Los perfiles inmunoproteómicos revelan una regulación celular inmune aberrante en las vías respiratorias de individuos con enfermedad respiratoria continua post-CDV-19
Summary
Some
patients hospitalized with acute COVID-19 suffer respiratory symptoms
that persist for many months. We delineated the immune-proteomic
landscape in the airway and peripheral blood of healthy controls and
post-COVID-19 patients 3 to 6 months after hospital discharge.
Post-COVID-19 patients showed abnormal airway (but not plasma)
proteomes, with elevated concentration of proteins associated with
apoptosis, tissue repair and epithelial injury versus healthy
individuals. Increased numbers of cytotoxic lymphocytes were observed in
individuals with greater airway dysfunction, while increased B cell
numbers and altered monocyte subsets were associated with more
widespread lung abnormalities. 1 year follow-up of some post-COVID-19
patients indicated that these abnormalities resolved over time. In
summary, COVID-19 causes a prolonged change to the airway immune
landscape in those with persistent lung disease, with evidence of cell
death and tissue repair linked to ongoing activation of cytotoxic T
cells.
Graphical Abstract
Footnotes
Sir Alexander Fleming Building, National Heart and Lung Institute, South Kensington Campus, Imperial College London, London, UK. SW7 2AZ.
Identification
- Graphical Abstract
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