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10.21203/rs.3.rs-141578/v1

http://scihub22266oqcxt.onion/10.21203/rs.3.rs-141578/v1
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33469573!7814832!33469573
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suck abstract from ncbi


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pmid33469573      Res+Sq 2021 ; ä (ä): ä
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  • COVID-19 ARDS is characterized by a dysregulated host response that differs from cytokine storm and is modified by dexamethasone #MMPMID33469573
  • Sarma A; Christenson SA; Mick E; DeVoe C; Deiss T; Pisco AO; Ghale R; Jauregui A; Byrne A; Moazed F; Spottiswoode N; Sinha P; Zha BS; Neff N; Tan M; Serpa PH; Ansel KM; Wilson JG; Leligdowicz A; Siegel ER; Sirota M; DeRisi JL; Matthay MA; Hendrickson CM; Kangelaris KN; Krummel MF; Woodruff PG; Erle DJ; Calfee CS; Langelier CR
  • Res Sq 2021[Jan]; ä (ä): ä PMID33469573show ga
  • We performed comparative lower respiratory tract transcriptional profiling of 52 critically ill patients with the acute respiratory distress syndrome (ARDS) from COVID-19 or from other etiologies, as well as controls without ARDS. In contrast to a cytokine storm, we observed reduced proinflammatory gene expression in COVID-19 ARDS when compared to ARDS due to other causes. COVID-19 ARDS was characterized by a dysregulated host response with increased PTEN signaling and elevated expression of genes with non-canonical roles in inflammation and immunity that were predicted to be modulated by dexamethasone and granulocyte colony stimulating factor. Compared to ARDS due to other types of viral pneumonia, COVID-19 was characterized by impaired interferon-stimulated gene expression (ISG). We found that the relationship between SARS-CoV-2 viral load and expression of ISGs was decoupled in patients with COVID-19 ARDS when compared to patients with mild COVID-19. In summary, assessment of host gene expression in the lower airways of patients with COVID-19 ARDS did not demonstrate cytokine storm but instead revealed a unique and dysregulated host response predicted to be modified by dexamethasone.
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