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10.1177/1535370220928964

http://scihub22266oqcxt.onion/10.1177/1535370220928964
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32460624!7427176!32460624
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suck abstract from ncbi


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pmid32460624      Exp+Biol+Med+(Maywood) 2020 ; 245 (11): 970-976
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  • The amount of cytokine-release defines different shades of Sars-Cov2 infection #MMPMID32460624
  • Bindoli S; Felicetti M; Sfriso P; Doria A
  • Exp Biol Med (Maywood) 2020[Jun]; 245 (11): 970-976 PMID32460624show ga
  • The recent outbreak of coronavirus disease (COVID 19), spreading from China all around the world in early 2020, has led scientists to investigate the immuno-mediated mechanisms underlying the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) infection. Depending on the amount of cytokines released as the result of the immunological activation induced by SARS-CoV2, three major clinical phenotypes can be identified: "mild",symbolized as a "drizzle" of cytokines, severe as a "storm", and critical as a "hurricane". In patients with mild symptoms, the release of pro-inflammatory cytokines is balanced to obtain a defense response against the virus which is often self-limiting and overcomes without tissue damage. In severe phenotype, resembling a "cytokine-release syndrome", SARS-CoV2 causes the lysis of the immune-mediators leading to a cytokine storm able to induce lung epithelium damage and acute respiratory distress syndrome. In critical patients, the immune response may become uncontrolled, thus the cytokine burst resembles a form of secondary hemophagocytic lymphohistiocytosis which may result in a multi organ failure. In addition to the standard of care, an immune-modulatory therapy tailored to each one of the different phenotypes should be used in order to prevent or reduce the release of cytokines responsible for organ damage and disease progression.
  • |Acute Lung Injury/immunology/*pathology[MESH]
  • |Betacoronavirus/immunology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/immunology/*pathology[MESH]
  • |Cytokine Release Syndrome/*pathology[MESH]
  • |Cytokines/*blood[MESH]
  • |Humans[MESH]
  • |Lymphohistiocytosis, Hemophagocytic/pathology[MESH]
  • |Lymphopenia/pathology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/immunology/*pathology[MESH]
  • |Respiratory Distress Syndrome/immunology/pathology[MESH]


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