Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumonia

We established the COVID Human Genetic Effort (www.covidhge.com) to discover the human genetic and immunological bases of the vast interindividual clinical variability between humans infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We found that about 3% of patients with l...

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Main Authors: Bastard, Paul, Zhang, Qian, Cobat, Aurélie, Jouanguy, Emmanuelle, Zhang, Shen-Ying, Abel, Laurent, Casanova, Jean-Laurent
Format: Article
Language:English
Published: Académie des sciences 2021-02-01
Series:Comptes Rendus Biologies
Subjects:
Online Access:https://comptes-rendus.academie-sciences.fr/biologies/articles/10.5802/crbiol.36/
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author Bastard, Paul
Zhang, Qian
Cobat, Aurélie
Jouanguy, Emmanuelle
Zhang, Shen-Ying
Abel, Laurent
Casanova, Jean-Laurent
author_facet Bastard, Paul
Zhang, Qian
Cobat, Aurélie
Jouanguy, Emmanuelle
Zhang, Shen-Ying
Abel, Laurent
Casanova, Jean-Laurent
author_sort Bastard, Paul
collection DOAJ
description We established the COVID Human Genetic Effort (www.covidhge.com) to discover the human genetic and immunological bases of the vast interindividual clinical variability between humans infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We found that about 3% of patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia were ill because of inborn errors of genes controlling type I interferon (IFN)-dependent immunity (which controls influenza virus), and at least 10% of patients with life-threatening COVID-19 pneumonia had neutralizing auto-Abs against some of the 17 individual type I IFNs. These findings indicate that impaired type I IFN immunity underlies life-threatening COVID-19 pneumonia in at least 13% of patients. These discoveries pave the way for further research into unexplained severe cases, and provide a rationale for preventing and treating the disease in individuals at risk, with recombinant type I IFNs.
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spelling doaj.art-54139b44ecd4477da8f5660c9a09e8f02023-10-24T14:25:18ZengAcadémie des sciencesComptes Rendus Biologies1768-32382021-02-013441192510.5802/crbiol.3610.5802/crbiol.36Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumoniaBastard, Paul0Zhang, Qian1Cobat, Aurélie2Jouanguy, Emmanuelle3Zhang, Shen-Ying4Abel, Laurent5Casanova, Jean-Laurent6Laboratory of Human Genetics of Infectious Diseases, Necker Branch, Inserm U1163, Necker Hospital for Sick Children, Paris, France; St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA; University of Paris, Imagine Institute, Paris, FranceSt. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USALaboratory of Human Genetics of Infectious Diseases, Necker Branch, Inserm U1163, Necker Hospital for Sick Children, Paris, France; University of Paris, Imagine Institute, Paris, FranceLaboratory of Human Genetics of Infectious Diseases, Necker Branch, Inserm U1163, Necker Hospital for Sick Children, Paris, France; St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA; University of Paris, Imagine Institute, Paris, FranceLaboratory of Human Genetics of Infectious Diseases, Necker Branch, Inserm U1163, Necker Hospital for Sick Children, Paris, France; St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA; University of Paris, Imagine Institute, Paris, FranceLaboratory of Human Genetics of Infectious Diseases, Necker Branch, Inserm U1163, Necker Hospital for Sick Children, Paris, France; St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA; University of Paris, Imagine Institute, Paris, FranceHoward Hughes Medical Institute, New York, NY, USA; Laboratory of Human Genetics of Infectious Diseases, Necker Branch, Inserm U1163, Necker Hospital for Sick Children, Paris, France; St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA; University of Paris, Imagine Institute, Paris, FranceWe established the COVID Human Genetic Effort (www.covidhge.com) to discover the human genetic and immunological bases of the vast interindividual clinical variability between humans infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We found that about 3% of patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia were ill because of inborn errors of genes controlling type I interferon (IFN)-dependent immunity (which controls influenza virus), and at least 10% of patients with life-threatening COVID-19 pneumonia had neutralizing auto-Abs against some of the 17 individual type I IFNs. These findings indicate that impaired type I IFN immunity underlies life-threatening COVID-19 pneumonia in at least 13% of patients. These discoveries pave the way for further research into unexplained severe cases, and provide a rationale for preventing and treating the disease in individuals at risk, with recombinant type I IFNs.https://comptes-rendus.academie-sciences.fr/biologies/articles/10.5802/crbiol.36/Life-threatening COVID-19PneumoniaType I interferonsInborn errors of immunityAutoantibodies
spellingShingle Bastard, Paul
Zhang, Qian
Cobat, Aurélie
Jouanguy, Emmanuelle
Zhang, Shen-Ying
Abel, Laurent
Casanova, Jean-Laurent
Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumonia
Comptes Rendus Biologies
Life-threatening COVID-19
Pneumonia
Type I interferons
Inborn errors of immunity
Autoantibodies
title Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumonia
title_full Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumonia
title_fullStr Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumonia
title_full_unstemmed Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumonia
title_short Insufficient type I IFN immunity underlies life-threatening COVID-19 pneumonia
title_sort insufficient type i ifn immunity underlies life threatening covid 19 pneumonia
topic Life-threatening COVID-19
Pneumonia
Type I interferons
Inborn errors of immunity
Autoantibodies
url https://comptes-rendus.academie-sciences.fr/biologies/articles/10.5802/crbiol.36/
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