4.7 Article

Activation of classical and alternative complement pathways in the pathogenesis of lung injury in COVID-19

Journal

CLINICAL IMMUNOLOGY
Volume 226, Issue -, Pages -

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.clim.2021.108716

Keywords

SARS-Cov-2; COVID-19; Lung injury; Complement activation; Immune complexes

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Funding

  1. National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID), United States grant [1R21AI151367-01A1]

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Lung inflammation and damage play a significant role in COVID-19 morbidity and mortality. The deposition of complement components in the lungs of COVID-19 patients suggests the activation of classical and alternative pathways, supporting the use of complement inhibitors as a potential treatment strategy.
Lung inflammation and damage is prominent in people infected with SARS-Cov-2 and a major determinant of morbidity and mortality. We report the deposition of complement components in the lungs of people who succumbed to COVID-19 consistent with the activation of the classical and the alternative pathways. Our study provides strong rationale for the expansion of trials involving the use of complement inhibitors to treat patients with COVID-19.

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