2021
DOI: 10.1101/2021.02.22.432407
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At the Intersection Between SARS-CoV-2, Macrophages and the Adaptive Immune Response: A Key Role for Antibody-Dependent Pathogenesis But Not Enhancement of Infection in COVID-19

Abstract: Since entering the world stage in December of 2019, SARS-CoV-2 has impacted every corner of the globe with over 1.48 million deaths and caused untold economic damage. Infections in humans range from asymptomatic to severe disease associated with dysregulation of the immune system leading to the development of acute respiratory distress syndrome (ARDs). The distinct shift in peripheral monocyte activation and infiltration of these cells into the respiratory tract in ARDs patients suggests severe COVID-19 may la… Show more

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“…On the other hand, B cells secrete neutralizing antibodies accompanied by non-neutralizing antibodies [ 35 ], which is very important for IL-6 dynamics. Specifically, it is suggested [ 42 ] that non-neutralizing antibodies bind to macrophages and promote macrophages susceptible to the virus, and accompanied with this process, macrophages secrete a large amount of IL-6. Based on this, we propose that IL-6 production by non-neutralizing antibodies dominates the cytokine storm taking place at the later stage [ 3 ] and neglect the IL-6 produced by T cells, monocytes and infected cells [ 34 ].…”
Section: Causal Network and Mathematic Model Of The Antiviral-inflammation Responsesmentioning
confidence: 99%
“…On the other hand, B cells secrete neutralizing antibodies accompanied by non-neutralizing antibodies [ 35 ], which is very important for IL-6 dynamics. Specifically, it is suggested [ 42 ] that non-neutralizing antibodies bind to macrophages and promote macrophages susceptible to the virus, and accompanied with this process, macrophages secrete a large amount of IL-6. Based on this, we propose that IL-6 production by non-neutralizing antibodies dominates the cytokine storm taking place at the later stage [ 3 ] and neglect the IL-6 produced by T cells, monocytes and infected cells [ 34 ].…”
Section: Causal Network and Mathematic Model Of The Antiviral-inflammation Responsesmentioning
confidence: 99%