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Arunachalam, P. S., Wimmers, F., Mok, C. K. P., Perera, R. A. P. M., Scott, M., & Hagan, T., et al. (2020). Systems biological assessment of immunity to mild versus severe covid-19 infection in humans. Science. 
Added by: Dr. Enrique Feoli (12/08/2020, 15:14)   Last edited by: Dr. Enrique Feoli (12/08/2020, 15:22)
Resource type: Journal Article
DOI: 10.1126/science.abc6261
ID no. (ISBN etc.): 0036-8075
BibTeX citation key: Arunachalam2020
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Categories: BioAcyl Corp, Zotero
Subcategories: COVID-19
Creators: Alaaeddine, Anderson, Arunachalam, Bosinger, Bristow, Chan, Chik, Choi, Coller, Edupuganti, Feng, Hagan, Huerta, Kazmin, Khatri, Leung, Lv, Maecker, Mok, Paine McCullough, Peiris, Pellegrini, Perera, Pulendran, Rouphael, Scott, Sigal, Tak-Yin Tsang, Upadhyay, Wagh, Wimmers
Collection: Science
Views: 2/296
Abstract
COVID-19 represents a global crisis, yet major knowledge gaps remain about human immunity to SARS-CoV-2. We analyzed immune responses in 76 COVID-19 patients and 69 healthy individuals from Hong Kong and Atlanta. In PBMCs of COVID-19 patients, there was reduced expression of HLA-DR and pro-inflammatory cytokines by myeloid cells, and impaired mTOR-signaling and IFN-α production by plasmacytoid DCs. In contrast, there were enhanced plasma levels of inflammatory mediators, including EN-RAGE, TNFSF14, and oncostatin-M, which correlated with disease severity and increased bacterial products in human plasma. Single-cell transcriptomics revealed no type-I IFN, reduced HLA-DR in myeloid cells of severe patients, and transient expression of IFN-stimulated genes. This was consistent with bulk PBMC transcriptomics, and transient, low plasma IFN-α levels during infection. These results reveal mechanisms and potential therapeutic targets for COVID-19.
  
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