Coronavirus Disease 2019 (COVID-19) is an ongoing public health emergency and new knowledge about its immunopathogenic mechanisms is deemed necessary in the attempt to reduce the death burden, globally. For the first time in worldwide literature, we provide scientific evidence that in COVID-19 vasculitis a life-threatening escalation from type 2 T-helper immune response (humoral immunity) to type 3 hypersensitivity (immune complex disease) takes place. The subsequent deposition of immune complexes inside the vascular walls is supposed to induce a severe inflammatory state and a cytokine release syndrome, whose interleukin-6 is the key myokine, from the smooth muscle cells of blood vessels.

Type 3 hypersensitivity in COVID-19 vasculitis

Roncati L.
;
2020-01-01

Abstract

Coronavirus Disease 2019 (COVID-19) is an ongoing public health emergency and new knowledge about its immunopathogenic mechanisms is deemed necessary in the attempt to reduce the death burden, globally. For the first time in worldwide literature, we provide scientific evidence that in COVID-19 vasculitis a life-threatening escalation from type 2 T-helper immune response (humoral immunity) to type 3 hypersensitivity (immune complex disease) takes place. The subsequent deposition of immune complexes inside the vascular walls is supposed to induce a severe inflammatory state and a cytokine release syndrome, whose interleukin-6 is the key myokine, from the smooth muscle cells of blood vessels.
2020
Coronavirus disease 2019 (COVID-19)
Immune complex disease
Interleukin-6 (IL-6)
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
Type III hypersensitivity
Vasculitis
Aged
Antibodies
Antigen-Antibody Complex
Betacoronavirus
Blood Vessels
Complement C3
Coronavirus Infections
Cytokine Release Syndrome
Disease Progression
Endothelial Cells
Humans
Immune Complex Diseases
Immunity
Humoral
Immunoglobulin G
Immunoglobulin M
Interleukin-6
Male
Pandemics
Pneumonia
Viral
Severe Acute Respiratory Syndrome
Th2 Cells
Vasculitis
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.14085/20340
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