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10.1007/s40121-021-00458-y

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34110618!8190524!34110618
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suck abstract from ncbi


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pmid34110618      Infect+Dis+Ther 2021 ; 10 (3): 1391-1405
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  • Dynamic Changes in the Immune Response Correlate with Disease Severity and Outcomes During Infection with SARS-CoV-2 #MMPMID34110618
  • Zheng F; Chen R; Yao R; Huang Y; Tan X; Liu J; Li N; Xie Y
  • Infect Dis Ther 2021[Sep]; 10 (3): 1391-1405 PMID34110618show ga
  • INTRODUCTION: The coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has rapidly spread throughout China and worldwide. Little is known about the dynamic changes in the patient immune responses to SARS-CoV-2 and how different responses are correlated with disease severity and outcomes. METHODS: Seventy-four patients with confirmed COVID-19 were enrolled in this prospective research. The demographic information, medical history, symptoms, signs and laboratory results were analyzed and compared between severe and non-severe patients. The leukocytes, lymphocyte subsets and inflammatory cytokines were longitudinally collected. RESULTS: Of the 74 patients included, 17 suffered from severe disease. The severe patients tended be older (65.29 +/- 12.33 years vs. 45.37 +/- 18.66 years) and had a greater degree of underlying disease (41.18% vs. 24.56%), lower baseline lymphocyte counts [0.64 (0.46-0.95) x 10(9) vs. 1.27 (0.95-1.70) x 10(9)], higher neutrophil-lymphocyte ratios [NLRs; 3.76 (3.15-5.51) vs. 2.07 (1.48-2.93)] and lower baseline eosinophil counts [0 (0-0.01) x 10(9) vs. 0.03 (0.01-0.06) x 10(9)] than those in non-severe patients. The baseline helper T (Th) cells (335.47 vs. 666.46/mul), suppressor T(Ts) cells (158 vs. 334/mul), B cells (95 vs. 210/mul) and natural killer (NK) cells (52 vs. 122/mul) were significantly decreased in severe cases compared to that in non-severe cases. In addition, the baseline neutrophils were positively correlated with the severity of COVID-19, and the baseline lymphocytes were negatively correlated with the severity of COVID-19. The dynamic change of T cells, Th cells and IFN-gamma in the severe cases were parallel to the amelioration of the disease. CONCLUSIONS: Collectively, our study provides novel information on the kinetics of the immune responses in a cohort of COVID-19 patients with different disease severities. Furthermore, our study indicates that both innate and adaptive immune responses correlate with better clinical outcomes.
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