Immunouniverse of SARS-CoV-2

Immunol Med. 2022 Dec;45(4):186-224. doi: 10.1080/25785826.2022.2066251. Epub 2022 May 2.

Abstract

SARS-CoV-2 virus has become a global health problem that has caused millions of deaths worldwide. The infection can present with multiple clinical features ranging from asymptomatic or mildly symptomatic patients to patients with severe or critical illness that can even lead to death. Although the immune system plays an important role in pathogen control, SARS-CoV-2 can drive dysregulation of this response and trigger severe immunopathology. Exploring the mechanisms of the immune response involved in host defense against SARS-CoV-2 allows us to understand its immunopathogenesis and possibly detect features that can be used as potential therapies to eliminate the virus. The main objective of this review on SARS-CoV-2 is to highlight the interaction between the virus and the immune response. We explore the function and action of the immune system, the expression of molecules at the site of infection that cause hyperinflammation and hypercoagulation disorders, the factors leading to the development of pneumonia and subsequent severe acute respiratory distress syndrome which is the leading cause of death in patients with COVID-19.

Keywords: Hyperinflammation; cytokines; hypercoagulation; immune response.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Global Health
  • Humans
  • Respiratory Distress Syndrome*
  • SARS-CoV-2