SARS-CoV-2感染患者自身免疫发病的分子机制研究

IF 1.2 Q4 IMMUNOLOGY Rheumatology & autoimmunity Pub Date : 2022-12-01 DOI:10.1002/rai2.12056
Dama Laxminarayana
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引用次数: 4

摘要

一些感染了严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)的患者面临着诱发自身免疫性疾病等长期破坏性影响。本文就SARS-CoV-2感染后诱导自身免疫性疾病的分子机制和危险因素进行探讨。转录编辑基因在SARS-CoV-2感染期间表达上调,这可能编辑了宿主基因转录本,为自身抗原的产生铺平了道路,并在SARS-CoV-2感染后以非自身的形式产生自身抗体,随后产生自身免疫原性。因此,部分SARS-CoV-2患者获得自身免疫。在一些SARS-CoV-2感染患者中,短暂和/或无害的自身免疫反应可能是由于缺乏针对宿主自身抗原和/或病毒抗原的自身抗体的重复产生,而这些抗体是增强自身免疫反应所必需的。在未来,SARS-CoV-2介导的自身免疫性疾病发病将是一项具有挑战性的任务。因此,本评论中提出了可能的预防措施和策略,以尽量减少和/或排除此类SARS-CoV-2介导的自身免疫性疾病。
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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Molecular insights into onset of autoimmunity in SARS-CoV-2 infected patients.

Some of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infected patients are facing long-term devastating effects like induction of autoimmune diseases. Here, I discuss molecular mechanisms and risk factors involved in the induction of autoimmune diseases after SARS-CoV-2 infections. Transcript editing genes were upregulated during SARS-CoV-2 infections, which might have edited host gene transcripts and paved the way for autoantigens generation and presented as nonself to generate autoantibodies followed by auto immunogenicity after SARS-CoV-2 infections. Therefore, some SARS-CoV-2 patients acquire autoimmunity. The transient and/or innocuous autoimmune response in some SARS-CoV-2 infected patients may be due to a lack of repeated production of autoantibodies to host autoantigens and/or viral antigens, which are needed to boost autoimmune response. In the future, SARS-CoV-2 mediated autoimmune disease onset will be a challenging task. Therefore, possible preventive measures and strategies to minimize and/or preclude such SARS-CoV-2 mediated autoimmune diseases have been presented in this commentary.

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