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10.1002/iid3.404

http://scihub22266oqcxt.onion/10.1002/iid3.404
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33566457!8014746!33566457
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suck abstract from ncbi


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pmid33566457      Immun+Inflamm+Dis 2021 ; 9 (2): 331-339
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  • Age-related differences in the immune response could contribute to determine the spectrum of severity of COVID-19 #MMPMID33566457
  • Costagliola G; Spada E; Consolini R
  • Immun Inflamm Dis 2021[Jun]; 9 (2): 331-339 PMID33566457show ga
  • Coronavirus disease 2019 (COVID-19), can present with a wide spectrum of severity. Elderly patients with cardiac, pulmonary and metabolic comorbidities are more likely to develop the severe manifestations of COVID-19, which are observed in less than 5% of the pediatric patients. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is able to induce an immune impairment and dysregulation, finally resulting in the massive release of inflammatory mediators, strongly contributing to the pulmonary and systemic manifestations in COVID-19. In children, the immune dysregulation following SARS-CoV-2 can also be responsible of a severe disease phenotype defined as multisystem inflammatory syndrome in children. As the immune system undergoes a complex process of maturation from birth to adult age, differences in the immune and inflammatory response could have a significant impact in determining the spectrum of severity of COVID-19. Indeed, children show a higher ability to respond to viral infections and a reduced baseline pro-inflammatory state compared with elderly patients. Age and comorbidities contribute to disease severity through immune-mediated mechanisms, since they are associated with a chronic increase of pro-inflammatory mediators, and cause an enhanced susceptibility to develop an immune dysregulation following SARS-CoV-2 infection. Also the expression of ACE2, the receptor of SARS-CoV-2, varies with age, and is linked to the immune and inflammatory response through a complex, and not completely elucidated, network. This paper reviews the peculiar immunopathogenic aspects of COVID-19, with a focus on the differences between adult and pediatric patients.
  • |*Age Factors[MESH]
  • |*SARS-CoV-2[MESH]
  • |Adaptive Immunity[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Age of Onset[MESH]
  • |Aged[MESH]
  • |Aging/*immunology[MESH]
  • |Angiotensin-Converting Enzyme 2/biosynthesis[MESH]
  • |COVID-19/etiology/*immunology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Comorbidity[MESH]
  • |Cytokine Release Syndrome/etiology/immunology[MESH]
  • |Humans[MESH]
  • |Immunity, Innate[MESH]
  • |Infant[MESH]
  • |Inflammation/immunology[MESH]
  • |Lymphocyte Subsets/immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Receptors, Virus/biosynthesis[MESH]
  • |Severity of Illness Index[MESH]
  • |Systemic Inflammatory Response Syndrome/etiology/immunology[MESH]


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