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10.1093/infdis/jix571

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29112724!7335675!29112724
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suck abstract from ncbi


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pmid29112724      J+Infect+Dis 2018 ; 217 (2): 245-256
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  • Severe Influenza Is Characterized by Prolonged Immune Activation: Results From the SHIVERS Cohort Study #MMPMID29112724
  • Wong SS; Oshansky CM; Guo XJ; Ralston J; Wood T; Seeds R; Newbern C; Waite B; Reynolds G; Widdowson MA; Huang QS; Webby RJ; Thomas PG
  • J Infect Dis 2018[Jan]; 217 (2): 245-256 PMID29112724show ga
  • BACKGROUND: The immunologic factors underlying severe influenza are poorly understood. To address this, we compared the immune responses of influenza-confirmed hospitalized individuals with severe acute respiratory illness (SARI) to those of nonhospitalized individuals with influenza-like illness (ILI). METHODS: Peripheral blood lymphocytes were collected from 27 patients with ILI and 27 with SARI, at time of enrollment and then 2 weeks later. Innate and adaptive cellular immune responses were assessed by flow cytometry, and serum cytokine levels were assessed by a bead-based assay. RESULTS: During the acute phase, SARI was associated with significantly reduced numbers of circulating myeloid dendritic cells, CD192+ monocytes, and influenza virus-specific CD8+ and CD4+ T cells as compared to ILI. By the convalescent phase, however, most SARI cases displayed continued immune activation characterized by increased numbers of CD16+ monocytes and proliferating, and influenza virus-specific, CD8+ T cells as compared to ILI cases. SARI was also associated with reduced amounts of cytokines that regulate T-cell responses (ie, interleukin 4, interleukin 13, interleukin 12, interleukin 10, and tumor necrosis factor beta) and hematopoiesis (interleukin 3 and granulocyte-macrophage colony-stimulating factor) but increased amounts of a proinflammatory cytokine (tumor necrosis factor alpha), chemotactic cytokines (MDC, MCP-1, GRO, and fractalkine), and growth-promoting cytokines (PDGFBB/AA, VEGF, and EGF) as compared to ILI. CONCLUSIONS: Severe influenza cases showed a delay in the peripheral immune activation that likely led prolonged inflammation, compared with mild influenza cases.
  • |*Adaptive Immunity[MESH]
  • |*Immunity, Cellular[MESH]
  • |*Immunity, Innate[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Child[MESH]
  • |Cohort Studies[MESH]
  • |Cytokines/blood[MESH]
  • |Dendritic Cells/immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation/*immunology/*pathology[MESH]
  • |Influenza, Human/*immunology/*pathology[MESH]
  • |Lymphocytes/immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Monocytes/immunology[MESH]


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