病毒感染与全身炎症:COVID-19 及其他疾病带来的启示。
Virus Infection and Systemic Inflammation: Lessons Learnt from COVID-19 and Beyond.
机构信息
Institute of Virology, University of Muenster, 48149 Muenster, Germany.
CiM-IMPRS, International Max Planck Research School-Molecular Biomedicine, Westfaelische Wilhelms-University Muenster, 48149 Muenster, Germany.
出版信息
Cells. 2022 Jul 14;11(14):2198. doi: 10.3390/cells11142198.
Respiratory infections with newly emerging zoonotic viruses such as SARS-CoV-2, the etiological agent of COVID-19, often lead to the perturbation of the human innate and adaptive immune responses causing severe disease with high mortality. The responsible mechanisms are commonly virus-specific and often include either over-activated or delayed local interferon responses, which facilitate efficient viral replication in the primary target organ, systemic viral spread, and rapid onset of organ-specific and harmful inflammatory responses. Despite the distinct replication strategies, human infections with SARS-CoV-2 and highly pathogenic avian influenza viruses demonstrate remarkable similarities and differences regarding the mechanisms of immune induction, disease dynamics, as well as the long-term sequelae, which will be discussed in this review. In addition, we will highlight some important lessons about the effectiveness of antiviral and immunomodulatory therapeutic strategies that this pandemic has taught us.
新型人畜共患病毒(如导致 COVID-19 的 SARS-CoV-2 病毒)引起的呼吸道感染,常导致人体固有和适应性免疫反应失调,引发高死亡率的重症疾病。其发病机制通常具有病毒特异性,常包括过度激活或延迟的局部干扰素反应,从而促进病毒在原发性靶器官内的有效复制、全身病毒扩散,以及引发特定器官的有害炎症反应。尽管复制策略不同,但人类感染 SARS-CoV-2 和高致病性禽流感病毒在免疫诱导机制、疾病动态以及长期后遗症方面表现出显著的相似性和差异性,这些内容将在本综述中进行讨论。此外,我们还将强调一些重要的经验教训,包括此次大流行让我们认识到抗病毒和免疫调节治疗策略的有效性。