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Cytokine Storms: Understanding COVID-19
Open accessAbstract
The elevated circulating levels of cytokines associated with a variety of infectious and immune-mediated conditions are frequently termed a cytokine storm. Here, we explain the protective functions of cytokines in "ideal" responses; the multi-factorial origins that can drive these responses to become pathological; and how this ultimately leads to vascular damage, immunopathology, and worsening clinical outcomes.
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“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 [336]
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Chimeric Antigen Receptor–Modified T Cells for Acute Lymphoid Leukemia
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Cytokine Storm in a Phase 1 Trial of the Anti-CD28 Monoclonal Antibody TGN1412
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Analysis of Serum Cytokines in Patients with Severe Acute Respiratory Syndrome
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Immune-mediated cytokine storm and its role in severe dengue
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COVID-19 as an Acute Inflammatory Disease
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The Biology of Physiological Health
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IL-6 in inflammation, autoimmunity and cancer
Hirano, T. (2021) · International Immunology · doi:10.1093/intimm/dxaa078 · Cited by 1,453
“Consistent with the notion that severe COVID-19 is a cytokine storm syndrome (12–17, 336 ), SARS-CoV-1 and MERS-CoV activate NF-κ B in a manner dependent on MyD88 through PRRs, such as retinoic acid-inducible gene I protein (RIG-I) and melanoma differentiation-associated protein 5 (MDA5), leading…”
BackgroundVirology, transmission, and pathogenesis of SARS-CoV-2
Çevik, M., Kuppalli, K., Kindrachuk, J., & Peiris, M. J. S. (2020) · BMJ · doi:10.1136/bmj.m3862 · Cited by 781
COVID-19 and the human innate immune system
Schultze, J. L., & Aschenbrenner, A. C. (2021) · Cell · doi:10.1016/j.cell.2021.02.029 · Cited by 714
“On the other hand, the definition of cytokine storm has expanded to conditions beyond sepsis and, irrespective of absolute cytokine concentrations, to include all inflammatory conditions with elevated circulating cytokines that result in systemic inflammation as well as secondary organ dysfunction (Fajgenbaum and June…”
BackgroundThe signal pathways and treatment of cytokine storm in COVID-19
Yang, L., Xie, X., Tu, Z., Fu, J., Xu, D., & Zhou, Y. (2021) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-021-00679-0 · Cited by 618
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Metadata
- Authors
- Mangalmurti, N., & Hunter, C. A.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Hunter, Christopher A.
- Venue
- Immunity
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 53
- Issue
- 1
- Pages
- 19-25
- ISSN
- 1074-7613 (ISSN-L)
- PMC
- PMC7321048
- OpenAlex
- W3037676127
- Cited by
- 698
- References
- 15
- Citations by year
- 2026: 17 · 2025: 49 · 2024: 64 · 2023: 111 · 2022: 159 · 2021: 228 · 2020: 70
- FWCI
- 18.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Immunity (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Keywords
- cytokine storm, COVID-19 pandemic, cytokines, SARS-CoV-2, immunopathology, vascular injury, hyperinflammation, clinical outcomes, protective immune response
- MeSH terms
- Betacoronavirus, Cytokine Release Syndrome, COVID-19, SARS-CoV-2, Humans, Inflammation, Pneumonia, Viral, Cytokines, Coronavirus Infections, Pandemics
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