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10.3389/fimmu.2021.695972

http://scihub22266oqcxt.onion/10.3389/fimmu.2021.695972
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suck abstract from ncbi


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pmid34341659      Front+Immunol 2021 ; 12 (ä): 695972
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  • Severe COVID-19 Is Characterized by an Impaired Type I Interferon Response and Elevated Levels of Arginase Producing Granulocytic Myeloid Derived Suppressor Cells #MMPMID34341659
  • Dean MJ; Ochoa JB; Sanchez-Pino MD; Zabaleta J; Garai J; Del Valle L; Wyczechowska D; Baiamonte LB; Philbrook P; Majumder R; Vander Heide RS; Dunkenberger L; Thylur RP; Nossaman B; Roberts WM; Chapple AG; Wu J; Hicks C; Collins J; Luke B; Johnson R; Koul HK; Rees CA; Morris CR; Garcia-Diaz J; Ochoa AC
  • Front Immunol 2021[]; 12 (ä): 695972 PMID34341659show ga
  • COVID-19 ranges from asymptomatic in 35% of cases to severe in 20% of patients. Differences in the type and degree of inflammation appear to determine the severity of the disease. Recent reports show an increase in circulating monocytic-myeloid-derived suppressor cells (M-MDSC) in severe COVID 19 that deplete arginine but are not associated with respiratory complications. Our data shows that differences in the type, function and transcriptome of granulocytic-MDSC (G-MDSC) may in part explain the severity COVID-19, in particular the association with pulmonary complications. Large infiltrates by Arginase 1(+) G-MDSC (Arg(+)G-MDSC), expressing NOX-1 and NOX-2 (important for production of reactive oxygen species) were found in the lungs of patients who died from COVID-19 complications. Increased circulating Arg(+)G-MDSC depleted arginine, which impaired T cell receptor and endothelial cell function. Transcriptomic signatures of G-MDSC from patients with different stages of COVID-19, revealed that asymptomatic patients had increased expression of pathways and genes associated with type I interferon (IFN), while patients with severe COVID-19 had increased expression of genes associated with arginase production, and granulocyte degranulation and function. These results suggest that asymptomatic patients develop a protective type I IFN response, while patients with severe COVID-19 have an increased inflammatory response that depletes arginine, impairs T cell and endothelial cell function, and causes extensive pulmonary damage. Therefore, inhibition of arginase-1 and/or replenishment of arginine may be important in preventing/treating severe COVID-19.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antiviral Agents/administration & dosage[MESH]
  • |Arginase/antagonists & inhibitors/metabolism[MESH]
  • |Arginine/administration & dosage/blood/metabolism[MESH]
  • |Asymptomatic Infections[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/blood/diagnosis/*immunology[MESH]
  • |Case-Control Studies[MESH]
  • |Drug Therapy, Combination/methods[MESH]
  • |Enzyme Inhibitors/administration & dosage[MESH]
  • |Female[MESH]
  • |Granulocytes/*immunology/metabolism[MESH]
  • |Healthy Volunteers[MESH]
  • |Humans[MESH]
  • |Interferon Type I/metabolism[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Myeloid-Derived Suppressor Cells/*immunology/metabolism[MESH]
  • |SARS-CoV-2/*immunology[MESH]
  • |Severity of Illness Index[MESH]
  • |Signal Transduction/immunology[MESH]


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