Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host Factors

Two years into Coronavirus Disease 2019 (COVID-19) pandemic, a comprehensive characterization of the pathogenesis of severe and critical forms of COVID-19 is still missing. While a deep dysregulation of both the magnitude and functionality of innate and adaptive immune responses have been described...

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Main Authors: Roberta Rovito, Matteo Augello, Assaf Ben-Haim, Valeria Bono, Antonella d’Arminio Monforte, Giulia Marchetti
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.912336/full
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author Roberta Rovito
Matteo Augello
Assaf Ben-Haim
Valeria Bono
Antonella d’Arminio Monforte
Giulia Marchetti
author_facet Roberta Rovito
Matteo Augello
Assaf Ben-Haim
Valeria Bono
Antonella d’Arminio Monforte
Giulia Marchetti
author_sort Roberta Rovito
collection DOAJ
description Two years into Coronavirus Disease 2019 (COVID-19) pandemic, a comprehensive characterization of the pathogenesis of severe and critical forms of COVID-19 is still missing. While a deep dysregulation of both the magnitude and functionality of innate and adaptive immune responses have been described in severe COVID-19, the mechanisms underlying such dysregulations are still a matter of scientific debate, in turn hampering the identification of new therapies and of subgroups of patients that would most benefit from individual clinical interventions. Here we review the current understanding of viral and host factors that contribute to immune dysregulation associated with COVID-19 severity in the attempt to unfold and broaden the comprehension of COVID-19 pathogenesis and to define correlates of protection to further inform strategies of targeted therapeutic interventions.
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spelling doaj.art-f5418e1676524d21bde10aa60b8254732022-12-22T03:21:50ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-06-011310.3389/fimmu.2022.912336912336Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host FactorsRoberta RovitoMatteo AugelloAssaf Ben-HaimValeria BonoAntonella d’Arminio MonforteGiulia MarchettiTwo years into Coronavirus Disease 2019 (COVID-19) pandemic, a comprehensive characterization of the pathogenesis of severe and critical forms of COVID-19 is still missing. While a deep dysregulation of both the magnitude and functionality of innate and adaptive immune responses have been described in severe COVID-19, the mechanisms underlying such dysregulations are still a matter of scientific debate, in turn hampering the identification of new therapies and of subgroups of patients that would most benefit from individual clinical interventions. Here we review the current understanding of viral and host factors that contribute to immune dysregulation associated with COVID-19 severity in the attempt to unfold and broaden the comprehension of COVID-19 pathogenesis and to define correlates of protection to further inform strategies of targeted therapeutic interventions.https://www.frontiersin.org/articles/10.3389/fimmu.2022.912336/fullSARS-CoV-2COVID-19severityimmune dysregulationbiomarkerimmunity
spellingShingle Roberta Rovito
Matteo Augello
Assaf Ben-Haim
Valeria Bono
Antonella d’Arminio Monforte
Giulia Marchetti
Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host Factors
Frontiers in Immunology
SARS-CoV-2
COVID-19
severity
immune dysregulation
biomarker
immunity
title Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host Factors
title_full Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host Factors
title_fullStr Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host Factors
title_full_unstemmed Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host Factors
title_short Hallmarks of Severe COVID-19 Pathogenesis: A Pas de Deux Between Viral and Host Factors
title_sort hallmarks of severe covid 19 pathogenesis a pas de deux between viral and host factors
topic SARS-CoV-2
COVID-19
severity
immune dysregulation
biomarker
immunity
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.912336/full
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