Immunology of COVID-19: Current State of the Science
Open accessAbstract
The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has affected millions of people worldwide, igniting an unprecedented effort from the scientific community to understand the biological underpinning of COVID19 pathophysiology. In this Review, we summarize the current state of knowledge of innate and adaptive immune responses elicited by SARS-CoV-2 infection and the immunological pathways that likely contribute to disease severity and death. We also discuss the rationale and clinical outcome of current therapeutic strategies as well as prospective clinical trials to prevent or treat SARS-CoV-2 infection.
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IL-6 is a major player in chronic inflammatory diseases, autoimmune diseases, cancer and cytokine storm.
“Among them, IL-6 is a major player in chronic inflammatory diseases, autoimmune diseases, cancer and cytokine storm (1, 3, 10–26).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [17]
The Therapeutic Immunomodulation for COVID-19 Treatment section (page unavailable) describes IL-6 as a critical cytokine in COVID-19-associated cytokine release syndrome, supporting the cytokine-storm portion of the claim. The passages found do not establish that IL-6 is a major player in chronic inflammatory diseases, autoimmune diseases, or cancer. (LLM, conf=0.84)
Experimental — accuracy not yet measuredARDS in COVID-19 is considered the result of cytokine storm, resembling the disease caused by SARS-CoV-1 and Middle East respiratory syndrome coronavirus.
“ARDS in COVID-19 is considered the result of cytokine storm (12–17), resembling the disease caused by SARS-CoV-1 and Middle East respiratory syndrome coronavirus (MERS-CoV) (335).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [17]
Severe COVID-19 is a cytokine storm syndrome.
“Consistent with the notion that severe COVID-19 is a cytokine storm syndrome (12–17, 336), the severity of COVID-19 is associated with an increased level of inflammatory cytokines, such as IL-6, granulocyte macrophage colony-stimulating factor (GM-CSF) and TNFα (333, 337).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [17]
No correlate of protection against COVID-19 or SARS-CoV-2 infection is currently defined, and the immune thresholds needed for vaccine efficacy remain undefined.
“There is currently no defined correlate of protection against COVID-19 or SARS-CoV-2 infection, and as such the immunological thresholds required for vaccine efficacy have not yet been defined163.”
From Immunological mechanisms of vaccine-induced protection against COVID-19 in humans (2021) · cites this paper as [163]
The host appears to be the major factor explaining COVID-19 disease severity, infection rates, and long-term medical consequences.
“the host itself seems to be the major factor explaining disease severity, infection rates (Merad and Martin, 2020; Vabret et al., 2020), and long-term medical consequences (Marshall, 2020).”
From COVID-19 and the human innate immune system (2021) · cites this paper as Vabret et al., 2020
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Antibody Responses to SARS-CoV-2: Let’s Stick to Known Knowns
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- Authors
- Vabret, N., Britton, G. J., Gruber, C., Hegde, S., Kim, J., Kuksin, M., Levantovsky, R., Malle, L., Moreira, A., Park, M. D., Pia, L., Risson, E., Saffern, M., Salomé, B., Esai Selvan, M., Spindler, M. P., Tan, J., van der Heide, V., Gregory, J. K., Alexandropoulos, K., Bhardwaj, N., Brown, B. D., Greenbaum, B., Gümüş, Z. H., Homann, D., Horowitz, A., Kamphorst, A. O., Curotto de Lafaille, M. A., Mehandru, S., Merad, M., Samstein, R. M., Agrawal, M., Aleynick, M., Belabed, M., Brown, M., Casanova-Acebes, M., Catalan, J., Centa, M., Charap, A., Chan, A., Chen, S. T., Chung, J., Bozkus, C. C., Cody, E., Cossarini, F., Dalla, E., Fernandez, N., Grout, J., Ruan, D. F., Hamon, P., Humblin, E., Jha, D., Kodysh, J., Leader, A., Lin, M., Lindblad, K., Lozano-Ojalvo, D., Lubitz, G., Magen, A., Mahmood, Z., Martinez-Delgado, G., Mateus-Tique, J., Meritt, E., Moon, C., Noel, J., O’Donnell, T., Ota, M., Plitt, T., Pothula, V., Redes, J., Reyes Torres, I., Roberto, M., Sanchez-Paulete, A. R., Shang, J., Schanoski, A. S., Suprun, M., Tran, M., Vaninov, N., Wilk, C. M., Aguirre-Ghiso, J., Bogunovic, D., Cho, J., Faith, J., Grasset, E., Heeger, P., Kenigsberg, E., Krammer, F., & Laserson, U.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Vabret, Nicolas
- Samstein, Robert M.
- ORCID
- Vabret, Nicolas
- Britton, Graham J.
- Gruber, Conor
- Hegde, Samarth
- Kuksin, Maria
- Levantovsky, Rachel
- Malle, Louise
- Moreira, Alvaro
- Park, Matthew D.
- Pia, Luisanna
- Risson, Emma
- Saffern, Miriam
- Salomé, Bérengère
- Spindler, Matthew P.
- Tan, Jessica
- Bhardwaj, Nina
- Brown, Brian D.
- Greenbaum, Benjamin
- Homann, Dirk
- Horowitz, Amir
- Kamphorst, Alice O.
- Mehandru, Saurabh
- Samstein, Robert M.
- Agrawal, Manasi
- Aleynick, Mark
- Belabed, Meriem
- Brown, Matthew
- Centa, Monica
- Charap, Andrew
- Chen, Steven T.
- Bozkus, Cansu Cimen
- Cody, Evan
- Cossarini, Francesca
- Fernandez, Nicolas
- Grout, John
- Ruan, Dan Fu
- Hamon, Pauline
- Jha, Divya
- Kodysh, Julia
- Leader, Andrew
- Lin, Matthew
- Lindblad, Katherine
- Lubitz, Gabrielle
- Magen, Assaf
- Mahmood, Zafar
- Mateus-Tique, Jaime
- Moon, Chang
- Noel, Justine
- Ota, Miyo
- Plitt, Tamar
- Pothula, Venu
- Redes, Jamie
- Schanoski, Alessandra Soares
- Suprun, Maria
- Tran, Michelle
- Vaninov, Natalie
- Wilk, C. Matthias
- Bogunovic, Dusan
- Cho, Judy
- Faith, Jeremiah
- Grasset, Emilie
- Heeger, Peter
- Kenigsberg, Ephraim
- Krammer, Florian
- Laserson, Uri
- Venue
- Immunity
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 52
- Issue
- 6
- Pages
- 910-941
- ISSN
- 1074-7613 (ISSN-L)
- PMC
- PMC7200337
- OpenAlex
- W3022878099
- Cited by
- 1,623
- References
- 333
- Citations by year
- 2026: 34 · 2025: 54 · 2024: 113 · 2023: 160 · 2022: 286 · 2021: 567 · 2020: 406 · 2019: 2 · 2013: 1
- FWCI
- 16.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Immunity (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Innate Pharma
- Burroughs Wellcome Fund
- Genentech
- Parker Institute for Cancer Immunotherapy
- National Cancer Institute
- Regeneron Pharmaceuticals
- National Institutes of Health (R01AI081848)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Keywords
- COVID-19 pandemic, SARS-CoV-2, innate immune response, adaptive immune response, disease severity, mortality, immunotherapy, antiviral therapy, clinical trials, pathophysiology
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Animals, Disease Susceptibility, Humans, Immunity, Innate, Immunologic Memory, Inflammation, Lymphocytes, Pneumonia, Viral, Coronavirus Infections, Myeloid Cells, Pandemics
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