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Autoantibodies to IL-1Ra and PGRN in severe COVID-19 are associated with inflammation-induced hyperphosphorylated antigen isoforms - PubMed

2 hours ago
  • #Inflammation
  • #Autoantibodies
  • #COVID-19
  • Severe COVID-Patients have been found to have autoantibodies against IL-1Ra and PGRN which leads to impaired inflammatory responses.
  • The key findings include hyperphosphorylation of IL-1Ra at Thr111 and PGRN at Ser81 respectively in these patients.
  • The autoantibodies contribute to reduced antigen levels as well as immune complex formation thereby enhancing IL-1 and TNF signaling.
  • Phage-display technology was used to detect hyperphosphorylated isoforms in a national pandemic cohort showing that autoantibodies can be found in most patients.
  • The level of autoantibodies is highest at baseline and declines over 12 months while hyperphosphorylated antigens decrease prior to the autoantibodies.
  • Seropositivity associates with hyperinflammation and cytokine profiles suggesting a role in disease pathogenesis.
  • Cytokine signaling can induce hyperphosphorylation of IL-1Ra and PGRN which is more pronounced in monocytes from seropositive patients than in healthy monocytes.