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10.1684/ecn.2020.0456

http://scihub22266oqcxt.onion/10.1684/ecn.2020.0456
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33648924!7937051!33648924
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suck abstract from ncbi


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pmid33648924      Eur+Cytokine+Netw 2020 ; 31 (4): 154-167
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  • Extensive longitudinal immune profiling reveals sustained innate immune activation in COVID-19 patients with unfavorable outcome #MMPMID33648924
  • Schrijver B; Assmann JLJC; van Gammeren AJ; Vermeulen RCH; Portengen L; Heukels P; Langerak AW; Dik WA; van der Velden VHJ; Ermens TAAM
  • Eur Cytokine Netw 2020[Dec]; 31 (4): 154-167 PMID33648924show ga
  • COVID-19 differs substantially between individuals, ranging from mild to severe or even fatal. Heterogeneity in the immune response against SARS-COV-2 likely contributes to this. Therefore, we explored the temporal dynamics of key cellular and soluble mediators of innate and adaptive immune activation in relation to COVID-19 severity and progression. Forty-four patients with a PCR-proven diagnosis of COVID-19 were included. Extensive cellular (leukocytes and T-lymphocyte subsets) and serological immune profiling (cytokines, soluble cell surface molecules, and SARS-CoV-2 antibodies) was performed at hospital admission and every 3-4 days during hospitalization. Measurements and disease outcome were compared between patients with an unfavorable (IC admission and/or death) and favorable (all others) outcome. Patients with an unfavorable outcome had higher leukocyte numbers at baseline, mostly due to increased neutrophils, whereas lymphocyte and monocyte numbers were reduced. CRP, IL-6, CCL2, CXCL10, and GM-CSF levels were higher at baseline in the unfavorable group, whereas IL-7 levels were lower. SARS-CoV-2 antibodies were more frequently absent in the unfavorable group. Longitudinal analysis revealed delayed kinetics of activated CD4 and CD8 T-lymphocyte subsets in the unfavorable group. Furthermore, whereas CRP, IL-6, CXCL10, and GM-CSF declined in the favorable group, these cytokines declined with delayed kinetics, remained increased, or even increased further in the unfavorable group. Our data indicate a state of increased innate immune activation in COVID19-patients with an unfavorable outcome at hospital admission, which remained over time, as compared with patients with a favorable outcome.
  • |*COVID-19/immunology/mortality[MESH]
  • |*Immunity, Innate[MESH]
  • |Adult[MESH]
  • |Cytokines/immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |SARS-CoV-2/*immunology[MESH]
  • |Severity of Illness Index[MESH]


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