Upregulated type I interferon responses in asymptomatic COVID-19 infection are associated with improved clinical outcome.

Upregulated type I interferon responses in asymptomatic COVID-19 infection are associated with improved clinical outcome.
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DOI:
10.1038/s41598-021-02489-4
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发表时间:
2021-11-25
期刊:
影响因子:
4.6
通讯作者:
Hasan Z
Hasan Z
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Masood KI;Yameen M;Ashraf J;Shahid S;Mahmood SF;Nasir A;Nasir N;Jamil B;Ghanchi NK;Khanum I;Razzak SA;Kanji A;Hussain R;E Rottenberg M;Hasan Z

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了解针对SARS-CoV-2感染的关键宿主保护机制有助于改进COVID-19的治疗方式。我们使用血液转录组方法研究与不同COVID-19严重程度相关的生物标志物,比较严重和轻度症状疾病与无症状COVID-19和未感染对照。与无症状病例相比,有症状病例的抗原呈递受到抑制,但炎症和病毒mRNA翻译相关途径上调。在严重的COVID-19中,中性粒细胞标志物CD177上调,而干扰素刺激基因(ISGs)下调。无症状COVID-19患者表现为isg和体液反应基因上调,ICAM3和TLR8下调。在整个COVID-19疾病谱系中,我们发现与轻度和重度COVID-19相比,无症状患者I型干扰素(IFN)应答显著上调(IFNAR2、IRF2BP1、IRF4、MAVS、SAMHD1、TRIM1)或下调(SOCS3、IRF2BP2、IRF2BPL),与疾病进展相关的isg数量增加失调。这些数据表明,isg可能有效控制对SARS-CoV-2的初步早期反应。因此,我们假设在COVID-19早期使用I型干扰素治疗可能通过限制宿主中的SARS-CoV-2来限制疾病进展。
Understanding key host protective mechanisms against SARS-CoV-2 infection can help improve treatment modalities for COVID-19. We used a blood transcriptome approach to study biomarkers associated with differing severity of COVID-19, comparing severe and mild Symptomatic disease with Asymptomatic COVID-19 and uninfected Controls. There was suppression of antigen presentation but upregulation of inflammatory and viral mRNA translation associated pathways in Symptomatic as compared with Asymptomatic cases. In severe COVID-19, CD177 a neutrophil marker, was upregulated while interferon stimulated genes (ISGs) were downregulated. Asymptomatic COVID-19 cases displayed upregulation of ISGs and humoral response genes with downregulation of ICAM3 and TLR8. Compared across the COVID-19 disease spectrum, we found type I interferon (IFN) responses to be significantly upregulated (IFNAR2, IRF2BP1, IRF4, MAVS, SAMHD1, TRIM1), or downregulated (SOCS3, IRF2BP2, IRF2BPL) in Asymptomatic as compared with mild and severe COVID-19, with the dysregulation of an increasing number of ISGs associated with progressive disease. These data suggest that initial early responses against SARS-CoV-2 may be effectively controlled by ISGs. Therefore, we hypothesize that treatment with type I interferons in the early stage of COVID-19 may limit disease progression by limiting SARS-CoV-2 in the host.
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