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口腔内的 SARS-CoV-2 感染早期免疫失调。

Immune Dysregulation in the Oral Cavity during Early SARS-CoV-2 Infection.

机构信息

Department of Biomedical Sciences, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.

Department of Orthodontics, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.

出版信息

J Dent Res. 2024 Nov;103(12):1258-1270. doi: 10.1177/00220345241271943. Epub 2024 Oct 12.


DOI:10.1177/00220345241271943
PMID:39394771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11562286/
Abstract

Tissue-specific immune responses are critical determinants of health-maintaining homeostasis and disease-related dysbiosis. In the context of COVID-19, oral immune responses reflect local host-pathogen dynamics near the site of infection and serve as important "windows to the body," reflecting systemic responses to the invading SARS-CoV-2 virus. This study leveraged multiplex technology to characterize the salivary SARS-CoV-2-specific immunological landscape (37 cytokines/chemokines and 11 antibodies) during early infection. Cytokine/immune profiling was performed on unstimulated cleared whole saliva collected from 227 adult SARS-CoV-2+ participants and 37 controls. Statistical analysis and modeling revealed significant differential abundance of 25 cytokines (16 downregulated, 9 upregulated). Pathway analysis demonstrated early SARS-CoV-2 infection is associated with local suppression of oral type I/III interferon and blunted natural killer-/T-cell responses, reflecting a potential novel immune-evasion strategy enabling infection. This virus-associated immune suppression occurred concomitantly with significant upregulation of proinflammatory pathways including marked increases in the acute phase proteins pentraxin-3 and chitinase-3-like-1. Irrespective of SARS-CoV-2 infection, prior vaccination was associated with increased total α-SARS-CoV-2-spike (trimer), -S1 protein, -RBD, and -nucleocapsid salivary antibodies, highlighting the importance of COVID-19 vaccination in eliciting mucosal responses. Altogether, our findings highlight saliva as a stable and accessible biofluid for monitoring host responses to SARS-CoV-2 over time and suggest that oral-mucosal immune dysregulation is a hallmark of early SARS-CoV-2 infection, with possible implications for viral evasion mechanisms.

摘要

组织特异性免疫反应是维持健康和疾病相关失调的关键决定因素。在 COVID-19 的背景下,口腔免疫反应反映了感染部位附近的局部宿主-病原体动态,是反映全身对入侵 SARS-CoV-2 病毒反应的重要“窗口”。本研究利用多重技术来描述 COVID-19 早期感染期间唾液中 SARS-CoV-2 特异性免疫图谱(37 种细胞因子/趋化因子和 11 种抗体)。对 227 名 SARS-CoV-2+参与者和 37 名对照者未刺激清除的全唾液进行了细胞因子/免疫谱分析。统计分析和建模显示,25 种细胞因子的丰度存在显著差异(16 种下调,9 种上调)。通路分析表明,早期 SARS-CoV-2 感染与局部抑制口腔 I/III 型干扰素和减弱自然杀伤细胞/T 细胞反应有关,这反映了一种潜在的新型免疫逃避策略,使感染得以发生。这种与病毒相关的免疫抑制与促炎途径的显著上调同时发生,包括急性期蛋白 pentraxin-3 和几丁质酶-3 样蛋白-1 的明显增加。无论是否感染 SARS-CoV-2,先前接种疫苗与总 α-SARS-CoV-2-刺突(三聚体)、-S1 蛋白、-RBD 和 -核衣壳唾液抗体的增加有关,突出了 COVID-19 疫苗接种在引发黏膜反应中的重要性。总之,我们的研究结果强调了唾液作为一种稳定且易于获取的生物流体,可用于随时间监测宿主对 SARS-CoV-2 的反应,并表明口腔黏膜免疫失调是 SARS-CoV-2 早期感染的标志,可能对病毒逃避机制有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb82/11653317/80d5cf4fe7d5/10.1177_00220345241271943-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb82/11653317/1db04602f77f/10.1177_00220345241271943-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb82/11653317/a92e9744b6ad/10.1177_00220345241271943-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb82/11653317/80d5cf4fe7d5/10.1177_00220345241271943-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb82/11653317/1db04602f77f/10.1177_00220345241271943-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb82/11653317/a92e9744b6ad/10.1177_00220345241271943-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb82/11653317/80d5cf4fe7d5/10.1177_00220345241271943-fig3.jpg

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Immune Dysregulation in the Oral Cavity during Early SARS-CoV-2 Infection.

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[1]
Interferons and interferon-related pathways in heart disease.

Front Cardiovasc Med. 2024-4-11

[2]
Host-microbiome associations in saliva predict COVID-19 severity.

PNAS Nexus. 2024-3-25

[3]
Levels of soluble TNF receptors (sTNFR1 and sTNFR2) increase with clinical worsening of patients and are related to COVID-19 mortality.

Immunobiology. 2024-1

[4]
Characterization of IL-10 Family of Cytokines in Acute and Convalescent COVID-19 Individuals.

J Interferon Cytokine Res. 2023-10

[5]
Oral manifestations of COVID-19 and its management in pediatric patients: A systematic review and practical guideline.

Clin Exp Dent Res. 2023-10

[6]
Spheromers reveal robust T cell responses to the Pfizer/BioNTech vaccine and attenuated peripheral CD8 T cell responses post SARS-CoV-2 infection.

Immunity. 2023-4-11

[7]
Oral Candidiasis in Adult and Pediatric Patients with COVID-19.

Biomedicines. 2023-3-10

[8]
Periodontal disease and COVID-19: Prognosis and potential pathways of association in their pathogenesis.

Can J Dent Hyg. 2023-2

[9]
Myocarditis Following COVID-19 Vaccination.

Heart Fail Clin. 2023-4

[10]
The Prognostic Value of Pentraxin-3 in COVID-19 Patients: A Systematic Review and Meta-Analysis of Mortality Incidence.

Int J Mol Sci. 2023-2-10

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