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10.1016/j.cell.2020.09.016

http://scihub22266oqcxt.onion/10.1016/j.cell.2020.09.016
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suck abstract from ncbi


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pmid32966765      Cell 2020 ; 183 (4): 968-981.e7
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  • The Immunology of Multisystem Inflammatory Syndrome in Children with COVID-19 #MMPMID32966765
  • Consiglio CR; Cotugno N; Sardh F; Pou C; Amodio D; Rodriguez L; Tan Z; Zicari S; Ruggiero A; Pascucci GR; Santilli V; Campbell T; Bryceson Y; Eriksson D; Wang J; Marchesi A; Lakshmikanth T; Campana A; Villani A; Rossi P; Landegren N; Palma P; Brodin P
  • Cell 2020[Nov]; 183 (4): 968-981.e7 PMID32966765show ga
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is typically very mild and often asymptomatic in children. A complication is the rare multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19, presenting 4-6 weeks after infection as high fever, organ dysfunction, and strongly elevated markers of inflammation. The pathogenesis is unclear but has overlapping features with Kawasaki disease suggestive of vasculitis and a likely autoimmune etiology. We apply systems-level analyses of blood immune cells, cytokines, and autoantibodies in healthy children, children with Kawasaki disease enrolled prior to COVID-19, children infected with SARS-CoV-2, and children presenting with MIS-C. We find that the inflammatory response in MIS-C differs from the cytokine storm of severe acute COVID-19, shares several features with Kawasaki disease, but also differs from this condition with respect to T cell subsets, interleukin (IL)-17A, and biomarkers associated with arterial damage. Finally, autoantibody profiling suggests multiple autoantibodies that could be involved in the pathogenesis of MIS-C.
  • |Autoantibodies/blood[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Coronavirus Infections/complications/*pathology/virology[MESH]
  • |Cytokines/metabolism[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunity, Humoral[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Mucocutaneous Lymph Node Syndrome/complications/immunology/pathology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/complications/*pathology/virology[MESH]
  • |Principal Component Analysis[MESH]
  • |Proteome/analysis[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]
  • |Systemic Inflammatory Response Syndrome/etiology/immunology/*pathology[MESH]


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