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10.1016/j.lfs.2020.118355

http://scihub22266oqcxt.onion/10.1016/j.lfs.2020.118355
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suck abstract from ncbi


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pmid32871183      Life+Sci 2020 ; 261 (ä): 118355
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  • Immunocytometric analysis of COVID patients: A contribution to personalized therapy? #MMPMID32871183
  • Cacciapuoti S; De Rosa A; Gelzo M; Megna M; Raia M; Pinchera B; Pontarelli A; Scotto R; Scala E; Scarano F; Scalia G; Castaldo G; Fabbrocini G; Gentile I; Parrella R
  • Life Sci 2020[Nov]; 261 (ä): 118355 PMID32871183show ga
  • AIMS: This study aims to cast light on immunocytometric alterations in COVID-19, a potentially fatal viral infection with heterogeneous clinical expression and a not completely defined pathophysiology. METHODS: We studied 35 COVID patients at hospital admission testing by cytofluorimetry a large panel of lymphocyte subpopulations and serum tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, IL-17A and the soluble receptor of IL-17A (IL-17RA). KEY FINDINGS: At hospital admission, total lymphocytes and most T and B subpopulations were reduced in 50-80% of patients, with close relationship to disease severity. While activated T helper 1 (TH1) and TH17 cells resulted normal or higher. Serum IL-6 was increased in all patients, while TNF-alpha and IL-17A were higher in advanced stages. A patient subset with low severity had very high IL-17RA levels. Tocilizumab treatment caused an increase of IL-17A in 3/6 patients and a reduction in 3 others, while the lymphocyte number increased in 3 patients and did not change in the others. SIGNIFICANCE: Cytofluorimetry revealed a functional exhaustion of most lymphocyte populations in COVID patients not involving activated TH1 and TH17. Consequently, there was a relevant cytokines production that contributes to impair the respiratory inflammation. The increase of TH17 and IL-17 in a subset of cases and the evidence of a significant increase of IL-17RA (that prevents the interaction of IL-17 with the cell receptor) in patients with low severity suggest that some patients could benefit from monoclonal antibodies treatment targeting IL-17 pathway. Immunocytofluorimetric markers may contribute to a personalized therapy in COVID patients.
  • |Aged[MESH]
  • |Antibodies, Monoclonal, Humanized/administration & dosage/pharmacology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*immunology/physiopathology/virology[MESH]
  • |Cytokines/*blood[MESH]
  • |Female[MESH]
  • |Flow Cytometry/*methods[MESH]
  • |Humans[MESH]
  • |Inflammation/immunology/virology[MESH]
  • |Lymphocyte Count[MESH]
  • |Lymphocyte Subsets/*immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Patient Admission[MESH]
  • |Pneumonia, Viral/*immunology/physiopathology/virology[MESH]
  • |Precision Medicine[MESH]
  • |Prospective Studies[MESH]


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