Immune dysregulation and system pathology in COVID-19.

Immune dysregulation and system pathology in COVID-19.
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COVID-19 中的免疫失调和系统病理学。

DOI:
10.1080/21505594.2021.1898790
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发表时间:
2021-12
期刊:
影响因子:
5.2
通讯作者:
Zhang Q
Zhang Q
中科院分区:
生物学2区
文献类型:
--
作者:
Jamal M;Bangash HI;Habiba M;Lei Y;Xie T;Sun J;Wei Z;Hong Z;Shao L;Zhang Q

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由称为SARS-CoV-2的新型冠状病毒引起的冠状病毒病19(COVID-19)已造成全球公共卫生危机。截至2021年1月7日,全球已报告87,640,402例确诊病例和1,891,692例死亡病例。针对COVID-19患者的流行病学和临床特征的研究表明,这些患者的免疫反应失调,表现为淋巴细胞减少和细胞因子风暴。由细胞因子风暴诱导的过度免疫应答导致感染性休克、急性呼吸窘迫综合征(ARDS)和/或多器官衰竭,这增加了SARS-CoV-2感染患者的病死率。本文就COVID-19的流行病学、临床特征和系统病理学的最新研究进展进行综述。此外,我们还总结了最近的治疗策略,这些策略已被当地或全球卫生当局批准,正在进行临床试验和/或正在进行调查。我们认为治疗应侧重于抗病毒药物联合免疫调节剂的使用以及基础合并症的治疗。
The coronavirus disease 19 (COVID-19) caused by the novel coronavirus known as SARS-CoV-2 has caused a global public health crisis. As of 7 January 2021, 87,640,402 confirmed cases and 1,891,692 mortalities have been reported worldwide. Studies focusing on the epidemiological and clinical characteristics of COVID-19 patients have suggested a dysregulated immune response characterized by lymphopenia and cytokine storm in these patients. The exaggerated immune response induced by the cytokine storm causes septic shock, acute respiratory distress syndrome (ARDS), and/or multiple organs failure, which increases the fatality rate of patients with SARS-CoV-2 infection. Herein, we review the recent research progress on epidemiology, clinical features, and system pathology in COVID-19. Moreover, we summarized the recent therapeutic strategies, which are either approved, under clinical trial, and/or under investigation by the local or global health authorities. We assume that treatments should focus on the use of antiviral drugs in combination with immunomodulators as well as treatment of the underlying comorbidities.
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