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10.1126/sciimmunol.abf7570

http://scihub22266oqcxt.onion/10.1126/sciimmunol.abf7570
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33653907!8128303!33653907
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suck abstract from ncbi


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pmid33653907      Sci+Immunol 2021 ; 6 (57): ä
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  • Deep immune profiling of MIS-C demonstrates marked but transient immune activation compared to adult and pediatric COVID-19 #MMPMID33653907
  • Vella LA; Giles JR; Baxter AE; Oldridge DA; Diorio C; Kuri-Cervantes L; Alanio C; Pampena MB; Wu JE; Chen Z; Huang YJ; Anderson EM; Gouma S; McNerney KO; Chase J; Burudpakdee C; Lee JH; Apostolidis SA; Huang AC; Mathew D; Kuthuru O; Goodwin EC; Weirick ME; Bolton MJ; Arevalo CP; Ramos A; Jasen CJ; Conrey PE; Sayed S; Giannini HM; D'Andrea K; Meyer NJ; Behrens EM; Bassiri H; Hensley SE; Henrickson SE; Teachey DT; Betts MR; Wherry EJ
  • Sci Immunol 2021[Mar]; 6 (57): ä PMID33653907show ga
  • Pediatric COVID-19 following SARS-CoV-2 infection is associated with fewer hospitalizations and often milder disease than in adults. A subset of children, however, present with Multisystem Inflammatory Syndrome in Children (MIS-C) that can lead to vascular complications and shock, but rarely death. The immune features of MIS-C compared to pediatric COVID-19 or adult disease remain poorly understood. We analyzed peripheral blood immune responses in hospitalized SARS-CoV-2 infected pediatric patients (pediatric COVID-19) and patients with MIS-C. MIS-C patients had patterns of T cell-biased lymphopenia and T cell activation similar to severely ill adults, and all patients with MIS-C had SARS-CoV-2 spike-specific antibodies at admission. A distinct feature of MIS-C patients was robust activation of vascular patrolling CX3CR1+ CD8+ T cells that correlated with the use of vasoactive medication. Finally, whereas pediatric COVID-19 patients with acute respiratory distress syndrome (ARDS) had sustained immune activation, MIS-C patients displayed clinical improvement over time, concomitant with decreasing immune activation. Thus, non-MIS-C versus MIS-C SARS-CoV-2 associated illnesses are characterized by divergent immune signatures that are temporally distinct from one another and implicate CD8+ T cells in the clinical presentation and trajectory of MIS-C.
  • |*Lymphocyte Activation[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aging/immunology[MESH]
  • |COVID-19/*immunology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Flow Cytometry[MESH]
  • |Humans[MESH]
  • |Leukopenia/immunology[MESH]
  • |Male[MESH]
  • |Systemic Inflammatory Response Syndrome/*immunology[MESH]
  • |T-Lymphocytes/*immunology[MESH]


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