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10.1038/s41590-020-00814-z

http://scihub22266oqcxt.onion/10.1038/s41590-020-00814-z
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suck abstract from ncbi


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pmid33028979      Nat+Immunol 2020 ; 21 (12): 1506-1516
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  • Extrafollicular B cell responses correlate with neutralizing antibodies and morbidity in COVID-19 #MMPMID33028979
  • Woodruff MC; Ramonell RP; Nguyen DC; Cashman KS; Saini AS; Haddad NS; Ley AM; Kyu S; Howell JC; Ozturk T; Lee S; Suryadevara N; Case JB; Bugrovsky R; Chen W; Estrada J; Morrison-Porter A; Derrico A; Anam FA; Sharma M; Wu HM; Le SN; Jenks SA; Tipton CM; Staitieh B; Daiss JL; Ghosn E; Diamond MS; Carnahan RH; Crowe JE Jr; Hu WT; Lee FE; Sanz I
  • Nat Immunol 2020[Dec]; 21 (12): 1506-1516 PMID33028979show ga
  • A wide spectrum of clinical manifestations has become a hallmark of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) COVID-19 pandemic, although the immunological underpinnings of diverse disease outcomes remain to be defined. We performed detailed characterization of B cell responses through high-dimensional flow cytometry to reveal substantial heterogeneity in both effector and immature populations. More notably, critically ill patients displayed hallmarks of extrafollicular B cell activation and shared B cell repertoire features previously described in autoimmune settings. Extrafollicular activation correlated strongly with large antibody-secreting cell expansion and early production of high concentrations of SARS-CoV-2-specific neutralizing antibodies. Yet, these patients had severe disease with elevated inflammatory biomarkers, multiorgan failure and death. Overall, these findings strongly suggest a pathogenic role for immune activation in subsets of patients with COVID-19. Our study provides further evidence that targeted immunomodulatory therapy may be beneficial in specific patient subpopulations and can be informed by careful immune profiling.
  • |Antibodies, Neutralizing/*immunology[MESH]
  • |Antibodies, Viral/*immunology[MESH]
  • |B-Lymphocytes/*immunology[MESH]
  • |COVID-19/*immunology[MESH]
  • |Humans[MESH]
  • |Immunophenotyping[MESH]


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