When two brothers fell critically ill with Covid-19 around the same time in March, their doctors were baffled. Both were young -- 29 and 31 years old -- and healthy. Yet within days they couldn’t breathe on their own and, tragically, one of them died.
Two weeks later, when a second pair of Covid-stricken brothers, both in their 20s, also appeared in the Netherlands, geneticists were called in to investigate. What they uncovered was a path leading from severe cases, genetic variations, and gender differences to a loss of immune function that may ultimately yield a new approach to treating thousands of coronavirus patients.
The common thread in the research is the lack of a substance called interferon that helps orchestrate the body’s defense against viral pathogens and can be infused to treat conditions such as infectious hepatitis. Now, increasing evidence suggests that a significant minority of Covid-19 patients get very ill because of an impaired interferon response. Twin landmark studies published Thursday in the journal Science showed that insufficient interferon may lurk at a dangerous turning point in SARS-CoV-2 infections.
“It looks like this virus has one big trick,” said Shane Crotty, a professor in the Center for Infectious Disease and Vaccine Research at the La Jolla Institute for Immunology in California. “That big trick is to avoid the initial innate immune response for a significant period of time and, in particular, avoid an early type-1 interferon response.”
The work highlights the potential for interferon-based therapies to enlarge a slowly accumulating range of Covid-19 treatments. These include Gilead Sciences Inc.’s remdesivir and convalescent plasma, a component of the blood of recovered patients that may contain beneficial immune factors.
These treatments provide limited benefit and are typically used in very sick, hospitalized patients. The possibility that interferon may help some people is enticing because it appears most efficacious in the early stages of infection, when life-threatening respiratory failure could still be averted. Dozens of studies of interferon treatment are now recruiting Covid-19 patients.
“We think timing may be essential because it’s only in the very early phase one can really battle the virus particles and defend against infection,” said Alexander Hoischen, head of the genomic technologies and immuno- genomics group at Radboud University Medical Center in Nijmegen that analyzed the DNA of the two sets of brothers.
Being male, elderly, and having underlying medical conditions can all raise patients’ risk of life-threatening Covid-19. But even within these groups, disease severity varies widely. Scientists have speculated other factors influence susceptibility, including pre-existing levels of inflammation and immunity, the amount of virus that starts an infection, and patients’ genetic makeup.
New Nexus Interferon’s role represents a new nexus in Covid-19’s complex interaction with the human immune system. Many patients suffer their worst complications because of an immune overreaction sometimes called a cytokine storm, and may benefit from dexamethasone, a cheap generic that calms these storms.
“It’s a very interesting disease because too little immunity is no good,” Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said Sept. 10 in an on-line briefing for Massachusetts General Hospital staff. “Too much immunity is really, really bad.”
Whether sufficient interferon is available early or late in Covid-19 cases has a major bearing on disease severity, according to Yuen Kwok-Yung, chair of infectious diseases in the University of Hong Kong’s department of microbiology. Ideally, production of the antiviral substance would be triggered when immune cells encounter SARS-CoV-2 genetic material, stopping rapid viral reproduction inside the body and averting complications, he said.
“But the SARS-CoV-2 virus has anti-interferon genes which can stop or antagonize the production or effect of interferon,” said Yuen, who measured the effects in human lung tissue. If the interferon response is delayed and the amount of virus in the body peaks at a high level, other parts of the immune system will be “awakened.”
‘Really Disastrous’ That may trigger lung-injuring inflammation -- collateral damage from an excessive immune reaction to the virus. “This is really disastrous,” he said.
Some people are known to have trouble fighting infections because they make antibodies that deactivate their own interferon. On Thursday, a global consortium of researchers said such immune reactions to the protein could account for life-threatening Covid-19 pneumonia in at least 2.6% of women and 12.5% of men.
Interferon-blocking antibodies appeared in 101 of 987 patients with severe disease, but none of 663 people with an asymptomatic or mild case, according to the study in Science. Patients over age 65 were also more likely than younger ones to have the autoimmune abnormality, which was “clinically silent until the patients were infected with SARS-CoV-2,” the group of more than 100 scientists said.
‘First Explanation’
“These findings provide a first explanation for the excess of men among patients with life-threatening Covid-19 and the increase in risk with age,” the researchers led by Jean-Laurent Casanova, head of Rockefeller University’s St. Giles Laboratory of Human Genetics of Infectious Diseases in New York said. “They also provide a means of identifying individuals at risk of developing life-threatening Covid-19.”
Genetic analysis of Covid-19 patients published in the same journal revealed two dozen gene mutations that had been “silent” until patients were infected by SARS-CoV-2. Researchers -- many of them also involved in the antibody study -- sequenced the genomes of 659 patients with life- threatening cases of the disease; 3.5% carried genetic variations that inhibit interferon production.
The papers help form “one of the clearest pictures we’ve had” of severe illness in a subset of Covid patients, and may elucidate other likely causes, said Joanna Groom, who heads an immunology laboratory at the Walter and Eliza Hall Institute of Medical Research in Melbourne.
“It gives us good access to say, OK, we can account for those patients, now let’s look at the others,” she said.
The genetic flaws reported in Science were similar to the ones that Hoischen and his colleagues from a dozen Dutch centers described in the Journal of the American Medical Association two months ago. The two sets of brothers had inherited a gene mutation that impaired the interferon response, keeping their immune systems from fighting the coronavirus until it had replicated for days.
In the Dutch men, the effects were cruel. The first, a young father from a town in the southern Netherlands, suffered shortness of breath, cough and fever at home for eight days before admission to intensive care. He was to spend 33 days in the hospital, 10 of them on a ventilator.
Raging Fever His 29-year-old brother succumbed to Covid-19 in an intensive care unit in Rotterdam, after being treated for shock and a fever that soared to 44 degrees Celsius (111 degrees Fahrenheit). When doctors at Radboud learned of his younger sibling’s case, as well as a second pair -- 21- and 23-year- old brothers also in respiratory failure -- they went looking for a genetic cause.
They found a mutation that was carried on the X chromosome. Defects on this chromosome are more likely to affect men, who have only one copy, while women have two.
The men’s mutations are rare -- occurring in 1 in 10,000 people -- and an unlikely explanation for the vast majority of severe Covid-19 cases. But the studies in Science indicate that various forms of interferon dysfunction may underlie as many as 14% of critical patients, and that screening and targeted treatment might prevent severe illnesses and deaths.
“If we manage to get them into our university medical center early enough, ” Hoischen said, “our clinicians may be able to treat them with interferons.”
Other ways of overcoming autoimmunity, like the removal of antibodies against interferon from the blood, called plasmapheresis, could also help patients. On the other hand, patients who produce antibodies against interferon shouldn’t donate blood products for treating other patients.
“The rare diseases and the more common forms of the same disease may converge, and we can learn from each other,” said Hoischen. “That’s the hope.”
Twin landmark studies published Thursday in the journal Science showed that insufficient interferon may lurk at a dangerous turning point in SARS-CoV-2 infections.
【 在 SandersTrump (TrumpSanders) 的大作中提到: 】 : Twin landmark studies published Thursday in the journal Science showed that : insufficient interferon may lurk at a dangerous turning point in SARS-CoV-2 : infections. : 本千老告诉你，science上发的东西都100%可信
好像荷兰和美国医生发现兄弟一起得新冠的，情况相似，说明是基因有问题，而这个
基因好像控制产生对干扰素的抗体或干扰素的产量。 文章没太看明白，但是好像新
冠治疗出现大突破，就是干扰素量少或自己产生干扰素抗体，要注射干扰素。基本
好像不会死人了。
这是真的吗？如果这样，是不是就是一个大流感，大家可以出去浪了？已经6个月
没有浪过了，快憋死了。
When two brothers fell critically ill with Covid-19 around the same time in March, their doctors were baffled. Both were young -- 29 and 31 years old -- and healthy. Yet within days they couldn’t breathe on their own and,
tragically, one of them died.
Two weeks later, when a second pair of Covid-stricken brothers, both in
their 20s, also appeared in the Netherlands, geneticists were called in to
investigate. What they uncovered was a path leading from severe cases,
genetic variations, and gender differences to a loss of immune function that may ultimately yield a new approach to treating thousands of coronavirus
patients.
The common thread in the research is the lack of a substance called
interferon that helps orchestrate the body’s defense against viral
pathogens and can be infused to treat conditions such as infectious
hepatitis. Now, increasing evidence suggests that a significant minority of Covid-19 patients get very ill because of an impaired interferon response.
Twin landmark studies published Thursday in the journal Science showed that insufficient interferon may lurk at a dangerous turning point in SARS-CoV-2 infections.
“It looks like this virus has one big trick,” said Shane Crotty, a
professor in the Center for Infectious Disease and Vaccine Research at the
La Jolla Institute for Immunology in California. “That big trick is to
avoid the initial innate immune response for a significant period of time
and, in particular, avoid an early type-1 interferon response.”
The work highlights the potential for interferon-based therapies to enlarge a slowly accumulating range of Covid-19 treatments. These include Gilead
Sciences Inc.’s remdesivir and convalescent plasma, a component of the
blood of recovered patients that may contain beneficial immune factors.
These treatments provide limited benefit and are typically used in very sick, hospitalized patients. The possibility that interferon may help some
people is enticing because it appears most efficacious in the early stages
of infection, when life-threatening respiratory failure could still be
averted. Dozens of studies of interferon treatment are now recruiting Covid-19 patients.
“We think timing may be essential because it’s only in the very early
phase one can really battle the virus particles and defend against infection,” said Alexander Hoischen, head of the genomic technologies and immuno-
genomics group at Radboud University Medical Center in Nijmegen that
analyzed the DNA of the two sets of brothers.
Being male, elderly, and having underlying medical conditions can all raise patients’ risk of life-threatening Covid-19. But even within these groups, disease severity varies widely. Scientists have speculated other factors
influence susceptibility, including pre-existing levels of inflammation and immunity, the amount of virus that starts an infection, and patients’
genetic makeup.
New Nexus
Interferon’s role represents a new nexus in Covid-19’s complex interaction with the human immune system. Many patients suffer their worst
complications because of an immune overreaction sometimes called a cytokine storm, and may benefit from dexamethasone, a cheap generic that calms these storms.
“It’s a very interesting disease because too little immunity is no good,” Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said Sept. 10 in an on-line briefing for Massachusetts General
Hospital staff. “Too much immunity is really, really bad.”
Whether sufficient interferon is available early or late in Covid-19 cases
has a major bearing on disease severity, according to Yuen Kwok-Yung, chair of infectious diseases in the University of Hong Kong’s department of
microbiology. Ideally, production of the antiviral substance would be
triggered when immune cells encounter SARS-CoV-2 genetic material, stopping rapid viral reproduction inside the body and averting complications, he said.
“But the SARS-CoV-2 virus has anti-interferon genes which can stop or
antagonize the production or effect of interferon,” said Yuen, who measured the effects in human lung tissue. If the interferon response is delayed and the amount of virus in the body peaks at a high level, other parts of the
immune system will be “awakened.”
‘Really Disastrous’
That may trigger lung-injuring inflammation -- collateral damage from an
excessive immune reaction to the virus. “This is really disastrous,” he
said.
Some people are known to have trouble fighting infections because they make antibodies that deactivate their own interferon. On Thursday, a global
consortium of researchers said such immune reactions to the protein could
account for life-threatening Covid-19 pneumonia in at least 2.6% of women
and 12.5% of men.
Interferon-blocking antibodies appeared in 101 of 987 patients with severe
disease, but none of 663 people with an asymptomatic or mild case, according to the study in Science. Patients over age 65 were also more likely than
younger ones to have the autoimmune abnormality, which was “clinically
silent until the patients were infected with SARS-CoV-2,” the group of more than 100 scientists said.
‘First Explanation’
“These findings provide a first explanation for the excess of men among
patients with life-threatening Covid-19 and the increase in risk with age,” the researchers led by Jean-Laurent Casanova, head of Rockefeller
University’s St. Giles Laboratory of Human Genetics of Infectious Diseases in New York said. “They also provide a means of identifying individuals at risk of developing life-threatening Covid-19.”
Genetic analysis of Covid-19 patients published in the same journal revealed two dozen gene mutations that had been “silent” until patients were
infected by SARS-CoV-2. Researchers -- many of them also involved in the
antibody study -- sequenced the genomes of 659 patients with life-
threatening cases of the disease; 3.5% carried genetic variations that
inhibit interferon production.
The papers help form “one of the clearest pictures we’ve had” of severe
illness in a subset of Covid patients, and may elucidate other likely causes, said Joanna Groom, who heads an immunology laboratory at the Walter and
Eliza Hall Institute of Medical Research in Melbourne.
“It gives us good access to say, OK, we can account for those patients, now let’s look at the others,” she said.
The genetic flaws reported in Science were similar to the ones that Hoischen and his colleagues from a dozen Dutch centers described in the Journal of
the American Medical Association two months ago. The two sets of brothers
had inherited a gene mutation that impaired the interferon response, keeping their immune systems from fighting the coronavirus until it had replicated for days.
In the Dutch men, the effects were cruel. The first, a young father from a
town in the southern Netherlands, suffered shortness of breath, cough and
fever at home for eight days before admission to intensive care. He was to
spend 33 days in the hospital, 10 of them on a ventilator.
Raging Fever
His 29-year-old brother succumbed to Covid-19 in an intensive care unit in
Rotterdam, after being treated for shock and a fever that soared to 44
degrees Celsius (111 degrees Fahrenheit). When doctors at Radboud learned of his younger sibling’s case, as well as a second pair -- 21- and 23-year-
old brothers also in respiratory failure -- they went looking for a genetic cause.
They found a mutation that was carried on the X chromosome. Defects on this chromosome are more likely to affect men, who have only one copy, while
women have two.
The men’s mutations are rare -- occurring in 1 in 10,000 people -- and an
unlikely explanation for the vast majority of severe Covid-19 cases. But the studies in Science indicate that various forms of interferon dysfunction
may underlie as many as 14% of critical patients, and that screening and
targeted treatment might prevent severe illnesses and deaths.
“If we manage to get them into our university medical center early enough,
” Hoischen said, “our clinicians may be able to treat them with
interferons.”
Other ways of overcoming autoimmunity, like the removal of antibodies
against interferon from the blood, called plasmapheresis, could also help
patients. On the other hand, patients who produce antibodies against
interferon shouldn’t donate blood products for treating other patients.
“The rare diseases and the more common forms of the same disease may
converge, and we can learn from each other,” said Hoischen. “That’s the
hope.”
Twin landmark studies published Thursday in the journal Science showed that insufficient interferon may lurk at a dangerous turning point in SARS-CoV-2 infections.
本千老告诉你，science上发的东西都100%可信
所以就是可以出去浪了？
如果就是这么简单的一个早期身体产生干扰素的问题，怎么一个小小的病毒把这个世界搞个底朝天？医生千老都是吃屎的吗？
【 在 SandersTrump (TrumpSanders) 的大作中提到: 】
: Twin landmark studies published Thursday in the journal Science showed
that
: insufficient interferon may lurk at a dangerous turning point in SARS-CoV-2
: infections.
: 本千老告诉你，science上发的东西都100%可信
不行。
这个只能解释10%重症。
还有其他重症因素不知道。
【 在 quovadis (My shit is your gourmet) 的大作中提到: 】
: 所以就是可以出去浪了？
: 如果就是这么简单的一个早期身体产生干扰素的问题，怎么一个小小的病毒把这个世界
: 搞个底朝天？医生千老都是吃屎的吗？
: that
: 2
哦，看来还不能太浪。。。但是国内都开放了，看似这个瘟疫告一段落了。
【 在 StMicheal (archangel) 的大作中提到: 】
: 不行。
: 这个只能解释10%重症。
: 还有其他重症因素不知道。