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Cited by 658

The DOI matches its Crossref record; 195 of the 195 references it cites were found in a registry or an index.

Should we stimulate or suppress immune responses in COVID-19? Cytokine and anti-cytokine interventions

Open access
Jamilloux, Yvan, Henry, Thomas, Belot, Alexandre, Viel, Sébastien, Fauter, Maxime, El Jammal, Thomas, Walzer, Thierry, François, Bruno, Sève, Pascal·2020·Autoimmunity Reviews

Abstract

The coronavirus disease-19 pandemic (COVID-19), which appeared in China in December 2019 and rapidly spread throughout the world, has forced clinicians and scientists to take up extraordinary challenges. This unprecedented situation led to the inception of numerous fundamental research protocols and many clinical trials. It quickly became apparent that although COVID-19, in the vast majority of cases, was a benign disease, it could also develop a severe form with sometimes fatal outcomes. Cytokines are central to the pathophysiology of COVID-19; while some of them are beneficial (type-I interferon, interleukin-7), others appear detrimental (interleukin-1β, -6, and TNF-α) particularly in the context of the so-called cytokine storm. Yet another characteristic of the disease has emerged: concomitant immunodeficiency, notably involving impaired type-I interferon response, and lymphopenia. This review provides an overview of current knowledge on COVID-19 immunopathology. We discuss the defective type-I IFN response, the theoretical role of IL-7 to restore lymphocyte repertoire, as well as we mention the two patterns observed in severe COVID-19 (i.e. interleukin-1β-driven macrophage activation syndrome vs. interleukin-6-driven immune dysregulation). Next, reviewing current evidence drawn from clinical trials, we examine a number of cytokine and anti-cytokine therapies, including interleukin-1, -6, and TNF inhibitors, as well as less targeted therapies, such as corticosteroids, chloroquine, or JAK inhibitors.

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Metadata

Authors
Jamilloux, Y., Henry, T., Belot, A., Viel, S., Fauter, M., El Jammal, T., Walzer, T., François, B., & Sève, P.
Venue
Autoimmunity Reviews
Publisher
Elsevier BV
Published
2020-07
Volume
19
Issue
7
Pages
102567
ISSN
1568-9972 (ISSN-L)
OpenAlex
W3021024241
Cited by
658
References
195
FWCI
17.56
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Should we stimulate or suppress immune responses in COVID-19? Cytokine and anti-cytokine interventions. https://app.cochat.ai/papers/10.1016/j.autrev.2020.102567
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Jamilloux, Y., Henry, T., Belot, A., Viel, S., Fauter, M., El Jammal, T., Walzer, T., François, B., & Sève, P. (2020). Should we stimulate or suppress immune responses in COVID-19? Cytokine and anti-cytokine interventions. Autoimmunity Reviews. https://doi.org/10.1016/j.autrev.2020.102567

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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