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10.3389/fimmu.2021.661052

http://scihub22266oqcxt.onion/10.3389/fimmu.2021.661052
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33995382!8113960!33995382
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suck abstract from ncbi


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pmid33995382      Front+Immunol 2021 ; 12 (ä): 661052
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  • SARS-CoV-2 Induces Lymphocytopenia by Promoting Inflammation and Decimates Secondary Lymphoid Organs #MMPMID33995382
  • Xiang Q; Feng Z; Diao B; Tu C; Qiao Q; Yang H; Zhang Y; Wang G; Wang H; Wang C; Liu L; Wang C; Liu L; Chen R; Wu Y; Chen Y
  • Front Immunol 2021[]; 12 (ä): 661052 PMID33995382show ga
  • While lymphocytopenia is a common characteristic of coronavirus disease 2019 (COVID-19), the mechanisms responsible for this lymphocyte depletion are unclear. Here, we retrospectively reviewed the clinical and immunological data from 18 fatal COVID-19 cases, results showed that these patients had severe lymphocytopenia, together with high serum levels of inflammatory cytokines (IL-6, IL-8 and IL-10), and elevation of many other mediators in routine laboratory tests, including C-reactive protein, lactate dehydrogenase, alpha-hydroxybutyrate dehydrogenase and natriuretic peptide type B. The spleens and hilar lymph nodes (LNs) from six additional COVID-19 patients with post-mortem examinations were also collected, histopathologic detection showed that both organs manifested severe tissue damage and lymphocyte apoptosis in these six cases. In situ hybridization assays illustrated that SARS-CoV-2 viral RNA accumulates in these tissues, and transmission electronic microscopy confirmed that coronavirus-like particles were visible in the LNs. SARS-CoV-2 Spike and Nucleocapsid protein (NP) accumulated in the spleens and LNs, and the NP antigen restricted in angiotensin-converting enzyme 2 (ACE2) positive macrophages and dendritic cells (DCs). Furthermore, SARS-CoV-2 triggered the transcription of Il6, Il8 and Il1b genes in infected primary macrophages and DCs in vitro, and SARS-CoV-2-NP(+) macrophages and DCs also manifested high levels of IL-6 and IL-1beta, which might directly decimate human spleens and LNs and subsequently lead to lymphocytopenia in vivo. Collectively, these results demonstrated that SARS-CoV-2 induced lymphocytopenia by promoting systemic inflammation and direct neutralization in human spleen and LNs.
  • |Angiotensin-Converting Enzyme 2/immunology[MESH]
  • |COVID-19/complications/*immunology/pathology[MESH]
  • |Coronavirus Nucleocapsid Proteins/immunology[MESH]
  • |Cytokines/immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation/immunology/pathology[MESH]
  • |Lymph Nodes/*immunology/ultrastructure[MESH]
  • |Lymphopenia/etiology/*immunology/pathology[MESH]
  • |Middle Aged[MESH]
  • |Phosphoproteins/immunology[MESH]
  • |RNA, Messenger/immunology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/*immunology/pathogenicity/ultrastructure[MESH]


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