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对新冠病毒感染患者自身免疫发病机制的分子见解。

Molecular insights into onset of autoimmunity in SARS-CoV-2 infected patients.

作者信息

Laxminarayana Dama

机构信息

Sathya Krishna Genomics LLC Winston-Salem North Carolina USA.

出版信息

Rheumatol Autoimmun. 2022 Dec;2(4):198-202. doi: 10.1002/rai2.12056. Epub 2022 Oct 27.

Abstract

Some of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infected patients are facing long-term devastating effects like induction of autoimmune diseases. Here, I discuss molecular mechanisms and risk factors involved in the induction of autoimmune diseases after SARS-CoV-2 infections. Transcript editing genes were upregulated during SARS-CoV-2 infections, which might have edited host gene transcripts and paved the way for autoantigens generation and presented as nonself to generate autoantibodies followed by auto immunogenicity after SARS-CoV-2 infections. Therefore, some SARS-CoV-2 patients acquire autoimmunity. The transient and/or innocuous autoimmune response in some SARS-CoV-2 infected patients may be due to a lack of repeated production of autoantibodies to host autoantigens and/or viral antigens, which are needed to boost autoimmune response. In the future, SARS-CoV-2 mediated autoimmune disease onset will be a challenging task. Therefore, possible preventive measures and strategies to minimize and/or preclude such SARS-CoV-2 mediated autoimmune diseases have been presented in this commentary.

摘要

一些感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的患者正面临着诸如引发自身免疫性疾病等长期的破坏性影响。在此,我将探讨SARS-CoV-2感染后引发自身免疫性疾病所涉及的分子机制和风险因素。转录编辑基因在SARS-CoV-2感染期间上调,这可能对宿主基因转录本进行了编辑,为自身抗原的产生铺平了道路,并作为非自身物质呈现出来,从而产生自身抗体,继而在SARS-CoV-2感染后引发自身免疫原性。因此,一些SARS-CoV-2患者会获得自身免疫性。一些感染SARS-CoV-2的患者中出现的短暂和/或无害的自身免疫反应,可能是由于缺乏对宿主自身抗原和/或病毒抗原反复产生自身抗体,而这是增强自身免疫反应所必需的。未来,SARS-CoV-2介导的自身免疫性疾病的发病将是一项具有挑战性的任务。因此,本评论中提出了可能的预防措施和策略,以尽量减少和/或预防此类SARS-CoV-2介导的自身免疫性疾病。

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