Article ; Online: SARS-CoV-2 infection and recovery in children: Distinct T cell responses in MIS-C compared to COVID-19.
The Journal of experimental medicine
2023 Volume 220, Issue 8
Abstract: SARS-CoV-2 infection for most children results in mild or minimal symptoms, though in rare cases severe disease can develop, including a multisystem inflammatory syndrome (MIS-C) with myocarditis. Here, we present longitudinal profiling of immune ... ...
Abstract | SARS-CoV-2 infection for most children results in mild or minimal symptoms, though in rare cases severe disease can develop, including a multisystem inflammatory syndrome (MIS-C) with myocarditis. Here, we present longitudinal profiling of immune responses during acute disease and following recovery in children who developed MIS-C, relative to children who experienced more typical symptoms of COVID-19. T cells in acute MIS-C exhibited transient signatures of activation, inflammation, and tissue residency which correlated with cardiac disease severity, while T cells in acute COVID-19 upregulated markers of follicular helper T cells for promoting antibody production. The resultant memory immune response in recovery showed increased frequencies of virus-specific memory T cells with pro-inflammatory functions in children with prior MIS-C compared to COVID-19 while both cohorts generated comparable antibody responses. Together our results reveal distinct effector and memory T cell responses in pediatric SARS-CoV-2 infection delineated by clinical syndrome, and a potential role for tissue-derived T cells in the immune pathology of systemic disease. |
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MeSH term(s) | Humans ; Child ; COVID-19 ; SARS-CoV-2 ; Inflammation ; Severity of Illness Index |
Language | English |
Publishing date | 2023-05-03 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural |
ZDB-ID | 218343-2 |
ISSN | 1540-9538 ; 0022-1007 |
ISSN (online) | 1540-9538 |
ISSN | 0022-1007 |
DOI | 10.1084/jem.20221518 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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