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SARS-CoV-2 感染患者免疫失调反应:全面综述。

Dysregulated Immune Responses in SARS-CoV-2-Infected Patients: A Comprehensive Overview.

机构信息

Institute of Experimental Medicine, 197022 Saint Petersburg, Russia.

Almazov National Medical Research Centre, 197341 Saint Petersburg, Russia.

出版信息

Viruses. 2022 May 18;14(5):1082. doi: 10.3390/v14051082.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first detected in humans more than two years ago and caused an unprecedented socio-economic burden on all countries around the world. Since then, numerous studies have attempted to identify various mechanisms involved in the alterations of innate and adaptive immunity in COVID-19 patients, with the ultimate goal of finding ways to correct pathological changes and improve disease outcomes. State-of-the-art research methods made it possible to establish precise molecular mechanisms which the new virus uses to trigger multisystem inflammatory syndrome and evade host antiviral immune responses. In this review, we present a comprehensive analysis of published data that provide insight into pathological changes in T and B cell subsets and their phenotypes, accompanying the acute phase of the SARS-CoV-2 infection. This knowledge might help reveal new biomarkers that can be utilized to recognize case severity early as well as to provide additional objective information on the effective formation of SARS-CoV-2-specific immunity and predict long-term complications of COVID-19, including a large variety of symptoms termed the 'post-COVID-19 syndrome'.

摘要

新型冠状病毒(SARS-CoV-2)于两年多前在人类中首次被发现,给全球各国带来了前所未有的社会经济负担。此后,许多研究试图确定 COVID-19 患者固有和适应性免疫改变所涉及的各种机制,最终目的是找到纠正病理变化和改善疾病结局的方法。最先进的研究方法使我们能够建立新病毒用于引发多系统炎症综合征和逃避宿主抗病毒免疫反应的确切分子机制。在这篇综述中,我们对已发表的数据进行了全面分析,这些数据深入了解了 SARS-CoV-2 感染急性期 T 和 B 细胞亚群及其表型的病理变化。这些知识可能有助于揭示新的生物标志物,以便早期识别疾病严重程度,并提供 SARS-CoV-2 特异性免疫形成的额外客观信息,并预测 COVID-19 的长期并发症,包括大量被称为“新冠后综合征”的症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c31e/9147674/c5d80a513b45/viruses-14-01082-g001.jpg

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