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10.1182/bloodadvances.2020002650

http://scihub22266oqcxt.onion/10.1182/bloodadvances.2020002650
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33075136!7594380!33075136
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suck abstract from ncbi


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pmid33075136      Blood+Adv 2020 ; 4 (20): 5035-5039
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  • Impaired natural killer cell counts and cytolytic activity in patients with severe COVID-19 #MMPMID33075136
  • Osman M; Faridi RM; Sligl W; Shabani-Rad MT; Dharmani-Khan P; Parker A; Kalra A; Tripathi MB; Storek J; Cohen Tervaert JW; Khan FM
  • Blood Adv 2020[Oct]; 4 (20): 5035-5039 PMID33075136show ga
  • The global pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-driven coronavirus disease 2019 (COVID-19) has caused unprecedented human death and has seriously threatened the global economy. Early data suggest a surge in proinflammatory cytokines in patients with severe COVID-19, which has been associated with poor outcomes. We recently postulated that the inflammatory response in patients with severe COVID-19 disease is not inhibited by natural killer (NK) cells, resulting in a "cytokine storm." Here, we assessed the NK-cell functional activity and the associated cytokines and soluble mediators in hospitalized COVID-19 patients. Significantly impaired NK-cell counts and cytolytic activity were observed in COVID-19 patients when compared with healthy controls. Also, cytokines like interleukin 12 (IL12), IL15, and IL21 that are important for NK-cell activity were not detected systematically. Serum concentrations of soluble CD25 (sCD25)/soluble IL2 receptor alpha (sIL2-Ralpha) were significantly elevated and were inversely correlated with the percentage of NK cells. Impaired NK-cell cytolytic activity together with other laboratory trends including elevated sCD25 were consistent with a hyperinflammatory state in keeping with macrophage-activation syndrome. Our findings suggest that impaired counts and cytolytic activity of NK cells are important characteristics of severe COVID-19 and can potentially facilitate strategies for immunomodulatory therapies.
  • |*Cytotoxicity, Immunologic[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus/immunology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/blood/*immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation/blood/immunology[MESH]
  • |Interleukin-2 Receptor alpha Subunit/blood/immunology[MESH]
  • |Interleukins/blood/immunology[MESH]
  • |Killer Cells, Natural/*immunology[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/blood/*immunology[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]


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