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10.1093/infdis/jiaa150

http://scihub22266oqcxt.onion/10.1093/infdis/jiaa150
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32227123!7184346!32227123
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suck abstract from ncbi


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pmid32227123      J+Infect+Dis 2020 ; 221 (11): 1762-1769
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  • Characteristics of Peripheral Lymphocyte Subset Alteration in COVID-19 Pneumonia #MMPMID32227123
  • Wang F; Nie J; Wang H; Zhao Q; Xiong Y; Deng L; Song S; Ma Z; Mo P; Zhang Y
  • J Infect Dis 2020[May]; 221 (11): 1762-1769 PMID32227123show ga
  • BACKGROUND: In December 2019, novel coronavirus (SARS-CoV-2) pneumonia (COVID-19) was reported in Wuhan and has since rapidly spread throughout China. We aimed to clarify the characteristics and clinical significance of peripheral lymphocyte subset alteration in COVID-19. METHODS: The levels of peripheral lymphocyte subsets were measured by flow cytometry in 60 hospitalized COVID-19 patients before and after treatment, and their association with clinical characteristics and treatment efficacy was analyzed. RESULTS: Total lymphocytes, CD4+ T cells, CD8+ T cells, B cells, and natural killer (NK) cells decreased in COVID-19 patients, and severe cases had a lower level than mild cases. The subsets showed a significant association with inflammatory status in COVID-19, especially CD8+ T cells and CD4+/CD8+ ratio. After treatment, 37 patients (67%) showed clinical response, with an increase in CD8+ T cells and B cells. No significant change in any subset was detected in nonresponsive cases. In multivariate analysis, posttreatment decrease in CD8+ T cells and B cells and increase in CD4+/CD8+ ratio were indicated as independent predictors of poor efficacy. CONCLUSIONS: Peripheral lymphocyte subset alteration was associated with clinical characteristics and treatment efficacy of COVID-19. CD8+ T cells tended to be an independent predictor for COVID-19 severity and treatment efficacy.
  • |*Lymphocyte Subsets/immunology[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |China[MESH]
  • |Coronavirus Infections/*complications/diagnosis/*physiopathology/therapy[MESH]
  • |Female[MESH]
  • |Flow Cytometry[MESH]
  • |Humans[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/diagnosis/*physiopathology/therapy[MESH]
  • |Pneumonia/diagnosis/*etiology/*physiopathology/therapy[MESH]
  • |Prognosis[MESH]
  • |SARS-CoV-2[MESH]


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