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Autoantibodies against type I IFNs in patients with critical influenza pneumonia

Authors: Zhang, Qian; Pizzorno, Andrés; Miorin, Lisa; Bastard, Paul; Gervais, Adrian; Le Voyer, Tom; Bizien, Lucy; +193 Authors

Autoantibodies against type I IFNs in patients with critical influenza pneumonia

Abstract

Autoantibodies neutralizing type I interferons (IFNs) can underlie critical COVID-19 pneumonia and yellow fever vaccine disease. We report here on 13 patients harboring autoantibodies neutralizing IFN-α2 alone (five patients) or with IFN-ω (eight patients) from a cohort of 279 patients (4.7%) aged 6–73 yr with critical influenza pneumonia. Nine and four patients had antibodies neutralizing high and low concentrations, respectively, of IFN-α2, and six and two patients had antibodies neutralizing high and low concentrations, respectively, of IFN-ω. The patients’ autoantibodies increased influenza A virus replication in both A549 cells and reconstituted human airway epithelia. The prevalence of these antibodies was significantly higher than that in the general population for patients <70 yr of age (5.7 vs. 1.1%, P = 2.2 × 10−5), but not >70 yr of age (3.1 vs. 4.4%, P = 0.68). The risk of critical influenza was highest in patients with antibodies neutralizing high concentrations of both IFN-α2 and IFN-ω (OR = 11.7, P = 1.3 × 10−5), especially those <70 yr old (OR = 139.9, P = 3.1 × 10−10). We also identified 10 patients in additional influenza patient cohorts. Autoantibodies neutralizing type I IFNs account for ∼5% of cases of life-threatening influenza pneumonia in patients <70 yr old.

Countries
Belgium, Italy, Turkey, France, Belgium, Spain, Spain, Spain, Italy, Chile, Italy
Keywords

Informe de Investigación, [SDV.MHEP.PHY] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO], Virus de la Influenza A, SEVERE COVID-19, Pneumònia, DETERMINANTS, Autoanticossos, Research & Experimental Medicine, Settore MED/03 - GENETICA MEDICA, Virus Replication, 3C-Dijon Study, 03 Salud y bienestar, INFECTION, Medicine and Health Sciences, Prevalence, MYASTHENIA-GRAVIS PATIENTS, 11 Medical and Health Sciences, REIPI INF Working Group, ERN-RITA, Yellow Fever Vaccine, Autoanticuerpos, Jeffrey Modell Foundation, Medicine, Research & Experimental, Influenza A virus, Influenza Vaccines, Interferon Type I, [SDV.IMM]Life Sciences [q-bio]/Immunology, BURDEN, Constances Cohort, Life Sciences & Biomedicine, INTERFERON, Cerba HealthCare Group, Anticuerpos, [SDV.IMM] Life Sciences [q-bio]/Immunology, SARS-Cov-2, Immunology, 610, IMMUNITY, Antibodies, Article, NEUTRALIZING ANTIBODIES, Grip, Vacuna contra la Fiebre Amarilla, [SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics, 616, Neumonía, Influenza, Human, [SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO], Type I interferons, Gripe Humana, Interferón Tipo I, Humans, COVID Human Genetic Effort, 320505 Enfermedades infecciosas, Autoantibodies, Células A549, [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics, Science & Technology, Etablissement Français du Sang Study Group, 42 Health sciences, COVID-19, 32 Biomedical and clinical sciences, Pneumonia, ALLELES, Lyon Antigrippe Working Group, Influenza, ALPHA, A549 Cells, 03 Good Health and Well-being, 32 Ciencias médicas

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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