鼻上表皮的屏障功能障碍有助于长期COVID中的持续炎症
Nadia Baalbaki1, Daniëlle van Egmond2, Patricia Jaeger3
1Department of Pulmonary Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands; Amsterdam Institute for Infection and Immunity, Amsterdam, The Netherlands; Amsterdam Public Health, Amsterdam, The Netherlands.
The Journal of allergy and clinical immunology
|October 10, 2025
概括
长期COVID鼻上皮质功能障碍有助于免疫失调. IL-1β-IFN-γ轴是长期COVID (LC) 患者的潜在治疗标.
科学领域:
- 免疫学 免疫学 免疫学
- 呼吸系统医学 呼吸系统医学
- 病毒学 病毒学
背景情况:
- 长期COVID (LC) 涉及与慢性炎症和免疫失调相关的持续症状.
- 驱动LC病变的局部组织机制尚不清楚.
研究的目的:
- 研究鼻上皮在长期COVID中的作用.
- 确定其对全身免疫激活的贡献.
主要方法:
- 分析了LC患者和对照组的鼻上皮和血液样本.
- 评估了上皮质屏障功能,伤口愈合和细胞因子概况.
- 在先天性淋巴细胞 (ILC) 上进行RNA测序和流动细胞计.
主要成果:
- LC鼻上表皮显示屏障功能受损,ZO-1和奥克卢丁的表达减少.
- 尽管伤口关闭速度更快,但上皮质修复减少.
- 在LC鼻上皮质中增加IL-1β和干扰素通路激活促进了ILC激活.
结论:
- 鼻上皮质功能障碍和慢性激活在LC患者的亚组可能驱动系统性免疫失调.
- IL-1β-IFN-γ轴被确定为一种新的可向途径.
- 这一途径可能会为长期COVID的精确疗法提供信息.
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