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10.3389/fimmu.2020.574862

http://scihub22266oqcxt.onion/10.3389/fimmu.2020.574862
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suck abstract from ncbi


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pmid33042157      Front+Immunol 2020 ; 11 (ä): 574862
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  • Mast Cells in Alveolar Septa of COVID-19 Patients: A Pathogenic Pathway That May Link Interstitial Edema to Immunothrombosis #MMPMID33042157
  • Motta Junior JDS; Miggiolaro AFRDS; Nagashima S; de Paula CBV; Baena CP; Scharfstein J; de Noronha L
  • Front Immunol 2020[]; 11 (ä): 574862 PMID33042157show ga
  • It is currently believed that innate immunity is unable to prevent the spread of SARS-CoV-2 from the upper airways to the alveoli of high-risk groups of patients. SARS-CoV-2 replication in ACE-2-expressing pneumocytes can drive the diffuse alveolar injury through the cytokine storm and immunothrombosis by upregulating the transcription of chemokine/cytokines, unlike several other respiratory viruses. Here we report histopathology data obtained in post-mortem lung biopsies of COVID-19, showing the increased density of perivascular and septal mast cells (MCs) and IL-4-expressing cells (n = 6), in contrast to the numbers found in pandemic H1N1-induced pneumonia (n = 10) or Control specimens (n = 10). Noteworthy, COVID-19 lung biopsies showed a higher density of CD117(+) cells, suggesting that c-kit positive MCs progenitors were recruited earlier to the alveolar septa. These findings suggest that MC proliferation/differentiation in the alveolar septa might be harnessed by the shift toward IL-4 expression in the inflamed alveolar septa. Future studies may clarify whether the fibrin-dependent generation of the hyaline membrane, processes that require the diffusion of procoagulative plasma factors into the alveolar lumen and the endothelial dysfunction, are preceded by MC-driven formation of interstitial edema in the alveolar septa.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/*immunology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*immunology/pathology/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Influenza A Virus, H1N1 Subtype/immunology[MESH]
  • |Influenza, Human/immunology/pathology/virology[MESH]
  • |Interleukin-4/immunology[MESH]
  • |Male[MESH]
  • |Mast Cells/*immunology/pathology[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*immunology/pathology/virology[MESH]
  • |Proto-Oncogene Proteins c-kit/immunology[MESH]
  • |Pulmonary Alveoli/*immunology/pathology/virology[MESH]
  • |Pulmonary Edema/*immunology/pathology/virology[MESH]
  • |SARS-CoV-2[MESH]


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