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无症状 COVID-19 感染中上调的 I 型干扰素反应与改善的临床结局相关。

Upregulated type I interferon responses in asymptomatic COVID-19 infection are associated with improved clinical outcome.

机构信息

Department of Pathology and Laboratory Medicine, The Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 75400, Pakistan.

Department of Medicine, AKU, Karachi, Pakistan.

出版信息

Sci Rep. 2021 Nov 25;11(1):22958. doi: 10.1038/s41598-021-02489-4.

DOI:10.1038/s41598-021-02489-4
PMID:34824360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8617268/
Abstract

Understanding key host protective mechanisms against SARS-CoV-2 infection can help improve treatment modalities for COVID-19. We used a blood transcriptome approach to study biomarkers associated with differing severity of COVID-19, comparing severe and mild Symptomatic disease with Asymptomatic COVID-19 and uninfected Controls. There was suppression of antigen presentation but upregulation of inflammatory and viral mRNA translation associated pathways in Symptomatic as compared with Asymptomatic cases. In severe COVID-19, CD177 a neutrophil marker, was upregulated while interferon stimulated genes (ISGs) were downregulated. Asymptomatic COVID-19 cases displayed upregulation of ISGs and humoral response genes with downregulation of ICAM3 and TLR8. Compared across the COVID-19 disease spectrum, we found type I interferon (IFN) responses to be significantly upregulated (IFNAR2, IRF2BP1, IRF4, MAVS, SAMHD1, TRIM1), or downregulated (SOCS3, IRF2BP2, IRF2BPL) in Asymptomatic as compared with mild and severe COVID-19, with the dysregulation of an increasing number of ISGs associated with progressive disease. These data suggest that initial early responses against SARS-CoV-2 may be effectively controlled by ISGs. Therefore, we hypothesize that treatment with type I interferons in the early stage of COVID-19 may limit disease progression by limiting SARS-CoV-2 in the host.

摘要

了解宿主针对 SARS-CoV-2 感染的关键保护机制有助于改进 COVID-19 的治疗方法。我们采用血液转录组学方法研究与 COVID-19 严重程度相关的生物标志物,将重症和轻症有症状疾病与无症状 COVID-19 和未感染对照进行比较。与无症状病例相比,有症状病例中抗原呈递受到抑制,但炎症和病毒 mRNA 翻译相关途径上调。在重症 COVID-19 中,中性粒细胞标志物 CD177 上调,而干扰素刺激基因 (ISG) 下调。无症状 COVID-19 病例中 ISG 和体液反应基因上调,ICAM3 和 TLR8 下调。与 COVID-19 疾病谱相比,我们发现与轻症和重症 COVID-19 相比,I 型干扰素 (IFN) 反应在无症状病例中显著上调 (IFNAR2、IRF2BP1、IRF4、MAVS、SAMHD1、TRIM1) 或下调 (SOCS3、IRF2BP2、IRF2BPL),与疾病进展相关的 ISG 失调数量增加。这些数据表明,针对 SARS-CoV-2 的初始早期反应可能被 ISG 有效控制。因此,我们假设在 COVID-19 的早期阶段使用 I 型干扰素治疗可能通过限制宿主中的 SARS-CoV-2 来限制疾病进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cb/8617268/27e95cd0e959/41598_2021_2489_Fig6_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cb/8617268/27e95cd0e959/41598_2021_2489_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4cb/8617268/d71ef3ce478b/41598_2021_2489_Fig1_HTML.jpg
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