Multiple organ infection and the pathogenesis of SARS
Identifieur interne : 004748 ( Main/Exploration ); précédent : 004747; suivant : 004749Multiple organ infection and the pathogenesis of SARS
Auteurs : Jiang Gu [République populaire de Chine, États-Unis] ; Encong Gong [République populaire de Chine] ; Bo Zhang [République populaire de Chine] ; Jie Zheng [République populaire de Chine] ; Zifen Gao [République populaire de Chine] ; Yanfeng Zhong [République populaire de Chine] ; Wanzhong Zou [République populaire de Chine] ; Jun Zhan [République populaire de Chine] ; Shenglan Wang [République populaire de Chine] ; Zhigang Xie [République populaire de Chine] ; Hui Zhuang [République populaire de Chine] ; Bingquan Wu [République populaire de Chine] ; Haohao Zhong [République populaire de Chine] ; Hongquan Shao [République populaire de Chine] ; Weigang Fang [République populaire de Chine] ; Dongshia Gao [République populaire de Chine] ; Fei Pei [République populaire de Chine] ; Xingwang Li ; Zhongpin He ; Danzhen Xu ; Xeying Shi [République populaire de Chine] ; Virginia M. Anderson [États-Unis] ; Anthony S.-Y. LeongSource :
- The Journal of Experimental Medicine [ 0022-1007 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Appareil respiratoire (anatomopathologie), Appareil respiratoire (virologie), Autopsie, Encéphale (anatomopathologie), Encéphale (virologie), Femelle, Humains, Intestins (anatomopathologie), Intestins (virologie), Leucocytes (anatomopathologie), Leucocytes (virologie), Mâle, Poumon, Sujet âgé, Sujet âgé de 80 ans ou plus, Syndrome respiratoire aigu sévère (anatomopathologie), Syndrome respiratoire aigu sévère (mortalité), Syndrome respiratoire aigu sévère (virologie), Tissu lymphoïde (anatomopathologie), Tissu lymphoïde (virologie), Tubules contournés distaux (anatomopathologie), Tubules contournés distaux (virologie), Virus du SRAS, Études rétrospectives.
- MESH :
- anatomopathologie : Appareil respiratoire, Encéphale, Intestins, Leucocytes, Syndrome respiratoire aigu sévère, Tissu lymphoïde, Tubules contournés distaux.
- mortalité : Syndrome respiratoire aigu sévère.
- virologie : Appareil respiratoire, Encéphale, Intestins, Leucocytes, Syndrome respiratoire aigu sévère, Tissu lymphoïde, Tubules contournés distaux.
- Adulte, Adulte d'âge moyen, Autopsie, Femelle, Humains, Mâle, Poumon, Sujet âgé, Sujet âgé de 80 ans ou plus, Virus du SRAS, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Autopsy, Brain (pathology), Brain (virology), Female, Humans, Intestines (pathology), Intestines (virology), Kidney Tubules, Distal (pathology), Kidney Tubules, Distal (virology), Leukocytes (pathology), Leukocytes (virology), Lung, Lymphoid Tissue (pathology), Lymphoid Tissue (virology), Male, Middle Aged, Respiratory System (pathology), Respiratory System (virology), Retrospective Studies, SARS Virus, Severe Acute Respiratory Syndrome (mortality), Severe Acute Respiratory Syndrome (pathology), Severe Acute Respiratory Syndrome (virology).
- MESH :
- mortality : Severe Acute Respiratory Syndrome.
- pathology : Brain, Intestines, Kidney Tubules, Distal, Leukocytes, Lymphoid Tissue, Respiratory System, Severe Acute Respiratory Syndrome.
- virology : Brain, Intestines, Kidney Tubules, Distal, Leukocytes, Lymphoid Tissue, Respiratory System, Severe Acute Respiratory Syndrome.
- Adult, Aged, Aged, 80 and over, Autopsy, Female, Humans, Lung, Male, Middle Aged, Retrospective Studies, SARS Virus.
Abstract
After >8,000 infections and >700 deaths worldwide, the pathogenesis of the new infectious disease, severe acute respiratory syndrome (SARS), remains poorly understood. We investigated 18 autopsies of patients who had suspected SARS; 8 cases were confirmed as SARS. We evaluated white blood cells from 22 confirmed SARS patients at various stages of the disease. T lymphocyte counts in 65 confirmed and 35 misdiagnosed SARS cases also were analyzed retrospectively. SARS viral particles and genomic sequence were detected in a large number of circulating lymphocytes, monocytes, and lymphoid tissues, as well as in the epithelial cells of the respiratory tract, the mucosa of the intestine, the epithelium of the renal distal tubules, the neurons of the brain, and macrophages in different organs. SARS virus seemed to be capable of infecting multiple cell types in several organs; immune cells and pulmonary epithelium were identified as the main sites of injury. A comprehensive theory of pathogenesis is proposed for SARS with immune and lung damage as key features.
Url:
DOI: 10.1084/jem.20050828
PubMed: 16043521
PubMed Central: 2213088
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Multiple organ infection and the pathogenesis of SARS</title>
<author><name sortKey="Gu, Jiang" sort="Gu, Jiang" uniqKey="Gu J" first="Jiang" last="Gu">Jiang Gu</name>
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<author><name sortKey="Zhong, Yanfeng" sort="Zhong, Yanfeng" uniqKey="Zhong Y" first="Yanfeng" last="Zhong">Yanfeng Zhong</name>
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<author><name sortKey="Zou, Wanzhong" sort="Zou, Wanzhong" uniqKey="Zou W" first="Wanzhong" last="Zou">Wanzhong Zou</name>
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<author><name sortKey="Zhan, Jun" sort="Zhan, Jun" uniqKey="Zhan J" first="Jun" last="Zhan">Jun Zhan</name>
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<author><name sortKey="Xie, Zhigang" sort="Xie, Zhigang" uniqKey="Xie Z" first="Zhigang" last="Xie">Zhigang Xie</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Zhuang, Hui" sort="Zhuang, Hui" uniqKey="Zhuang H" first="Hui" last="Zhuang">Hui Zhuang</name>
<affiliation wicri:level="4"><nlm:aff id="aff2">Department of Microbiology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wu, Bingquan" sort="Wu, Bingquan" uniqKey="Wu B" first="Bingquan" last="Wu">Bingquan Wu</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Zhong, Haohao" sort="Zhong, Haohao" uniqKey="Zhong H" first="Haohao" last="Zhong">Haohao Zhong</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Shao, Hongquan" sort="Shao, Hongquan" uniqKey="Shao H" first="Hongquan" last="Shao">Hongquan Shao</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fang, Weigang" sort="Fang, Weigang" uniqKey="Fang W" first="Weigang" last="Fang">Weigang Fang</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gao, Dongshia" sort="Gao, Dongshia" uniqKey="Gao D" first="Dongshia" last="Gao">Dongshia Gao</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pei, Fei" sort="Pei, Fei" uniqKey="Pei F" first="Fei" last="Pei">Fei Pei</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Li, Xingwang" sort="Li, Xingwang" uniqKey="Li X" first="Xingwang" last="Li">Xingwang Li</name>
<affiliation><nlm:aff id="aff3">Beijing Ditan Hospital, Beijing, China 100011</nlm:aff>
<wicri:noCountry code="subfield">China 100011</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="He, Zhongpin" sort="He, Zhongpin" uniqKey="He Z" first="Zhongpin" last="He">Zhongpin He</name>
<affiliation><nlm:aff id="aff3">Beijing Ditan Hospital, Beijing, China 100011</nlm:aff>
<wicri:noCountry code="subfield">China 100011</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Xu, Danzhen" sort="Xu, Danzhen" uniqKey="Xu D" first="Danzhen" last="Xu">Danzhen Xu</name>
<affiliation><nlm:aff id="aff3">Beijing Ditan Hospital, Beijing, China 100011</nlm:aff>
<wicri:noCountry code="subfield">China 100011</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Shi, Xeying" sort="Shi, Xeying" uniqKey="Shi X" first="Xeying" last="Shi">Xeying Shi</name>
<affiliation wicri:level="4"><nlm:aff id="aff1">Department of Pathology, Peking University, Beijing, China 100083</nlm:aff>
<orgName type="university">Université de Pékin</orgName>
<country>République populaire de Chine</country>
<placeName><settlement type="city">Pékin</settlement>
<region type="capitale">Pékin</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Anderson, Virginia M" sort="Anderson, Virginia M" uniqKey="Anderson V" first="Virginia M." last="Anderson">Virginia M. Anderson</name>
<affiliation wicri:level="2"><nlm:aff id="aff4">State University of New York Health Science Center at Brooklyn, Brooklyn, NY 11203</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>State University of New York Health Science Center at Brooklyn, Brooklyn</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Leong, Anthony S Y" sort="Leong, Anthony S Y" uniqKey="Leong A" first="Anthony S.-Y." last="Leong">Anthony S.-Y. Leong</name>
<affiliation><nlm:aff id="aff5">Hunter Area Pathology Services and Discipline of Anatomical Pathology, University of Newcastle, Newcastle, Australia 2310</nlm:aff>
<wicri:noCountry code="subfield">Australia 2310</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series><title level="j">The Journal of Experimental Medicine</title>
<idno type="ISSN">0022-1007</idno>
<idno type="eISSN">1540-9538</idno>
<imprint><date when="2005">2005</date>
</imprint>
</series>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Autopsy</term>
<term>Brain (pathology)</term>
<term>Brain (virology)</term>
<term>Female</term>
<term>Humans</term>
<term>Intestines (pathology)</term>
<term>Intestines (virology)</term>
<term>Kidney Tubules, Distal (pathology)</term>
<term>Kidney Tubules, Distal (virology)</term>
<term>Leukocytes (pathology)</term>
<term>Leukocytes (virology)</term>
<term>Lung</term>
<term>Lymphoid Tissue (pathology)</term>
<term>Lymphoid Tissue (virology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Respiratory System (pathology)</term>
<term>Respiratory System (virology)</term>
<term>Retrospective Studies</term>
<term>SARS Virus</term>
<term>Severe Acute Respiratory Syndrome (mortality)</term>
<term>Severe Acute Respiratory Syndrome (pathology)</term>
<term>Severe Acute Respiratory Syndrome (virology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Appareil respiratoire (anatomopathologie)</term>
<term>Appareil respiratoire (virologie)</term>
<term>Autopsie</term>
<term>Encéphale (anatomopathologie)</term>
<term>Encéphale (virologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Intestins (anatomopathologie)</term>
<term>Intestins (virologie)</term>
<term>Leucocytes (anatomopathologie)</term>
<term>Leucocytes (virologie)</term>
<term>Mâle</term>
<term>Poumon</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Syndrome respiratoire aigu sévère (anatomopathologie)</term>
<term>Syndrome respiratoire aigu sévère (mortalité)</term>
<term>Syndrome respiratoire aigu sévère (virologie)</term>
<term>Tissu lymphoïde (anatomopathologie)</term>
<term>Tissu lymphoïde (virologie)</term>
<term>Tubules contournés distaux (anatomopathologie)</term>
<term>Tubules contournés distaux (virologie)</term>
<term>Virus du SRAS</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Appareil respiratoire</term>
<term>Encéphale</term>
<term>Intestins</term>
<term>Leucocytes</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Tissu lymphoïde</term>
<term>Tubules contournés distaux</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Syndrome respiratoire aigu sévère</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term>
<term>Intestines</term>
<term>Kidney Tubules, Distal</term>
<term>Leukocytes</term>
<term>Lymphoid Tissue</term>
<term>Respiratory System</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Appareil respiratoire</term>
<term>Encéphale</term>
<term>Intestins</term>
<term>Leucocytes</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Tissu lymphoïde</term>
<term>Tubules contournés distaux</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Brain</term>
<term>Intestines</term>
<term>Kidney Tubules, Distal</term>
<term>Leukocytes</term>
<term>Lymphoid Tissue</term>
<term>Respiratory System</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Autopsy</term>
<term>Female</term>
<term>Humans</term>
<term>Lung</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>SARS Virus</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autopsie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Poumon</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Virus du SRAS</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en"><p>After >8,000 infections and >700 deaths worldwide, the pathogenesis of the new infectious disease, severe acute respiratory syndrome (SARS), remains poorly understood. We investigated 18 autopsies of patients who had suspected SARS; 8 cases were confirmed as SARS. We evaluated white blood cells from 22 confirmed SARS patients at various stages of the disease. T lymphocyte counts in 65 confirmed and 35 misdiagnosed SARS cases also were analyzed retrospectively. SARS viral particles and genomic sequence were detected in a large number of circulating lymphocytes, monocytes, and lymphoid tissues, as well as in the epithelial cells of the respiratory tract, the mucosa of the intestine, the epithelium of the renal distal tubules, the neurons of the brain, and macrophages in different organs. SARS virus seemed to be capable of infecting multiple cell types in several organs; immune cells and pulmonary epithelium were identified as the main sites of injury. A comprehensive theory of pathogenesis is proposed for SARS with immune and lung damage as key features.</p>
</div>
</front>
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</TEI>
<affiliations><list><country><li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region><li>Pékin</li>
<li>État de New York</li>
</region>
<settlement><li>Pékin</li>
</settlement>
<orgName><li>Université de Pékin</li>
</orgName>
</list>
<tree><noCountry><name sortKey="He, Zhongpin" sort="He, Zhongpin" uniqKey="He Z" first="Zhongpin" last="He">Zhongpin He</name>
<name sortKey="Leong, Anthony S Y" sort="Leong, Anthony S Y" uniqKey="Leong A" first="Anthony S.-Y." last="Leong">Anthony S.-Y. Leong</name>
<name sortKey="Li, Xingwang" sort="Li, Xingwang" uniqKey="Li X" first="Xingwang" last="Li">Xingwang Li</name>
<name sortKey="Xu, Danzhen" sort="Xu, Danzhen" uniqKey="Xu D" first="Danzhen" last="Xu">Danzhen Xu</name>
</noCountry>
<country name="République populaire de Chine"><region name="Pékin"><name sortKey="Gu, Jiang" sort="Gu, Jiang" uniqKey="Gu J" first="Jiang" last="Gu">Jiang Gu</name>
</region>
<name sortKey="Fang, Weigang" sort="Fang, Weigang" uniqKey="Fang W" first="Weigang" last="Fang">Weigang Fang</name>
<name sortKey="Gao, Dongshia" sort="Gao, Dongshia" uniqKey="Gao D" first="Dongshia" last="Gao">Dongshia Gao</name>
<name sortKey="Gao, Zifen" sort="Gao, Zifen" uniqKey="Gao Z" first="Zifen" last="Gao">Zifen Gao</name>
<name sortKey="Gong, Encong" sort="Gong, Encong" uniqKey="Gong E" first="Encong" last="Gong">Encong Gong</name>
<name sortKey="Pei, Fei" sort="Pei, Fei" uniqKey="Pei F" first="Fei" last="Pei">Fei Pei</name>
<name sortKey="Shao, Hongquan" sort="Shao, Hongquan" uniqKey="Shao H" first="Hongquan" last="Shao">Hongquan Shao</name>
<name sortKey="Shi, Xeying" sort="Shi, Xeying" uniqKey="Shi X" first="Xeying" last="Shi">Xeying Shi</name>
<name sortKey="Wang, Shenglan" sort="Wang, Shenglan" uniqKey="Wang S" first="Shenglan" last="Wang">Shenglan Wang</name>
<name sortKey="Wu, Bingquan" sort="Wu, Bingquan" uniqKey="Wu B" first="Bingquan" last="Wu">Bingquan Wu</name>
<name sortKey="Xie, Zhigang" sort="Xie, Zhigang" uniqKey="Xie Z" first="Zhigang" last="Xie">Zhigang Xie</name>
<name sortKey="Zhan, Jun" sort="Zhan, Jun" uniqKey="Zhan J" first="Jun" last="Zhan">Jun Zhan</name>
<name sortKey="Zhang, Bo" sort="Zhang, Bo" uniqKey="Zhang B" first="Bo" last="Zhang">Bo Zhang</name>
<name sortKey="Zheng, Jie" sort="Zheng, Jie" uniqKey="Zheng J" first="Jie" last="Zheng">Jie Zheng</name>
<name sortKey="Zhong, Haohao" sort="Zhong, Haohao" uniqKey="Zhong H" first="Haohao" last="Zhong">Haohao Zhong</name>
<name sortKey="Zhong, Yanfeng" sort="Zhong, Yanfeng" uniqKey="Zhong Y" first="Yanfeng" last="Zhong">Yanfeng Zhong</name>
<name sortKey="Zhuang, Hui" sort="Zhuang, Hui" uniqKey="Zhuang H" first="Hui" last="Zhuang">Hui Zhuang</name>
<name sortKey="Zou, Wanzhong" sort="Zou, Wanzhong" uniqKey="Zou W" first="Wanzhong" last="Zou">Wanzhong Zou</name>
</country>
<country name="États-Unis"><region name="État de New York"><name sortKey="Gu, Jiang" sort="Gu, Jiang" uniqKey="Gu J" first="Jiang" last="Gu">Jiang Gu</name>
</region>
<name sortKey="Anderson, Virginia M" sort="Anderson, Virginia M" uniqKey="Anderson V" first="Virginia M." last="Anderson">Virginia M. Anderson</name>
</country>
</tree>
</affiliations>
</record>
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