Elucidating systemic immune responses to acute and convalescent SARS-CoV-2 infection in children and elderly individuals

被引:0
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作者
Rajamanickam, Anuradha [1 ,6 ]
Nathella, Pavan Kumar [2 ]
Venkataraman, Aishwarya [3 ]
Chandrasekaran, Padmapriyadarsini [3 ]
Rajendraprasath, Sasidaran [4 ]
Devaleenal, Bella D. [3 ]
Pandiarajan, Arul Nancy [1 ]
Krishnakumar, Gowshika [4 ]
Ramanan, Padmasani Venkat [4 ]
Babu, Subash [1 ,5 ]
机构
[1] ICMR Natl Inst Res TB Int Ctr Excellence Res, Natl Inst Hlth, Chennai, India
[2] ICMR Natl Inst Res TB, Dept Immunol, Chennai, India
[3] ICMR Natl Inst Res TB, Dept Clin Res, Chennai, India
[4] Sri Ramachandra Inst Higher Educ & Res, Dept Radiol, Chennai, India
[5] NIAID, NIH, Lab Parasit Dis, Bethesda, MD USA
[6] NIH, Natl Inst Res TB, Int Ctr Excellence Res, Chennai, India
关键词
acute phase proteins; chemokines; children; complement components; COVID-19; cytokines; elderly; growth factors;
D O I
10.1002/iid3.1167
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
BackgroundSevere Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), a causative pathogen of the COVID-19 pandemic, affects all age groups. However, various studies have shown that COVID-19 presentation and severity vary considerably with age. We, therefore, wanted to examine the differences between the immune responses of children with COVID-19 and elderly COVID-19 individuals.MethodsWe analyzed cytokines, chemokines, growth factors, and acute phase proteins in acute and convalescent COVID-19 children and the elderly with acute and convalescent COVID-19.ResultsWe show that most of the pro-inflammatory cytokines (interferon [IFN]gamma, interleukin [IL]-2, tumor necrosis factor-alpha [TNF alpha], IL-1 alpha, IFN alpha, IFN beta, IL-6, IL-12, IL-3, IL-7, IL-1Ra, IL-13, and IL-10), chemokines (CCL4, CCL11, CCL19, CXCL1, CXCL2, CXCL8, and CXL10), growth factors (vascular endothelial growth factor and CD40L) and acute phase proteins (C-reactive protein, serum amyloid P, and haptoglobin) were decreased in children with acute COVID 19 as compared with elderly individuals. In contrast, children with acute COVID-19 exhibited elevated levels of cytokines- IL-1 beta, IL-33, IL-4, IL-5, and IL-25, growth factors-fibroblast growth factor-2, platelet- derived growth factors-BB, and transforming growth factor alpha as compared with elderly individuals. Similar, differences were manifest in children and elderly with convalescent COVID-19.ConclusionThus, COVID-19 children are characterized by distinct cytokine/chemokine/growth factor/acute phase protein markers that are markedly different from elderly COVID-19 individuals. Children with COVID-19 are characterized by distinct cytokine/chemokine/growth factor/acute phase protein markers that are markedly different from elderly COVID-19 individuals. CRP, C-reactive protein; IFN, interferon; IL, interleukin; PCA, principal component analysis; TGF alpha, transforming growth factor alpha; TNF alpha, tumor necrosis factor alpha. image
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页数:11
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