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10.1038/s41467-021-23334-2

http://scihub22266oqcxt.onion/10.1038/s41467-021-23334-2
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34021143!8140132!34021143
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suck abstract from ncbi


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pmid34021143      Nat+Commun 2021 ; 12 (1): 3006
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  • Severe T cell hyporeactivity in ventilated COVID-19 patients correlates with prolonged virus persistence and poor outcomes #MMPMID34021143
  • Renner K; Schwittay T; Chaabane S; Gottschling J; Muller C; Tiefenbock C; Salewski JN; Winter F; Buchtler S; Balam S; Malfertheiner MV; Lubnow M; Lunz D; Graf B; Hitzenbichler F; Hanses F; Poeck H; Kreutz M; Orso E; Burkhardt R; Niedermair T; Brochhausen C; Gessner A; Salzberger B; Mack M
  • Nat Commun 2021[May]; 12 (1): 3006 PMID34021143show ga
  • Coronavirus disease 2019 (COVID-19) can lead to pneumonia and hyperinflammation. Here we show a sensitive method to measure polyclonal T cell activation by downstream effects on responder cells like basophils, plasmacytoid dendritic cells, monocytes and neutrophils in whole blood. We report a clear T cell hyporeactivity in hospitalized COVID-19 patients that is pronounced in ventilated patients, associated with prolonged virus persistence and reversible with clinical recovery. COVID-19-induced T cell hyporeactivity is T cell extrinsic and caused by plasma components, independent of occasional immunosuppressive medication of the patients. Monocytes respond stronger in males than females and IL-2 partially restores T cell activation. Downstream markers of T cell hyporeactivity are also visible in fresh blood samples of ventilated patients. Based on our data we developed a score to predict fatal outcomes and identify patients that may benefit from strategies to overcome T cell hyporeactivity.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Basophils/immunology[MESH]
  • |COVID-19/*immunology/virology[MESH]
  • |Cells, Cultured[MESH]
  • |Dendritic Cells/immunology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation/*immunology[MESH]
  • |Lymphocyte Activation/*immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Monocytes/immunology[MESH]
  • |Neutrophils/immunology[MESH]
  • |Pneumonia/*immunology[MESH]
  • |SARS-CoV-2/*immunology/physiology[MESH]
  • |T-Lymphocytes/*immunology[MESH]


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