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10.1177/2058738420966497

http://scihub22266oqcxt.onion/10.1177/2058738420966497
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33076729!7594220!33076729
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suck abstract from ncbi


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pmid33076729      Int+J+Immunopathol+Pharmacol 2020 ; 34 (ä): 2058738420966497
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  • Immune system changes during COVID-19 recovery play key role in determining disease severity #MMPMID33076729
  • Fathi F; Sami R; Mozafarpoor S; Hafezi H; Motedayyen H; Arefnezhad R; Eskandari N
  • Int J Immunopathol Pharmacol 2020[Jan]; 34 (ä): 2058738420966497 PMID33076729show ga
  • Coronavirus disease 2019 (COVID-19), an acute respiratory infection, is largely associated with dysregulation and impairment of the immune system. This study investigated how the immune system changes were related to disease severity in COVID-19 patients. The frequencies of different immune cells and levels of pro- and anti-inflammatory cytokines in whole blood of participants were determined by flow cytometry and enzyme-linked immunosorbent assay, respectively. The values of other inflammatory agents were also studied. In the late recovery stage, unlike CD56(high) CD16(+/-) NK cells and monocytes, CD56(low) CD16(+) NK cell numbers were increased (P < 0.0001-0.05). Th1, Th2, and Th17 cell percentages were significantly lower in patients than healthy control (P < 0.0001-0.05), while their frequencies were increased following disease recovery (P < 0.0001-0.05). The numbers of Tregs, activated CD4+ T cells, and exhausted CD8+ T cells were significantly decreased during a recovery (P < 0.0001-0.05). No significant change was observed in exhausted CD4+ T cell number during a recovery (P > 0.05). B cell showed an increased percentage in patients compared to healthy subjects (P < 0.0001-0.05), whereas its number was reduced following recovery (P < 0.0001-0.05). IL-1alpha, IL-1beta, IL-6, TNF-alpha, and IL-10 levels were significantly decreased in the late recovery stage (P < 0.0001-0.05). However, TGF-beta1 level was not significantly changed during the recovery (P > 0.05). Lymphocyte numbers in patients were significantly decreased (P < 0.001), unlike ESR value (P < 0.001). Lymphocyte number was negatively correlated to ESR value and Th2 number (P < 0.05), while its association with monocyte was significantly positive at the first day of recovery (P < 0.05). The immune system changes during the disease recovery to improve and regulate immune responses and thereby may associate with the reduction in disease severity.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Blood Sedimentation[MESH]
  • |COVID-19[MESH]
  • |Case-Control Studies[MESH]
  • |Coronavirus Infections/*immunology/*pathology[MESH]
  • |Cytokines/metabolism[MESH]
  • |Female[MESH]
  • |Flow Cytometry[MESH]
  • |Humans[MESH]
  • |Immune System/*immunology/*pathology[MESH]
  • |Leukocyte Count[MESH]
  • |Lymphocyte Count[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*immunology/*pathology[MESH]
  • |Recovery of Function[MESH]
  • |T-Lymphocytes/immunology[MESH]


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