2020
DOI: 10.20944/preprints202008.0020.v1
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SARS-CoV-2 and Covid-19 Immunopathogenesis

Abstract: The coronavirus disease 2019 (COVID-19) is now a global pandemic caused by the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Unlike other known coronaviruses, such as the Middle East respiratory syndrome coronavirus (MERS-CoV), SARS-CoV-2 reveals new clinical, immunological, and pathologic features. The lymphocyte depletion, macrophage and neutrophil hyperactivation, cytokine dysregulation, thrombophilia, delayed antiviral response, and immune exhaustion are key immunological findings linke… Show more

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Cited by 2 publications
(4 citation statements)
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“…IL-6 levels are also dramatically elevated in these cases and are often derived from neutrophils and macrophages accumulated in the lung. [55][56][57][58] Production of high levels of IL-6, combined with delayed lower IFN, can change Th1 response to Th17 response and therefore declines the efficiency of antiviral activity and increases tissue damage via accumulation of macrophages and neutrophils. 59 Neutrophils and macrophages, through a positive loop, lead to a hyperinflammatory state and cytokine storm.…”
Section: An Overview Of the Immune Pathogenesis Of Covid-19mentioning
confidence: 99%
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“…IL-6 levels are also dramatically elevated in these cases and are often derived from neutrophils and macrophages accumulated in the lung. [55][56][57][58] Production of high levels of IL-6, combined with delayed lower IFN, can change Th1 response to Th17 response and therefore declines the efficiency of antiviral activity and increases tissue damage via accumulation of macrophages and neutrophils. 59 Neutrophils and macrophages, through a positive loop, lead to a hyperinflammatory state and cytokine storm.…”
Section: An Overview Of the Immune Pathogenesis Of Covid-19mentioning
confidence: 99%
“…Notably, overproduction of CXCL10 and CCL7 is connected with the severity and lethality of the disease. IL‐6 levels are also dramatically elevated in these cases and are often derived from neutrophils and macrophages accumulated in the lung 55–58 . Production of high levels of IL‐6, combined with delayed lower IFN, can change Th1 response to Th17 response and therefore declines the efficiency of antiviral activity and increases tissue damage via accumulation of macrophages and neutrophils 59 .…”
Section: An Overview Of the Immune Pathogenesis Of Covid‐19mentioning
confidence: 99%
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“…During COVID-19, lymphocyte depletion occurs [39]. It is believed that like MERS-CoV, the SARS-CoV-2 could also induce lymphocyte apoptosis.…”
Section: Adaptive Immunitymentioning
confidence: 99%