补体系统在长 COVID 中的作用

Vadim Farztdinov, Boris Zuehlke, Franziska Sotzny, Fridolin Steinbeis, Martina Seifert, Claudia Kedor, Kirsten Wittke, Pinkus Tober-Lau, Kathrin Textoris-Taube, Daniela Ludwig, Clemens Dierks, Dominik Bierbaum, Leif Erik Sander, Leif Gunnar Hanitsch, Martin Witzenrath, Florian Kurth, Michael Muelleder, Carmen Scheibenbogen, Markus Ralser
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引用次数: 0

摘要

感染 SARS-CoV-2 后,可能会出现长期 COVID 或急性 COVID 后综合征(PACS),给社会带来沉重负担。最近,PACS 与补体系统(CS)的持续激活有关,为诊断工具和靶向治疗带来了希望。然而,我们的研究结果表明,根据年龄、体重指数和性别失衡调整蛋白质组学数据后,补体系统激活的证据消失了。此外,对两个正交队列进行的蛋白质组学分析--一个针对重度急性期后的 PACS,另一个针对轻度急性期后的 PACS--也未能支持补体系统持续激活的观点。相反,我们发现了一种表明持续感染或持续免疫激活的蛋白质组特征,类似于在急性 COVID-19 中观察到的情况,尤其是在轻度 PACS 队列中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of the complement system in Long COVID
Long COVID, or Post-Acute COVID Syndrome (PACS), may develop following SARS-CoV-2 infection, posing a substantial burden to society. Recently, PACS has been linked to a persistent activation of the complement system (CS), offering hope for both a diagnostic tool and targeted therapy. However, our findings indicate that, after adjusting proteomics data for age, body mass index and sex imbalances, the evidence of complement system activation disappears. Furthermore, proteomic analysis of two orthogonal cohorts-one addressing PACS following severe acute phase and another after a mild acute phase-fails to support the notion of persistent CS activation. Instead, we identify a proteomic signature indicative of either ongoing infections or sustained immune activation similar to that observed in acute COVID-19, particularly within the mild-PACS cohort.
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