活動中のロング・コービッドにおける血栓炎症の徴候を有する持続的な補完体調節障害
Carlo Cervia-Hasler1, Sarah C Brüningk2,3, Tobias Hoch1
1Department of Immunology, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.
まとめ
ロング・コービッドは免疫系,特に補完体系に 異常が生じます この研究では,コンプリメンタと血栓炎症性タンパク質をロング・コービッドの診断と治療の重要なバイオマーカーとして特定しました.
科学分野:
- 免疫学
- プロテオミクス
- 感染症
背景:
- ロング・コービッドは複雑で 原因が不明で 衰弱する状態です
- 効果的な治療法の開発には 基礎となる生物学的メカニズムを理解することが重要です
研究 の 目的:
- マルチモダルプロテオミクスを使って ロング・コビッドの分子メカニズムを調査する
- ロング・コービッドの診断と治療目標の潜在的バイオマーカーを特定する.
主な方法:
- 感染後12ヶ月までの268人のCOVID-19患者の血清の長期タンパク質解析.
- ロング・コービッドと回復した人の違いを特定するために,6500以上のタンパク質を分析した.
- トップのタンパク質バイオマーカーを特定するために機械学習が適用されます.
主要な成果:
- ロング・コビッドは,終末型,代替型,古典型経路を含むコンプリメンタル・システムの制御不能な活性化によって特徴付けられます.
- 血解のマーカー増加,組織損傷,血小板活性化,単細胞血小板集積が観察されました.
- ヘルペスウイルスに対する抗体位は,古典的な補足経路の活性化と相関する.
結論:
- 補完体系と血栓炎症はロング・コビッドの病原性にとって中心的なものです.
- コンプリメントおよび血栓炎症性タンパク質はロング・コビッドの診断および治療用バイオマーカーとして有望である.
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