关于 SARS-CoV-2 免疫反应作用的知识,并简要介绍该病毒的免疫逃避策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745e/8084416/0ba168f1851a/12026_2021_9198_Fig1_HTML.jpg

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