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10.1126/sciimmunol.abf6692

http://scihub22266oqcxt.onion/10.1126/sciimmunol.abf6692
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33622974!8128299!33622974
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suck abstract from ncbi


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pmid33622974      Sci+Immunol 2021 ; 6 (56): ä
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  • Clonal expansion and activation of tissue-resident memory-like Th17 cells expressing GM-CSF in the lungs of severe COVID-19 patients #MMPMID33622974
  • Zhao Y; Kilian C; Turner JE; Bosurgi L; Roedl K; Bartsch P; Gnirck AC; Cortesi F; Schultheiss C; Hellmig M; Enk LUB; Hausmann F; Borchers A; Wong MN; Paust HJ; Siracusa F; Scheibel N; Herrmann M; Rosati E; Bacher P; Kylies D; Jarczak D; Lutgehetmann M; Pfefferle S; Steurer S; Zur-Wiesch JS; Puelles VG; Sperhake JP; Addo MM; Lohse AW; Binder M; Huber S; Huber TB; Kluge S; Bonn S; Panzer U; Gagliani N; Krebs CF
  • Sci Immunol 2021[Feb]; 6 (56): ä PMID33622974show ga
  • Hyperinflammation contributes to lung injury and subsequent acute respiratory distress syndrome (ARDS) with high mortality in patients with severe coronavirus disease 2019 (COVID-19). To understand the underlying mechanisms involved in lung pathology, we investigated the role of the lung-specific immune response. We profiled immune cells in bronchoalveolar lavage fluid and blood collected from COVID-19 patients with severe disease and bacterial pneumonia patients not associated with viral infection. By tracking T cell clones across tissues, we identified clonally expanded tissue-resident memory-like Th17 cells (Trm17 cells) in the lungs even after viral clearance. These Trm17 cells were characterized by a a potentially pathogenic cytokine expression profile of IL17A and CSF2 (GM-CSF). Interactome analysis suggests that Trm17 cells can interact with lung macrophages and cytotoxic CD8(+) T cells, which have been associated with disease severity and lung damage. High IL-17A and GM-CSF protein levels in the serum of COVID-19 patients were associated with a more severe clinical course. Collectively, our study suggests that pulmonary Trm17 cells are one potential orchestrator of the hyperinflammation in severe COVID-19.
  • |*Immunologic Memory[MESH]
  • |Bronchoalveolar Lavage Fluid/cytology/immunology[MESH]
  • |COVID-19/complications/*immunology/pathology[MESH]
  • |Clone Cells[MESH]
  • |Granulocyte-Macrophage Colony-Stimulating Factor/*metabolism[MESH]
  • |Humans[MESH]
  • |Inflammation/etiology/immunology[MESH]
  • |Lung/*immunology/pathology[MESH]
  • |Myeloid Cells[MESH]
  • |Pneumonia, Bacterial/immunology[MESH]


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