在COVID-19康复患者中,与 Sarcoidosis 相关的自身免疫炎症
Artem Rubinstein1,2, Igor Kudryavtsev1,2,3, Annа Malkova4
1Almazov National Medical Research Centre, Saint Petersburg, Russia.
Frontiers in medicine
|January 5, 2024
概括
感染COVID-19可能会引发自身免疫性疾病,包括沙尔科发病. 本综述检查了SARS-CoV-2感染后免疫系统的变化及其与患者沙尔科毒症发展的联系.
科学领域:
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
- 病毒学 病毒学
背景情况:
- 越来越多的报道将COVID-19与新的自身免疫性疾病联系起来.
- 在COVID-19后的综合征中观察到类似肉类颗粒瘤.
- 理论上,sarcoidosis是由自身免疫系统引起的.
研究的目的:
- 调查沙尔科毒症和SARS-CoV-2感染中的适应性幽默免疫反应变化.
- 确定COVID-19是否可以引发沙尔科毒症的发病.
- 在这两种条件下分析免疫细胞和自身抗体概况.
主要方法:
- 对肉病和COVID-19的淋巴细胞器官组织学变化的审查.
- 对B细胞亚种群,T卵泡辅助细胞 (Tfh) 和T卵泡调节细胞 (Tfr) 的分析.
- 检查在类菌病和COVID-19后的疾病中存在的自身抗体.
主要成果:
- 在淋巴细胞组织中观察到沙尔科毒症和COVID-19之间的组织学相似之处.
- 在两种病理中观察到的B细胞,Tfh和Tfr细胞种群的变化.
- 各种自身抗体的存在表明共享的自身免疫成分.
结论:
- 感染SARS-CoV-2可能会诱导自身免疫反应.
- COVID-19可能会导致受影响个体的类菌病的发展.
- 在SARS-CoV-2感染后免疫调节失调,需要进一步调查自身免疫连续症.
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