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10.1016/j.cell.2020.09.034

http://scihub22266oqcxt.onion/10.1016/j.cell.2020.09.034
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32991843!7489877!32991843
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suck abstract from ncbi


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pmid32991843      Cell 2020 ; 183 (4): 982-995.e14
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  • Mapping Systemic Inflammation and Antibody Responses in Multisystem Inflammatory Syndrome in Children (MIS-C) #MMPMID32991843
  • Gruber CN; Patel RS; Trachtman R; Lepow L; Amanat F; Krammer F; Wilson KM; Onel K; Geanon D; Tuballes K; Patel M; Mouskas K; O'Donnell T; Merritt E; Simons NW; Barcessat V; Del Valle DM; Udondem S; Kang G; Gangadharan S; Ofori-Amanfo G; Laserson U; Rahman A; Kim-Schulze S; Charney AW; Gnjatic S; Gelb BD; Merad M; Bogunovic D
  • Cell 2020[Nov]; 183 (4): 982-995.e14 PMID32991843show ga
  • Initially, children were thought to be spared from disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, a month into the epidemic, a novel multisystem inflammatory syndrome in children (MIS-C) emerged. Herein, we report on the immune profiles of nine MIS-C cases. All MIS-C patients had evidence of prior SARS-CoV-2 exposure, mounting an antibody response with intact neutralization capability. Cytokine profiling identified elevated signatures of inflammation (IL-18 and IL-6), lymphocytic and myeloid chemotaxis and activation (CCL3, CCL4, and CDCP1), and mucosal immune dysregulation (IL-17A, CCL20, and CCL28). Immunophenotyping of peripheral blood revealed reductions of non-classical monocytes, and subsets of NK and T lymphocytes, suggesting extravasation to affected tissues. Finally, profiling the autoantigen reactivity of MIS-C plasma revealed both known disease-associated autoantibodies (anti-La) and novel candidates that recognize endothelial, gastrointestinal, and immune-cell antigens. All patients were treated with anti-IL-6R antibody and/or IVIG, which led to rapid disease resolution.
  • |Adolescent[MESH]
  • |Antibodies, Viral/blood[MESH]
  • |Autoantibodies/blood[MESH]
  • |Betacoronavirus/immunology/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Chemokine CCL3/metabolism[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Coronavirus Infections/complications/pathology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunity, Humoral[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Inflammation/metabolism/*pathology[MESH]
  • |Interleukin-17/metabolism[MESH]
  • |Interleukin-18/metabolism[MESH]
  • |Killer Cells, Natural/cytology/metabolism[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/complications/pathology/virology[MESH]
  • |SARS-CoV-2[MESH]
  • |Systemic Inflammatory Response Syndrome/immunology/metabolism/*pathology[MESH]
  • |T-Lymphocytes/cytology/metabolism[MESH]


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