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doi: 10.1084/jem.20220514
pmid: 36112363
pmc: PMC9485705
handle: 10261/296708 , 10668/19700 , 2445/191806 , 10553/121713 , 2108/321964 , 1854/LU-01GT1EJJKM9VYM28XQ6T4QEW4R , 11571/1478246 , 11586/464458
doi: 10.1084/jem.20220514
pmid: 36112363
pmc: PMC9485705
handle: 10261/296708 , 10668/19700 , 2445/191806 , 10553/121713 , 2108/321964 , 1854/LU-01GT1EJJKM9VYM28XQ6T4QEW4R , 11571/1478246 , 11586/464458
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.
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
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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