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10.3389/fimmu.2021.720192

http://scihub22266oqcxt.onion/10.3389/fimmu.2021.720192
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suck abstract from ncbi


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pmid34456928      Front+Immunol 2021 ; 12 (ä): 720192
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  • DAMPening COVID-19 Severity by Attenuating Danger Signals #MMPMID34456928
  • Silva-Lagos LA; Pillay J; van Meurs M; Smink A; van der Voort PHJ; de Vos P
  • Front Immunol 2021[]; 12 (ä): 720192 PMID34456928show ga
  • COVID-19 might lead to multi-organ failure and, in some cases, to death. The COVID-19 severity is associated with a "cytokine storm." Danger-associated molecular patterns (DAMPs) are proinflammatory molecules that can activate pattern recognition receptors, such as toll-like receptors (TLRs). DAMPs and TLRs have not received much attention in COVID-19 but can explain some of the gender-, weight- and age-dependent effects. In females and males, TLRs are differentially expressed, likely contributing to higher COVID-19 severity in males. DAMPs and cytokines associated with COVID-19 mortality are elevated in obese and elderly individuals, which might explain the higher risk for severer COVID-19 in these groups. Adenosine signaling inhibits the TLR/NF-kappaB pathway and, through this, decreases inflammation and DAMPs' effects. As vaccines will not be effective in all susceptible individuals and as new vaccine-resistant SARS-CoV-2 mutants might develop, it remains mandatory to find means to dampen COVID-19 disease severity, especially in high-risk groups. We propose that the regulation of DAMPs via adenosine signaling enhancement might be an effective way to lower the severity of COVID-19 and prevent multiple organ failure in the absence of severe side effects.
  • |Adenosine/metabolism[MESH]
  • |Alarmins/antagonists & inhibitors/*immunology[MESH]
  • |Animals[MESH]
  • |COVID-19/complications/immunology/*physiopathology/therapy[MESH]
  • |Humans[MESH]
  • |Inflammation Mediators/antagonists & inhibitors/*immunology[MESH]
  • |Inflammation/prevention & control[MESH]
  • |Multiple Organ Failure/etiology/prevention & control[MESH]
  • |Patient Acuity[MESH]
  • |Signal Transduction[MESH]


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