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      Functionality of immune cells in COVID-19 infection: development of cell-based therapeutics

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          Abstract

          Introduction: In late December 2019, a sudden severe respiratory illness of unknown origin was reported in China. In early January 2020, the cause of COVID-19 infection was announced a new coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Examination of the SARS-CoV-2 genome sequence revealed a close resemblance to the previously reported SARS-CoV and coronavirus Middle East respiratory syndrome (MERS-CoV). However, initial testing of drugs used against SARS-CoV and MERS-CoV has been ineffective in controlling SARS-CoV-2. One of the key strategies to fight the virus is to look at how the immune system works against the virus, which has led to a better understanding of the disease and the development of new therapies and vaccine designs.

          Methods: This review discussed the innate and acquired immune system responses and how immune cells function against the virus to shed light on the human body's defense strategies.

          Results: Although immune responses have been revealed critical to eradicating infections caused by coronaviruses, dysregulated immune responses can lead to immune pathologies thoroughly investigated. Also, the benefit of mesenchymal stem cells, NK cells, Treg cells, specific T cells, and platelet lysates have been submitted as promising solutions to prevent the effects of infection in patients with COVID-19.

          Conclusion: It has been concluded that none of the above has undoubtedly been approved for the treatment or prevention of COVID-19, but clinical trials are underway better to understand the efficacy and safety of these cellular therapies.

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          Most cited references105

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          Clinical and immunologic features in severe and moderate Coronavirus Disease 2019

          Journal of Clinical Investigation
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            Targets of T cell responses to SARS-CoV-2 coronavirus in humans with COVID-19 disease and unexposed individuals

            Summary Understanding adaptive immunity to SARS-CoV-2 is important for vaccine development, interpreting coronavirus disease 2019 (COVID-19) pathogenesis, and calibration of pandemic control measures. Using HLA class I and II predicted peptide ‘megapools’, circulating SARS-CoV-2−specific CD8+ and CD4+ T cells were identified in ∼70% and 100% of COVID-19 convalescent patients, respectively. CD4+ T cell responses to spike, the main target of most vaccine efforts, were robust and correlated with the magnitude of the anti-SARS-CoV-2 IgG and IgA titers. The M, spike and N proteins each accounted for 11-27% of the total CD4+ response, with additional responses commonly targeting nsp3, nsp4, ORF3a and ORF8, among others. For CD8+ T cells, spike and M were recognized, with at least eight SARS-CoV-2 ORFs targeted. Importantly, we detected SARS-CoV-2−reactive CD4+ T cells in ∼40-60% of unexposed individuals, suggesting cross-reactive T cell recognition between circulating ‘common cold’ coronaviruses and SARS-CoV-2.
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              Single-cell landscape of bronchoalveolar immune cells in patients with COVID-19

              Respiratory immune characteristics associated with Coronavirus Disease 2019 (COVID-19) severity are currently unclear. We characterized bronchoalveolar lavage fluid immune cells from patients with varying severity of COVID-19 and from healthy people by using single-cell RNA sequencing. Proinflammatory monocyte-derived macrophages were abundant in the bronchoalveolar lavage fluid from patients with severe COVID-9. Moderate cases were characterized by the presence of highly clonally expanded CD8+ T cells. This atlas of the bronchoalveolar immune microenvironment suggests potential mechanisms underlying pathogenesis and recovery in COVID-19.
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                Author and article information

                Contributors
                Role: InvestigationRole: ResourcesRole: Writing – original draft
                Role: InvestigationRole: ResourcesRole: Writing – original draft
                Role: InvestigationRole: Resources
                Role: InvestigationRole: Resources
                Role: InvestigationRole: Resources
                Role: InvestigationRole: Resources
                Role: InvestigationRole: Resources
                Role: InvestigationRole: Resources
                Role: InvestigationRole: Resources
                Role: ConceptualizationRole: MethodologyRole: Writing – review & editing
                Role: ConceptualizationRole: MethodologyRole: Writing – review & editing
                Journal
                Bioimpacts
                Bioimpacts
                BI
                BioImpacts : BI
                Tabriz University of Medical Sciences (TUOMS Publishing Group)
                2228-5652
                2228-5660
                2023
                28 January 2023
                : 13
                : 2
                : 159-179
                Affiliations
                1Department of Immunology, Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
                2Parvaz Research Ideas Supporter Institute, Tehran, Iran
                3Department of Stem Cells and Developmental Biology, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran
                4Cytotech & Bioinformatics Research Group, Tehran, Iran
                5Department of Immunology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                6Department of Genetic, Faculty of Modern Sciences, Tehran Medical Branch, Islamic Azad University, Tehran, Iran
                7Department of Microbiology, Faculty of Basic Sciences, Karaj Branch, Islamic Azad University, Tehran, Iran
                8Department of Biology, Faculty of Biological Sciences, Tehran North Branch, Islamic Azad University, Tehran, Iran
                9Department of Biology, Roudehen Branch, Islamic Azad University, Tehran, Iran
                10Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                Author notes
                [* ] Corresponding authors: Nasser Aghdami, Email: Nasser.aghdami@ 123456royaninstitute.org ; Arsalan Jalili, Emails: Jalili.arsalan@ 123456royaninstitute.org , Jalili.arsalan@ 123456yahoo.com
                [# ]These authors contribute equally.
                Author information
                https://orcid.org/0000-0001-9376-8868
                https://orcid.org/0000-0003-1252-2888
                https://orcid.org/0000-0003-2082-2223
                https://orcid.org/0000-0003-0957-9672
                https://orcid.org/0000-0002-7876-6642
                https://orcid.org/0000-0001-9031-7092
                https://orcid.org/0000-0002-3184-7189
                https://orcid.org/0000-0001-7032-5829
                https://orcid.org/0000-0003-0986-6233
                https://orcid.org/0000-0002-2810-8406
                https://orcid.org/0000-0001-5390-7878
                Article
                10.34172/bi.2023.23839
                10182441
                37193075
                3753de55-e26d-4d8c-a4f0-1a703c5f75c5
                © 2023 The Author(s).

                This work is published by BioImpacts as an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.

                History
                : 19 May 2021
                : 18 August 2022
                : 20 August 2022
                Page count
                Figures: 4, Tables: 6, References: 117
                Categories
                Review

                covid-19,sars-cov-2,immune responses,cell therapy,innate immune system,adoptive immune system

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