长期COVID的性别差异和免疫相关性 长期COVID的发展,持久性和解决方案
Rebecca E Hamlin1, Shaun M Pienkos1, Leslie Chan1,2
1Department of Medicine, Stanford University School of Medicine; Stanford, CA, USA.
bioRxiv : the preprint server for biology
|July 1, 2024
概括
性差异影响长期COVID (LC) 的发展. 这项研究揭示了男性和女性不同的免疫失调,为向的长期COVID治疗提供了洞察力.
科学领域:
- 免疫学 免疫学 免疫学
- 遗传学 遗传学 是一个
- 病毒学 病毒学
背景情况:
- 在COVID-19和长期COVID (LC) 结果中存在性别差异.
- 男性面临更高的急性感染严重程度,而女性不成比例地受到LC的影响.
- 性别特异性免疫失调被假设是驱动LC病变的原因.
研究的目的:
- 调查LC发展和持久性的免疫学基础.
- 确定LC的性别特异性和保存免疫相关物.
- 为开发定制的LC治疗提供洞察力.
主要方法:
- 采用了单细胞转录组学,单细胞蛋白组学和血蛋白组学.
- 分析了45名患者在急性SARS-CoV-2感染期间以及感染后3个月和12个月的血液样本.
- 将LC发病的患者与康复的患者进行比较.
主要成果:
- 发生LC的男性在急性感染期间在NK细胞中增加了TGF-β信号.
- 发生LC的女性在12个月后表现出XIST表达和IL1信号在单细胞中的增加.
- 患有LC的两种性别都减少了单细胞协同刺激信号,上调了NF-κB,增加了T细胞耗尽标志物LAG3,减少了ETS1,并在T细胞中增加了IL-4.
结论:
- 鉴定了多种LC的先天性和适应性免疫相关物,有些是性别特异的.
- 在患有LC的男性和女性中观察到不同的免疫特征.
- 这些发现表明,针对性别量身定制的LC治疗可能是潜在的治疗目标.
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