Age-associated differences in mucosal and systemic host responses to SARS-CoV-2 infection.

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Tác giả: Jhoanna N Aquino, Thomas W Burke, Trisha Dalapati, C Todd DeMarco, Thomas N Denny, Ian A George, Ricardo Henao, Jillian H Hurst, Matthew S Kelly, Raul Louzao, Debra J Lugo, Micah T McClain, Asuncion Mejias, Aditya A Mohan, Trevor S Pfeiffer, Octavio Ramilo, Javier Rodriguez, Alexandre T Rotta, Nicholas A Turner, Kyle M Walsh, Christopher W Woods, Zhaohui Xu

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : Nature communications , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 686082

Age is among the strongest risk factors for severe outcomes from SARS-CoV-2 infection. Here we describe upper respiratory tract (URT) and peripheral blood transcriptomes of 202 participants (age range of 1 week to 83 years), including 137 non-hospitalized individuals with mild SARS-CoV-2 infection and 65 healthy individuals. Among healthy children and adolescents, younger age is associated with higher URT expression of innate and adaptive immune pathways. SARS-CoV-2 infection induces broad upregulation of URT innate and adaptive immune responses among children and adolescents. Peripheral blood responses among SARS-CoV-2-infected children and adolescents are dominated by interferon pathways, while upregulation of myeloid activation, inflammatory, and coagulation pathways is observed only in adults. Among SARS-CoV-2-infected individuals, fever is associated with blunted URT immune responses and more pronounced systemic immune activation. These findings demonstrate that immune responses to SARS-CoV-2 differ across the lifespan, from distinct signatures in childhood and adolescence to age-associated alterations in adults.
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