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COVID-19 and the immune system
J. Paces, Z. Strizova, D. Smrz, J. Cerny
Language English Country Czech Republic
Document type Journal Article, Review
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- MeSH
- Adaptive Immunity MeSH
- Betacoronavirus immunology MeSH
- COVID-19 MeSH
- Host-Pathogen Interactions immunology MeSH
- Coronavirus Infections immunology prevention & control MeSH
- Humans MeSH
- Pandemics MeSH
- Immunity, Innate MeSH
- SARS-CoV-2 MeSH
- COVID-19 Vaccines MeSH
- Pneumonia, Viral immunology MeSH
- Viral Vaccines MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
A close interaction between the virus SARS-CoV-2 and the immune system of an individual results in a diverse clinical manifestation of the COVID-19 disease. While adaptive immune responses are essential for SARS-CoV-2 virus clearance, the innate immune cells, such as macrophages, may contribute, in some cases, to the disease progression. Macrophages have shown a significant production of IL-6, suggesting they may contribute to the excessive inflammation in COVID-19 disease. Macrophage Activation Syndrome may further explain the high serum levels of CRP, which are normally lacking in viral infections. In adaptive immune responses, it has been revealed that cytotoxic CD8+ T cells exhibit functional exhaustion patterns, such as the expression of NKG2A, PD-1, and TIM-3. Since SARS-CoV-2 restrains antigen presentation by downregulating MHC class I and II molecules and, therefore, inhibits the T cell-mediated immune responses, humoral immune responses also play a substantial role. Specific IgA response appears to be stronger and more persistent than the IgM response. Moreover, IgM and IgG antibodies show similar dynamics in COVID-19 disease.
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Literatura
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