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10.1038/s41591-021-01576-3

http://scihub22266oqcxt.onion/10.1038/s41591-021-01576-3
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suck abstract from ncbi


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pmid34782790      Nat+Med 2022 ; 28 (1): 201-211
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  • Dexamethasone modulates immature neutrophils and interferon programming in severe COVID-19 #MMPMID34782790
  • Sinha S; Rosin NL; Arora R; Labit E; Jaffer A; Cao L; Farias R; Nguyen AP; de Almeida LGN; Dufour A; Bromley A; McDonald B; Gillrie MR; Fritzler MJ; Yipp BG; Biernaskie J
  • Nat Med 2022[Jan]; 28 (1): 201-211 PMID34782790show ga
  • Although critical for host defense, innate immune cells are also pathologic drivers of acute respiratory distress syndrome (ARDS). Innate immune dynamics during Coronavirus Disease 2019 (COVID-19) ARDS, compared to ARDS from other respiratory pathogens, is unclear. Moreover, mechanisms underlying the beneficial effects of dexamethasone during severe COVID-19 remain elusive. Using single-cell RNA sequencing and plasma proteomics, we discovered that, compared to bacterial ARDS, COVID-19 was associated with expansion of distinct neutrophil states characterized by interferon (IFN) and prostaglandin signaling. Dexamethasone during severe COVID-19 affected circulating neutrophils, altered IFN(active) neutrophils, downregulated interferon-stimulated genes and activated IL-1R2(+) neutrophils. Dexamethasone also expanded immunosuppressive immature neutrophils and remodeled cellular interactions by changing neutrophils from information receivers into information providers. Male patients had higher proportions of IFN(active) neutrophils and preferential steroid-induced immature neutrophil expansion, potentially affecting outcomes. Our single-cell atlas (see 'Data availability' section) defines COVID-19-enriched neutrophil states and molecular mechanisms of dexamethasone action to develop targeted immunotherapies for severe COVID-19.
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/complications/genetics/*immunology[MESH]
  • |Cell Communication[MESH]
  • |Chromatography, Liquid[MESH]
  • |Cytokines/*immunology[MESH]
  • |Dexamethasone/*therapeutic use[MESH]
  • |Down-Regulation[MESH]
  • |Female[MESH]
  • |Gene Regulatory Networks[MESH]
  • |Glucocorticoids/*therapeutic use[MESH]
  • |Humans[MESH]
  • |Immunity, Innate/immunology[MESH]
  • |Interferons/immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Neutrophils/*immunology/metabolism[MESH]
  • |Pneumonia, Bacterial/complications/drug therapy/genetics/*immunology[MESH]
  • |Prostaglandins/immunology[MESH]
  • |Proteomics[MESH]
  • |RNA-Seq[MESH]
  • |Respiratory Distress Syndrome/drug therapy/etiology/genetics/*immunology[MESH]
  • |SARS-CoV-2[MESH]
  • |Severity of Illness Index[MESH]
  • |Sex Factors[MESH]
  • |Single-Cell Analysis[MESH]


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