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B细胞和T细胞刺激介导的适应性免疫反应的最新进展以及2019年新型冠状病毒病(COVID-19)治疗的策略。

Current updates on adaptive immune response by B cell and T cell stimulation and therapeutic strategies for novel coronavirus disease 2019 (COVID-19) treatment.

作者信息

Pal Neeraj, Mavi Anil Kumar, Kumar Sundip, Kumar Umesh, Joshi Maya Datt, Saluja Rohit

机构信息

Department of Molecular Biology and Genetic Engineering, GB Pant University of Agriculture and Technology, Pantnagar, 263145, India.

Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, 110007, India.

出版信息

Heliyon. 2021 Apr;7(4):e06894. doi: 10.1016/j.heliyon.2021.e06894. Epub 2021 Apr 27.

Abstract

The prevalence of COVID-19 continues to rise with more than 114,315,846 million confirmed cases and 2,539,427 deaths worldwide by 3 March 2021 and this number kept on increasing day by day. There is no clear therapeutic treatment or vaccine available for COVID-19 till date and by seeing such a high rise in the cases of COVID-19 on daily basis, it would have been necessary to implement precautions and hygienic measures to monitor and reduce human-to-human transmission of SARS-CoV-2 before there is any successful intervention/treatment available. Currently, several studies demonstrated the important improvements in both the innate and adaptive immune systems of COVID-19 patients. In particular, pre-existing research, on immune response to B cell and T cells are highlighting that pre-existing immunity exists in about 90% of the general population because of previous exposure to CoVs and having immunity against these CoVs. Although it is not clear from, the current studies on COVID-19 but it assumed that, it might have implication to COVID-19 severity and could play an important role in treatment or vaccine development against COVID-19. This review summarizes the information from occurrence of SARS-CoV-2 to its pathogenesis, transmission, adaptive immune response with respect to T cell and B cell stimulation and therapeutic interventions/treatment against COVID-19.

摘要

截至2021年3月3日,新冠病毒病(COVID-19)的全球确诊病例超过1.14315846亿例,死亡病例达253.9427万例,且其流行率持续上升,这一数字还在逐日增加。截至目前,尚无针对COVID-19的明确治疗方法或疫苗,鉴于COVID-19病例每日都在大幅增加,在有任何成功的干预措施/治疗方法之前,采取预防措施和卫生措施以监测和减少严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的人际传播是很有必要的。目前,多项研究表明COVID-19患者的固有免疫系统和适应性免疫系统均有显著改善。特别是,先前关于对B细胞和T细胞免疫反应的研究强调,由于先前接触过冠状病毒并对这些冠状病毒具有免疫力,约90%的普通人群存在既往免疫力。尽管目前关于COVID-19的研究尚不清楚,但据推测,这可能与COVID-19的严重程度有关,并可能在针对COVID-19的治疗或疫苗研发中发挥重要作用。本综述总结了从SARS-CoV-2的出现到其发病机制、传播、针对T细胞和B细胞刺激的适应性免疫反应以及针对COVID-19的治疗干预措施等方面的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c81f/8100082/1ab0802c03a4/gr1.jpg

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