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10.1172/JCI145853

http://scihub22266oqcxt.onion/10.1172/JCI145853
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33635833!8262478!33635833
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suck abstract from ncbi


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pmid33635833      J+Clin+Invest 2021 ; 131 (8): ä
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  • Identification of SARS-CoV-2-specific immune alterations in acutely ill patients #MMPMID33635833
  • Rebillard RM; Charabati M; Grasmuck C; Filali-Mouhim A; Tastet O; Brassard N; Daigneault A; Bourbonniere L; Anand SP; Balthazard R; Beaudoin-Bussieres G; Gasser R; Benlarbi M; Moratalla AC; Solorio YC; Boutin M; Farzam-Kia N; Descoteaux-Dinelle J; Fournier AP; Gowing E; Laumaea A; Jamann H; Lahav B; Goyette G; Lemaitre F; Mamane VH; Prevost J; Richard J; Thai K; Cailhier JF; Chomont N; Finzi A; Chasse M; Durand M; Arbour N; Kaufmann DE; Prat A; Larochelle C
  • J Clin Invest 2021[Apr]; 131 (8): ä PMID33635833show ga
  • Dysregulated immune profiles have been described in symptomatic patients infected with SARS-CoV-2. Whether the reported immune alterations are specific to SARS-CoV-2 infection or also triggered by other acute illnesses remains unclear. We performed flow cytometry analysis on fresh peripheral blood from a consecutive cohort of (a) patients hospitalized with acute SARS-CoV-2 infection, (b) patients of comparable age and sex hospitalized for another acute disease (SARS-CoV-2 negative), and (c) healthy controls. Using both data-driven and hypothesis-driven analyses, we found several dysregulations in immune cell subsets (e.g., decreased proportion of T cells) that were similarly associated with acute SARS-CoV-2 infection and non-COVID-19-related acute illnesses. In contrast, we identified specific differences in myeloid and lymphocyte subsets that were associated with SARS-CoV-2 status (e.g., elevated proportion of ICAM-1+ mature/activated neutrophils, ALCAM+ monocytes, and CD38+CD8+ T cells). A subset of SARS-CoV-2-specific immune alterations correlated with disease severity, disease outcome at 30 days, and mortality. Our data provide an understanding of the immune dysregulation specifically associated with SARS-CoV-2 infection among acute care hospitalized patients. Our study lays the foundation for the development of specific biomarkers to stratify SARS-CoV-2-positive patients at risk of unfavorable outcomes and to uncover candidate molecules to investigate from a therapeutic perspective.
  • |*SARS-CoV-2/immunology[MESH]
  • |Acute Disease[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |B-Lymphocyte Subsets/immunology[MESH]
  • |CD4-Positive T-Lymphocytes/immunology[MESH]
  • |CD8-Positive T-Lymphocytes/immunology[MESH]
  • |COVID-19/epidemiology/*immunology/mortality[MESH]
  • |Case-Control Studies[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Leukocytes/*classification/*immunology[MESH]
  • |Lymphocyte Activation[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Models, Immunological[MESH]
  • |Monocytes/immunology[MESH]
  • |Multivariate Analysis[MESH]
  • |Neutrophils/immunology[MESH]
  • |Pandemics[MESH]
  • |Prognosis[MESH]
  • |Prospective Studies[MESH]
  • |Quebec/epidemiology[MESH]
  • |Risk Factors[MESH]


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