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Anti-type I interferon antibodies as a cause of severe COVID-19

Fajgenbaum, David C; Hayday, Adrian C; Rogers, Angela J; Towers, Gregory J; Wack, Andreas; Zanoni, Ivan; (2022) Anti-type I interferon antibodies as a cause of severe COVID-19. Faculty Reviews , 11 , Article 15. 10.12703/r-01-0000010. Green open access

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Abstract

COVID-19 ranges from asymptomatic through to respiratory failure and death. Although specific pre-existing conditions such as age and male sex have been associated with poor outcomes, we remain largely ignorant of the mechanisms predisposing to severe disease. In this study, the authors discovered that approximately 10% of 987 patients with life-threatening COVID-19 harbored neutralizing antibodies to Type I interferons (IFNs) [1]. They demonstrated that these antibodies could neutralize high concentrations of the corresponding IFN and could rescue SARS-CoV-2 infection from inhibition by IFN in vitro. Importantly, anti-IFN antibodies were associated with low levels of serum IFN. These observations suggest that disease severity in these individuals results from a failure to control SARS-CoV-2 replication because of antibody-mediated IFN inhibition. The study suggests specific treatments and diagnostics for this class of severe COVID-19.

Type: Article
Title: Anti-type I interferon antibodies as a cause of severe COVID-19
Open access status: An open access version is available from UCL Discovery
DOI: 10.12703/r-01-0000010
Publisher version: https://doi.org/10.12703/r-01-0000010
Language: English
Additional information: This is the published version of record. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10150675
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