Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

The Paradigm of Immune Dysregulation in COVID-19 Infection

Version 1 : Received: 26 July 2023 / Approved: 26 July 2023 / Online: 28 July 2023 (10:12:08 CEST)

How to cite: Sahoo, O.S.; Pethusamy, K.; Nayek, A.; Minocha, R.; Dhar, R.; Karmakar, S. The Paradigm of Immune Dysregulation in COVID-19 Infection. Preprints 2023, 2023071880. https://doi.org/10.20944/preprints202307.1880.v1 Sahoo, O.S.; Pethusamy, K.; Nayek, A.; Minocha, R.; Dhar, R.; Karmakar, S. The Paradigm of Immune Dysregulation in COVID-19 Infection. Preprints 2023, 2023071880. https://doi.org/10.20944/preprints202307.1880.v1

Abstract

The COVID-19 pandemic cost 7-8 million deaths worldwide, creating an unprecedented health and economic crisis. Affecting 700 million people globally, the magnitude of this pandemic is far from anything that humanity has encountered in recent times. A detailed investigation revealed that more than the SARS-CoV2 virus, the hyperactive immune system mediated injury as the real cause of mortality. Cytokine storm following viral infection leads to the surge of proinflammatory cytokines resulting in ARDS and lung injury. Anti-inflammatory intervention with anti-IL6 (anti-IL-6 receptor monoclonal antibodies (mAbs) (e.g., sarilumab, tocilizumab) and anti-IL-6 mAbs (i.e., siltuximab) and /or steroid-based approach lead to substantial protection and prevent death thereby implying the role of inflammation in COVID-19. In this short review, we summarized the dysregulated immune system in COVID-19 infection, investigating in detail the virus–host immune cross talks and presenting the possibilities of therapeutic intervention.

Keywords

COVID-19 SARS-CoV-2; Cytokine Storm; PANoptosis; Inflammation; Host response

Subject

Biology and Life Sciences, Immunology and Microbiology

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