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10.3389/fimmu.2020.580250

http://scihub22266oqcxt.onion/10.3389/fimmu.2020.580250
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33178207!7597438!33178207
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suck abstract from ncbi


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pmid33178207      Front+Immunol 2020 ; 11 (ä): 580250
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  • A Longitudinal Study of Immune Cells in Severe COVID-19 Patients #MMPMID33178207
  • Payen D; Cravat M; Maadadi H; Didelot C; Prosic L; Dupuis C; Losser MR; De Carvalho Bittencourt M
  • Front Immunol 2020[]; 11 (ä): 580250 PMID33178207show ga
  • Little is known about the time-dependent immune responses in severe COVID-19. Data of 15 consecutive patients were sequentially recorded from intensive care unit admission. Lymphocyte subsets and total monocyte and subsets counts were monitored as well as the expression of HLA-DR. For 5 patients, SARS-CoV-2-specific T-cell polyfunctionality was assessed against Spike and Nucleoprotein SARS-CoV-2 peptides. Non-specific inflammation markers were increased in all patients. Median monocyte HLA-DR expression was below the 8,000 AB/C threshold defining acquired immunodepression. A "V" trend curve for lymphopenia, monocyte numbers, and HLA-DR expression was observed with a nadir between days 11 and 14 after symptoms' onset. Intermediate CD14(++)CD16(+) monocytes increased early with a reduction in classic CD14(++)CD16(-) monocytes. Polyfunctional SARS-Cov-2-specific CD4 T-cells were present and functional, whereas virus-specific CD8 T-cells were less frequent and not efficient. We report a temporal variation of both innate and adaptive immunity in severe COVID-19 patients, helpful in guiding therapeutic decisions (e.g. anti-inflammatory vs. immunostimulatory ones). We describe a defect in virus-specific CD8 T-cells, a potential biomarker of clinical severity. These combined data also provide helpful knowledge for vaccine design. CLINICAL TRIAL REGISTRATION: https://clinicaltrials.gov/, identifier NCT04386395.
  • |*Severity of Illness Index[MESH]
  • |Aged[MESH]
  • |Biomarkers[MESH]
  • |CD4-Positive T-Lymphocytes/*immunology[MESH]
  • |CD8-Positive T-Lymphocytes/*immunology[MESH]
  • |COVID-19/*immunology/virology[MESH]
  • |Female[MESH]
  • |GPI-Linked Proteins/metabolism[MESH]
  • |HLA-DR Antigens/immunology[MESH]
  • |Humans[MESH]
  • |Immunity, Cellular[MESH]
  • |Lipopolysaccharide Receptors/metabolism[MESH]
  • |Longitudinal Studies[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Monocytes/*immunology[MESH]
  • |Prospective Studies[MESH]
  • |Receptors, IgG/metabolism[MESH]


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