Polat Ceylan, Ergunay Koray
Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara 06100, Turkey.
World J Clin Cases. 2021 Jul 6;9(19):5007-5018. doi: 10.12998/wjcc.v9.i19.5007.
The host immunity is crucial in determining the clinical course and prognosis of coronavirus disease 2019, where some systemic and severe manifestations are associated with excessive or suboptimal responses. Several antigenic epitopes in spike, nucleocapsid and membrane proteins of severe acute respiratory syndrome coronavirus 2 are targeted by the immune system, and a robust response with innate and adaptive components develops in infected individuals. High titer neutralizing antibodies and a balanced T cell response appears to constitute the optimal immune response to severe acute respiratory syndrome coronavirus 2, where innate and mucosal defenses also contribute significantly. Following exposure, immunological memory seems to develop and be maintained for substantial periods. Here, we provide an overview of the main aspects in antiviral immunity involving innate and adaptive responses with insights into virus structure, individual variations pertaining to disease severity as well as long-term protective immunity expected to be attained by vaccination.
宿主免疫在决定2019冠状病毒病的临床病程和预后方面至关重要,其中一些全身和严重表现与过度或不适当的反应有关。严重急性呼吸综合征冠状病毒2的刺突、核衣壳和膜蛋白中的几个抗原表位被免疫系统靶向,并且在受感染个体中会产生具有先天性和适应性成分的强烈反应。高滴度中和抗体和平衡的T细胞反应似乎构成了对严重急性呼吸综合征冠状病毒2的最佳免疫反应,其中先天性和黏膜防御也发挥了重要作用。接触病毒后,免疫记忆似乎会形成并在相当长的时间内得以维持。在此,我们概述了抗病毒免疫的主要方面,包括先天性和适应性反应,同时深入探讨病毒结构、与疾病严重程度相关的个体差异以及预计通过疫苗接种获得的长期保护性免疫。