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新型冠状病毒病在免疫功能低下宿主中的研究进展

Coronavirus Disease-2019 in the Immunocompromised Host.

机构信息

Department of Internal Medicine, UTHealth Houston McGovern Medical School, 6431 Fannin, MSB 1.150, Houston, TX 77030, USA.

Department of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1469, Houston, TX 77030, USA.

出版信息

Clin Chest Med. 2023 Jun;44(2):395-406. doi: 10.1016/j.ccm.2022.11.012. Epub 2022 Nov 22.


DOI:10.1016/j.ccm.2022.11.012
PMID:37085228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9678818/
Abstract

Immunocompromised hosts, which encompass a diverse population of persons with malignancies, human immunodeficiency virus disease, solid organ, and hematologic transplants, autoimmune diseases, and primary immunodeficiencies, bear a significant burden of the morbidity and mortality due to coronavirus disease-2019 (COVID-19). Immunocompromised patients who develop COVID-19 have a more severe illness, higher hospitalization rates, and higher mortality rates than immunocompetent patients. There are no well-defined treatment strategies that are specific to immunocompromised patients and vaccines, monoclonal antibodies, and convalescent plasma are variably effective. This review focuses on the specific impact of COVID-19 in immunocompromised patients and the gaps in knowledge that require further study.

摘要

免疫功能低下的宿主包括患有恶性肿瘤、人类免疫缺陷病毒疾病、实体器官和血液系统移植、自身免疫性疾病和原发性免疫缺陷的人群,他们承担着由 2019 年冠状病毒病(COVID-19)引起的发病率和死亡率的重大负担。患有 COVID-19 的免疫功能低下患者比免疫功能正常的患者病情更严重,住院率和死亡率更高。目前还没有专门针对免疫功能低下患者的明确治疗策略,疫苗、单克隆抗体和恢复期血浆的效果也各不相同。这篇综述重点关注 COVID-19 对免疫功能低下患者的具体影响以及需要进一步研究的知识空白。

相似文献

[1]
Coronavirus Disease-2019 in the Immunocompromised Host.

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[2]
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[7]
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[8]
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[9]
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引用本文的文献

[1]
Dysregulated Adaptive Immune Responses to SARS-CoV-2 in Immunocompromised Individuals.

Microorganisms. 2025-5-6

[2]
Long-term prognosis following cytomegalovirus respiratory infection in immunocompromised and immunocompetent patients: a retrospective single-centre study.

BMC Infect Dis. 2025-5-26

[3]
Impact of Immunosuppression on Immune Cell Dynamics in COVID-19: A Serial Comparison of Leukocyte Data in Healthy and Immunocompromised Patients Before and After Infection.

J Clin Med. 2025-5-6

[4]
Vaccination After Haematopoietic Stem Cell Transplant: A Review of the Literature and Proposed Vaccination Protocol.

Vaccines (Basel). 2024-12-23

[5]
Exploring lymphocyte subsets in COVID-19 patients: insights from a tertiary academic medical center with a high proportion of patients on immunosuppression.

Front Immunol. 2024-12-3

[6]
Discovery of a pan anti-SARS-CoV-2 monoclonal antibody with highly efficient infected cell killing capacity for novel immunotherapeutic approaches.

Emerg Microbes Infect. 2025-12

[7]
Clinical characteristics of SARS-CoV-2 Omicron pneumonia in immunocompromised and immunocompetent patients: A retrospective cohort study.

Heliyon. 2024-10-9

[8]
Immunological Enigma: A Case Report of COVID-19 Survival in a Patient With Human Immunodeficiency Virus, Hepatitis C Virus, and Tuberculosis Co-infection.

Cureus. 2024-9-17

[9]
A 67-Year-Old Man with Chronic Lymphocytic Leukemia (CLL) on Maintenance Therapy with Ibrutinib with Persistent SARS-CoV-2 Infection Unresponsive to Antiviral Treatments.

Am J Case Rep. 2024-6-29

[10]
Molecular determinants of cross-species transmission in emerging viral infections.

Microbiol Mol Biol Rev. 2024-9-26

本文引用的文献

[1]
Outcomes of COVID-19 in heart failure, LVAD, and heart transplant patients in an advanced heart failure practice.

Am Heart J Plus. 2022-12

[2]
Oral antiviral treatment in patients with systemic rheumatic disease at risk for development of severe COVID-19: a case series.

Ann Rheum Dis. 2022-9-12

[3]
Impaired humoral immunity is associated with prolonged COVID-19 despite robust CD8 T cell responses.

Cancer Cell. 2022-7-11

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COVID-19 in Elderly, Immunocompromised or Diabetic Patients-From Immune Monitoring to Clinical Management in the Hospital.

Viruses. 2022-4-1

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Respiratory viruses in hematopoietic cell transplant candidates: impact of preexisting lower tract disease on outcomes.

Blood Adv. 2022-9-27

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Evaluation of Humoral and Cellular Responses in SARS-CoV-2 mRNA Vaccinated Immunocompromised Patients.

Front Immunol. 2022

[7]
Breakthrough SARS-CoV-2 Infections, Hospitalizations, and Mortality in Vaccinated Patients With Cancer in the US Between December 2020 and November 2021.

JAMA Oncol. 2022-7-1

[8]
De novo emergence of a remdesivir resistance mutation during treatment of persistent SARS-CoV-2 infection in an immunocompromised patient: a case report.

Nat Commun. 2022-3-17

[9]
Risk and Outcome of Breakthrough COVID-19 Infections in Vaccinated Patients With Cancer: Real-World Evidence From the National COVID Cohort Collaborative.

J Clin Oncol. 2022-5-1

[10]
Oral Nirmatrelvir for High-Risk, Nonhospitalized Adults with Covid-19.

N Engl J Med. 2022-4-14

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