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10.3389/fimmu.2020.589380

http://scihub22266oqcxt.onion/10.3389/fimmu.2020.589380
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33178221!7596772!33178221
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suck abstract from ncbi


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pmid33178221      Front+Immunol 2020 ; 11 (ä): 589380
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  • T-Cell Hyperactivation and Paralysis in Severe COVID-19 Infection Revealed by Single-Cell Analysis #MMPMID33178221
  • Kalfaoglu B; Almeida-Santos J; Tye CA; Satou Y; Ono M
  • Front Immunol 2020[]; 11 (ä): 589380 PMID33178221show ga
  • Severe COVID-19 patients show various immunological abnormalities including T-cell reduction and cytokine release syndrome, which can be fatal and is a major concern of the pandemic. However, it is poorly understood how T-cell dysregulation can contribute to the pathogenesis of severe COVID-19. Here we show single cell-level mechanisms for T-cell dysregulation in severe COVID-19, demonstrating new pathogenetic mechanisms of T-cell activation and differentiation underlying severe COVID-19. By in silico sorting CD4+ T-cells from a single cell RNA-seq dataset, we found that CD4+ T-cells were highly activated and showed unique differentiation pathways in the lung of severe COVID-19 patients. Notably, those T-cells in severe COVID-19 patients highly expressed immunoregulatory receptors and CD25, whilst repressing the expression of FOXP3. Furthermore, we show that CD25(+) hyperactivated T-cells differentiate into multiple helper T-cell lineages, showing multifaceted effector T-cells with Th1 and Th2 characteristics. Lastly, we show that CD25-expressing hyperactivated T-cells produce the protease Furin, which facilitates the viral entry of SARS-CoV-2. Collectively, CD4(+) T-cells from severe COVID-19 patients are hyperactivated and FOXP3-mediated negative feedback mechanisms are impaired in the lung, which may promote immunopathology. Therefore, our study proposes a new model of T-cell hyperactivation and paralysis that drives immunopathology in severe COVID-19.
  • |*Severity of Illness Index[MESH]
  • |COVID-19/*immunology/virology[MESH]
  • |Databases, Genetic[MESH]
  • |Forkhead Transcription Factors/metabolism[MESH]
  • |Furin/metabolism[MESH]
  • |Humans[MESH]
  • |Interleukin-2 Receptor alpha Subunit/metabolism[MESH]
  • |Lymphocyte Activation/*immunology[MESH]
  • |Paralysis/*immunology[MESH]
  • |RNA-Seq[MESH]
  • |Receptors, Antigen, T-Cell/metabolism[MESH]
  • |SARS-CoV-2/*immunology[MESH]
  • |Single-Cell Analysis/*methods[MESH]
  • |T-Lymphocytes, Regulatory/*immunology[MESH]
  • |Transcriptome[MESH]


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