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Effects of severe acute respiratory syndrome (SARS) coronavirus infection on peripheral blood lymphocytes and their subsets

Identifieur interne : 000416 ( PascalFrancis/Curation ); précédent : 000415; suivant : 000417

Effects of severe acute respiratory syndrome (SARS) coronavirus infection on peripheral blood lymphocytes and their subsets

Auteurs : ZHONGPING HE [République populaire de Chine] ; CHUNHUI ZHAO [République populaire de Chine] ; QINGMING DONG [République populaire de Chine] ; HUI ZHUANG [République populaire de Chine] ; SHUJING SONG [République populaire de Chine] ; GUOAI PENG [République populaire de Chine] ; Dominic E. Dwyer [Australie]

Source :

RBID : Pascal:05-0496221

Descripteurs français

English descriptors

Abstract

Introduction: Severe acute respiratory syndrome (SARS) caused large outbreaks of atypical pneumonia in 2003, with the largest localized outbreak occurring in Beijing, China. Lymphopenia was prominent amongst the laboratory abnormalities reported in acute SARS. Methods: The effect of SARS on peripheral blood lymphocytes and their subsets was examined in 271 SARS coronavirus-infected individuals. Results: There was a significant decrease in the CD45+, CD3+, CD4+, CD8+, CD19+ and CD16+/56+ cell counts over the five weeks of the SARS illness although CD4+/CD8+ ratios did not change significantly. The lymphopenia was prolonged, reaching a nadir during days 7-9 in the second week of illness before returning towards normal after five weeks, with the lowest mean CD4+ cell count of 317 cells x 106/L at day 7, and CD8+ cell count of 239 cells × 106/L at day 8. Patients with more severe clinical illness, or patients who died, had significantly more profound CD4+ and CD8+ lymphopenia. Discussion: Lymphopenia is a prominent part of SARS-CoV infection and lymphocyte counts may be useful in predicting the severity and clinical outcomes. Possible reasons for the SARS-associated lymphopenia may be direct infection of lymphocytes by SARS-CoV, lymphocyte sequestration in the lung or cytokine-mediated lymphocyte trafficking. There may also be immune-mediated lymphocyte destruction, bone marrow or thymus suppression, or apoptosis.
pA  
A01 01  1    @0 1201-9712
A03   1    @0 Int. j. infect. dis.
A05       @2 9
A06       @2 6
A08 01  1  ENG  @1 Effects of severe acute respiratory syndrome (SARS) coronavirus infection on peripheral blood lymphocytes and their subsets
A11 01  1    @1 ZHONGPING HE
A11 02  1    @1 CHUNHUI ZHAO
A11 03  1    @1 QINGMING DONG
A11 04  1    @1 HUI ZHUANG
A11 05  1    @1 SHUJING SONG
A11 06  1    @1 GUOAI PENG
A11 07  1    @1 DWYER (Dominic E.)
A14 01      @1 Capital University of Medical Sciences Affiliated Beijing YouAn Hospital @2 Beijing 100054 @3 CHN @Z 1 aut. @Z 2 aut.
A14 02      @1 Beijing Ditan Hospital @2 Beijing 100011 @3 CHN @Z 3 aut. @Z 5 aut. @Z 6 aut.
A14 03      @1 Department of Microbiology, Peking University Health Science Center @2 Beijing 100083 @3 CHN @Z 4 aut.
A14 04      @1 Center for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, Westmead Hospital @2 Westmead NSW 2145 @3 AUS @Z 7 aut.
A20       @1 323-330
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 26659 @5 354000132518560040
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 24 ref.
A47 01  1    @0 05-0496221
A60       @1 P
A61       @0 A
A64 01  1    @0 International journal of infectious diseases
A66 01      @0 CAN
C01 01    ENG  @0 Introduction: Severe acute respiratory syndrome (SARS) caused large outbreaks of atypical pneumonia in 2003, with the largest localized outbreak occurring in Beijing, China. Lymphopenia was prominent amongst the laboratory abnormalities reported in acute SARS. Methods: The effect of SARS on peripheral blood lymphocytes and their subsets was examined in 271 SARS coronavirus-infected individuals. Results: There was a significant decrease in the CD45+, CD3+, CD4+, CD8+, CD19+ and CD16+/56+ cell counts over the five weeks of the SARS illness although CD4+/CD8+ ratios did not change significantly. The lymphopenia was prolonged, reaching a nadir during days 7-9 in the second week of illness before returning towards normal after five weeks, with the lowest mean CD4+ cell count of 317 cells x 106/L at day 7, and CD8+ cell count of 239 cells × 106/L at day 8. Patients with more severe clinical illness, or patients who died, had significantly more profound CD4+ and CD8+ lymphopenia. Discussion: Lymphopenia is a prominent part of SARS-CoV infection and lymphocyte counts may be useful in predicting the severity and clinical outcomes. Possible reasons for the SARS-associated lymphopenia may be direct infection of lymphocytes by SARS-CoV, lymphocyte sequestration in the lung or cytokine-mediated lymphocyte trafficking. There may also be immune-mediated lymphocyte destruction, bone marrow or thymus suppression, or apoptosis.
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C02 02  X    @0 002B05B02M
C02 03  X    @0 002B19D
C03 01  X  FRE  @0 Syndrome respiratoire aigu sévère @2 NM @5 01
C03 01  X  ENG  @0 Severe acute respiratory syndrome @2 NM @5 01
C03 01  X  SPA  @0 Síndrome respiratorio agudo severo @2 NM @5 01
C03 02  X  FRE  @0 Bactériémie @5 02
C03 02  X  ENG  @0 Bacteremia @5 02
C03 02  X  SPA  @0 Bacteriemia @5 02
C03 03  X  FRE  @0 Lymphopénie @5 03
C03 03  X  ENG  @0 Lymphocytopenia @5 03
C03 03  X  SPA  @0 Linfopenia @5 03
C03 04  X  FRE  @0 Sous population cellulaire @5 07
C03 04  X  ENG  @0 Cell subpopulation @5 07
C03 04  X  SPA  @0 Subpoblación celular @5 07
C03 05  X  FRE  @0 Lymphocyte @5 08
C03 05  X  ENG  @0 Lymphocyte @5 08
C03 05  X  SPA  @0 Linfocito @5 08
C03 06  X  FRE  @0 Coronavirus @2 NW @5 10
C03 06  X  ENG  @0 Coronavirus @2 NW @5 10
C03 06  X  SPA  @0 Coronavirus @2 NW @5 10
C03 07  X  FRE  @0 Antigène CD4 @4 INC @5 86
C03 08  X  FRE  @0 Antigène CD8 @4 INC @5 87
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Infection
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C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Bactériose
C07 03  X  ENG  @0 Bacteriosis
C07 03  X  SPA  @0 Bacteriosis
C07 04  X  FRE  @0 Coronaviridae @2 NW
C07 04  X  ENG  @0 Coronaviridae @2 NW
C07 04  X  SPA  @0 Coronaviridae @2 NW
C07 05  X  FRE  @0 Nidovirales @2 NW
C07 05  X  ENG  @0 Nidovirales @2 NW
C07 05  X  SPA  @0 Nidovirales @2 NW
C07 06  X  FRE  @0 Virus @2 NW
C07 06  X  ENG  @0 Virus @2 NW
C07 06  X  SPA  @0 Virus @2 NW
C07 07  X  FRE  @0 Appareil respiratoire pathologie @5 38
C07 07  X  ENG  @0 Respiratory disease @5 38
C07 07  X  SPA  @0 Aparato respiratorio patología @5 38
C07 08  X  FRE  @0 Poumon pathologie @5 39
C07 08  X  ENG  @0 Lung disease @5 39
C07 08  X  SPA  @0 Pulmón patología @5 39
C07 09  X  FRE  @0 Hémopathie @5 40
C07 09  X  ENG  @0 Hemopathy @5 40
C07 09  X  SPA  @0 Hemopatía @5 40
C07 10  X  FRE  @0 Leucopénie @5 41
C07 10  X  ENG  @0 Leukopenia @5 41
C07 10  X  SPA  @0 Leucopenia @5 41
N21       @1 346
N44 01      @1 OTO
N82       @1 OTO

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Pascal:05-0496221

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<div type="abstract" xml:lang="en">Introduction: Severe acute respiratory syndrome (SARS) caused large outbreaks of atypical pneumonia in 2003, with the largest localized outbreak occurring in Beijing, China. Lymphopenia was prominent amongst the laboratory abnormalities reported in acute SARS. Methods: The effect of SARS on peripheral blood lymphocytes and their subsets was examined in 271 SARS coronavirus-infected individuals. Results: There was a significant decrease in the CD45+, CD3+, CD4+, CD8+, CD19+ and CD16+/56+ cell counts over the five weeks of the SARS illness although CD4+/CD8+ ratios did not change significantly. The lymphopenia was prolonged, reaching a nadir during days 7-9 in the second week of illness before returning towards normal after five weeks, with the lowest mean CD4+ cell count of 317 cells x 10
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<sup>6</sup>
/L at day 7, and CD8+ cell count of 239 cells × 10
<sup>6</sup>
/L at day 8. Patients with more severe clinical illness, or patients who died, had significantly more profound CD4+ and CD8+ lymphopenia. Discussion: Lymphopenia is a prominent part of SARS-CoV infection and lymphocyte counts may be useful in predicting the severity and clinical outcomes. Possible reasons for the SARS-associated lymphopenia may be direct infection of lymphocytes by SARS-CoV, lymphocyte sequestration in the lung or cytokine-mediated lymphocyte trafficking. There may also be immune-mediated lymphocyte destruction, bone marrow or thymus suppression, or apoptosis.</s0>
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<fC03 i1="01" i2="X" l="ENG">
<s0>Severe acute respiratory syndrome</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Síndrome respiratorio agudo severo</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Bactériémie</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Bacteremia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Bacteriemia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Lymphopénie</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Lymphocytopenia</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Linfopenia</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Sous population cellulaire</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Cell subpopulation</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Subpoblación celular</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Lymphocyte</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Lymphocyte</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Linfocito</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Coronavirus</s0>
<s2>NW</s2>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Antigène CD4</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Antigène CD8</s0>
<s4>INC</s4>
<s5>87</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Bactériose</s0>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Bacteriosis</s0>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Bacteriosis</s0>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Coronaviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Nidovirales</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Appareil respiratoire pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Poumon pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Lung disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Pulmón patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Hémopathie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Hemopathy</s0>
<s5>40</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Hemopatía</s0>
<s5>40</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Leucopénie</s0>
<s5>41</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Leukopenia</s0>
<s5>41</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Leucopenia</s0>
<s5>41</s5>
</fC07>
<fN21>
<s1>346</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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