与SARS-CoV-2死亡率相关的受损性功能进化轨迹
Tomer Zohar1, Carolin Loos1, Stephanie Fischinger2
1Ragon Institute of MGH, MIT, and Harvard, Cambridge, MA, USA; Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.
Cell
|November 18, 2020
概括
严重的COVID-19患者没有存活,IgG抗体反应减弱,表明体内免疫力受损. 早期功能性抗体的开发对于SARS-CoV-2感染的解决至关重要.
科学领域:
- 免疫学
- 病毒学
- 传染性疾病
背景情况:
- 对SARS-CoV-2的有效疫苗的开发受到明确的免疫相关性缺乏的阻碍.
- 虽然中和抗体与对其他病毒的保护有关,但它们对一般人群的SARS-CoV-2保护的充分性尚不确定.
研究的目的:
- 研究中度至重度SARS-CoV-2感染住院患者体内免疫反应的早期演变.
- 确定与疾病严重程度和结果相关的独特的幽默免疫轨迹.
主要方法:
- 分析幽默免疫反应,包括IgM,IgA和IgG抗体水平.
- 在193名住院患者中评估Fc马受体结合和Fc效应器功能.
- 幸存者和非幸存者的免疫反应,以及中度和重度疾病组之间的比较.
主要成果:
- 患有严重疾病而死亡的患者表现出IgG反应减弱,Fc马受体结合受损,Fc效应因子活性降低.
- 在重症幸存者和非幸存者中观察到强烈的IgM和IgA反应.
- 患有中度疾病的个体表现出延迟但最终成熟的幽默反应.
结论:
- 缺陷的幽默发育,而不是疾病增强免疫力,是严重的SARS-CoV-2感染的非幸存者的特征.
- 不同的幽默免疫轨迹与SARS-CoV-2感染的解决有关.
- 对于有效控制SARS-CoV-2感染,功能性幽默免疫的早期发展至关重要.
相关概念视频
Humoral Immune Responses
81.2K
Overview
81.2K
Immunodeficiency Diseases
1.6K
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
1.6K
Development of Immunocompetence
599
The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
599
Immune Response Against Viral Pathogens
1.3K
The immune system's response to viral infections is a complex and coordinated process involving natural killer (NK) cells, T cell-mediated responses, and antibody-mediated responses.
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...
1.3K
Viral Mutations
38.2K
A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
38.2K
Cell-mediated Immune Responses
80.6K
Overview
80.6K


