Academic Journal
Host adaptive immunity deficiency in severe pandemic influenza
| العنوان: | Host adaptive immunity deficiency in severe pandemic influenza |
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| المؤلفون: | Bermejo-Martin, Jesus F, Martin-Loeches, Ignacio, Rello, Jordi, Antón, Andrés, Almansa, Raquel, Xu, Luoling, Lopez-Campos, Guillermo, Pumarola, Tomás, Ran, Longsi, Ramirez, Paula, Banner, David, Cheuk Ng, Derek, Socias, Lorenzo, Loza, Ana, Andaluz, David, Maravi, Enrique, Gómez-Sánchez, Maria J, Gordón, Mónica, Gallegos, Maria C, Fernandez, Victoria, Aldunate, Sara, León, Cristobal, Merino, Pedro, Blanco, Jesús, Martin-Sanchez, Fernando, Rico, Lucia, Varillas, David, Iglesias, Veronica, Marcos, Maria Ángeles, Gandía, Francisco, Bobillo, Felipe, Nogueira, Begoña, Rojo, Silvia, Resino, Salvador, Castro, Carmen, Ortiz de Lejarazu, Raul, Kelvin, David |
| المساهمون: | Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias, Canadian Institutes of Health Research, Ministerio de Economía y Competitividad (España), Instituto de Salud Carlos III, Junta de Castilla y León (España), Instituto de Estudios de Ciencias de la Salud de Castilla y León |
| بيانات النشر: | BioMed Central (BMC) |
| سنة النشر: | 2010 |
| المجموعة: | REPISALUD (REPositorio Institucional en SALUD del Instituto de Salud Carlos III - ISCIII) |
| الوصف: | INTRODUCTION: Pandemic A/H1N1/2009 influenza causes severe lower respiratory complications in rare cases. The association between host immune responses and clinical outcome in severe cases is unknown. METHODS: We utilized gene expression, cytokine profiles and generation of antibody responses following hospitalization in 19 critically ill patients with primary pandemic A/H1N1/2009 influenza pneumonia for identifying host immune responses associated with clinical outcome. Ingenuity pathway analysis 8.5 (IPA) (Ingenuity Systems, Redwood City, CA) was used to select, annotate and visualize genes by function and pathway (gene ontology). IPA analysis identified those canonical pathways differentially expressed (P < 0.05) between comparison groups. Hierarchical clustering of those genes differentially expressed between groups by IPA analysis was performed using BRB-Array Tools v.3.8.1. RESULTS: The majority of patients were characterized by the presence of comorbidities and the absence of immunosuppressive conditions. pH1N1 specific antibody production was observed around day 9 from disease onset and defined an early period of innate immune response and a late period of adaptive immune response to the virus. The most severe patients (n = 12) showed persistence of viral secretion. Seven of the most severe patients died. During the late phase, the most severe patient group had impaired expression of a number of genes participating in adaptive immune responses when compared to less severe patients. These genes were involved in antigen presentation, B-cell development, T-helper cell differentiation, CD28, granzyme B signaling, apoptosis and protein ubiquitination. Patients with the poorest outcomes were characterized by proinflammatory hypercytokinemia, along with elevated levels of immunosuppressory cytokines (interleukin (IL)-10 and IL-1ra) in serum. CONCLUSIONS: Our findings suggest an impaired development of adaptive immunity in the most severe cases of pandemic influenza, leading to an unremitting cycle of viral ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1364-8535 |
| Relation: | https://doi.org/10.1186/cc9259; Crit Care. 2010; 14(5): R167; http://hdl.handle.net/20.500.12105/4803; Critical Care |
| DOI: | 10.1186/cc9259 |
| الاتاحة: | https://hdl.handle.net/20.500.12105/4803 https://doi.org/10.1186/cc9259 |
| Rights: | http://creativecommons.org/licenses/by/4.0/ ; Atribución 4.0 Internacional ; open access |
| رقم الانضمام: | edsbas.88367AE1 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 13648535 |
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| DOI: | 10.1186/cc9259 |