Human Leukocyte Antigen (HLA) at the Root of Persistent Antigens and Long COVID.

Apostolos P Georgopoulos, Lisa M James, Phillip K Peterson
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Abstract

Here we offer a perspective on recent findings of persistent SARS-CoV-2 antigens in Long COVID1 through the lens of immunogenetic risk and protection, namely in the context of the fundamental role of Human Leukocyte Antigen (HLA) in eliminating viral infections. Specifically, we attribute the persistence of viral antigens to the lack or weak protection conferred by HLA against SARS-CoV-2 in individuals carrying HLA alleles with low binding affinities to the virus. We suggest that determining the HLA Class I and II makeup of Long COVID patients will provide valuable new information in elucidating the cause for antigen persistence underlying the development of Long COVID and pave the way for successful interventions.

人白细胞抗原(HLA)在持久性抗原和长冠状病毒的根源。
在此,我们从免疫遗传学风险和保护的角度,即在人类白细胞抗原(HLA)在消除病毒感染中的基本作用的背景下,对Long covid - 1中持久性SARS-CoV-2抗原的最新发现进行了展望。具体而言,我们将病毒抗原的持久性归因于HLA在携带与病毒结合亲和力低的HLA等位基因的个体中缺乏或弱保护SARS-CoV-2。我们认为,确定Long COVID患者的HLA I类和II类组成将为阐明Long COVID发展背后的抗原持久性原因提供有价值的新信息,并为成功的干预铺平道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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