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Updated: Nov 10, 2025

High-throughput Quantitative Real-time RT-PCR Assay for Determining Expression Profiles of Types I and III Interferon Subtypes
Published on: March 24, 2015
Downregulation of type III interferons in patients with severe COVID-19
Yosuke Fukuda1, Tetsuya Homma1, Hideki Inoue1
1Division of Respiratory Medicine and Allergology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
Insights
Severe COVID-19 patients show distinct immune marker profiles. Lower levels of type III interferons (IFN-λs) were observed in severe cases, suggesting a role in disease progression.
Area of Science:
- Immunology
- Infectious Diseases
- Pulmonology
Background:
- Coronavirus disease 2019 (COVID-19) poses a significant global health challenge.
- Understanding COVID-19 pathophysiology is crucial for managing disease burden.
- Immune responses, including cytokine and chemokine profiles, are key to disease severity.
Purpose of the Study:
- To investigate serum cytokine and chemokine levels in COVID-19 patients.
- To correlate these levels with disease severity.
- To identify potential biomarkers for COVID-19 severity.
Main Methods:
- Observational study at a single center.
- Included 72 consecutive COVID-19 patients.
- Classified patients into mild and severe groups based on MHLW criteria.
- Compared serum cytokine/chemokine levels on admission between groups.
Main Results:
- Severe COVID-19 patients exhibited higher levels of fibrinogen, d-dimer, lactate dehydrogenase, C-reactive protein, ferritin, Krebs von den Lungen-6, surfactant protein (SP)-D, and SP-A.
- Significantly lower levels of interleukin (IL)-28A/interferon (IFN)-λ2 were found in the severe group.
- Elevated markers suggest inflammation and tissue damage in severe cases.
Conclusions:
- Alterations in cytokine and chemokine profiles are associated with COVID-19 severity.
- Reduced type III interferons (IFN-λs) may contribute to disease progression.
- These findings highlight potential therapeutic targets and prognostic markers.
Abstract:
Coronavirus disease 2019 (COVID-19) is globally rampant, and to curb the growing burden of this disease, in-depth knowledge about its pathophysiology is needed. This was an observational study conducted at a single center to investigate serum cytokine and chemokine levels of COVID-19 patients, based on disease severity. We included 72 consecutive COVID-19 patients admitted to our hospital from March 21 to August 31, 2020. Patients were divided into Mild-Moderate I (mild) and Moderate II-Severe (severe) groups based on the COVID-19 severity classification developed by the Ministry of Health, Labor and Welfare (MHLW) of Japan. We compared the patient characteristics as well as the serum cytokine and chemokine levels on the day of admission between the two groups. Our findings indicated that the severe group had significantly higher levels of serum fibrinogen, d-dimer, lactate dehydrogenase, C-reactive protein, ferritin, Krebs von den Lungen-6, surfactant protein (SP)-D, and SP-A than the mild group. Strikingly, the levels of interleukin (IL)-28A/interferon (IFN)-λ2 were significantly lower in the severe group than in the mild group. We believe that reduced levels of type III interferons (IFN-λs) and alterations in the levels of other cytokines and chemokines may impact the severity of the disease.
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