2021
DOI: 10.3390/v13091839
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Type I Interferon Induction and Exhaustion during Viral Infection: Plasmacytoid Dendritic Cells and Emerging COVID-19 Findings

Abstract: Type I Interferons (IFN-I) are a family of potent antiviral cytokines that act through the direct restriction of viral replication and by enhancing antiviral immunity. However, these powerful cytokines are a caged lion, as excessive and sustained IFN-I production can drive immunopathology during infection, and aberrant IFN-I production is a feature of several types of autoimmunity. As specialized producers of IFN-I plasmacytoid (p), dendritic cells (DCs) can secrete superb quantities and a wide breadth of IFN-… Show more

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Cited by 23 publications
(19 citation statements)
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References 170 publications
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“…Genetic defects observed in critically ill COVID-19 patients are acquired during disease evolution through secondary events, in deficient pDCs. Despite this, the specific role of DCs in the COVID-19 pathology has been insufficiently studied, so far [ 55 , 84 ].…”
Section: Discussionmentioning
confidence: 99%
“…Genetic defects observed in critically ill COVID-19 patients are acquired during disease evolution through secondary events, in deficient pDCs. Despite this, the specific role of DCs in the COVID-19 pathology has been insufficiently studied, so far [ 55 , 84 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, exhausted T cells are still important for controlling the host–pathogen equilibrium in a chronic infection ( Schmitz et al., 1999 ). In addition to the T-cell compartment, the innate immune system is affected during chronic infections ( Zuniga et al., 2015 ; Greene and Zuniga, 2021 ). The complement system, which is a key effector of innate immune responses in acute infections, has also been shown to be involved in the modulation of adaptive immune responses ( Ricklin et al., 2010 ).…”
Section: Introductionmentioning
confidence: 99%
“…IFN‐I responses are critical in COVID‐19, as indicated by 15–20% of severely diseased patients showing inborn errors of IFN‐I immunity or autoantibodies against IFN‐I (Zhang et al , 2022 ). In early stages of COVID‐19, reduced IFN‐I and enhanced TNFα and IL‐6 responses are associated with increased disease severity, whereas diminished IFN‐I production is correlated with decreased function and numbers of peripheral blood pDC (reviewed in Greene & Zuniga, 2021 ). In later disease stages, excessive IFN‐I responses or treatment with exogenous IFN‐I can be detrimental (Greene & Zuniga, 2021 ).…”
mentioning
confidence: 99%
“…In early stages of COVID‐19, reduced IFN‐I and enhanced TNFα and IL‐6 responses are associated with increased disease severity, whereas diminished IFN‐I production is correlated with decreased function and numbers of peripheral blood pDC (reviewed in Greene & Zuniga, 2021 ). In later disease stages, excessive IFN‐I responses or treatment with exogenous IFN‐I can be detrimental (Greene & Zuniga, 2021 ). In line with this, also van der Sluis et al ( 2022 ) found reduced numbers of blood pDC in hospitalized COVID‐19 patients and the extent of pDC reduction correlated with disease severity and with high flow oxygen supplementation.…”
mentioning
confidence: 99%
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