Andy
Senior Member (Voting rights)
"Early in the pandemic, my team spotted something surprising. When people were severely ill with COVID-19 and on a ventilator, the daily rinses of the plastic tubes in their windpipes contained immune cells from the airway. More surprisingly, what was in these airway samples was very different from what was found in the same patient’s blood.
The airway cells were producing high levels of cytokines — factors that recruit immune cells such as T cells to a tissue site and promote inflammation. By contrast, the corresponding blood samples were low in T cells, but high in other immune cells called monocytes, which were displaying unusual patterns of cell-surface receptors. Lung samples from patients who had died showed monocytes and a further type of immune cell (macrophages) clustered in the lung’s tiny air sacs; this is associated with the damage that typifies severe COVID-19. The unusual receptors suggested to us that monocytes circulating in the blood had been both altered and summoned by the cytokines produced in the airway1. Had we not collected both airway and blood samples, we would not have put these pieces together.
As this example shows, the pandemic has revealed major gaps in our understanding of the human immune system. One of the biggest is the reactions in tissues — at sites of infection and where disease manifests."
https://www.nature.com/articles/d41586-021-01396-y
The airway cells were producing high levels of cytokines — factors that recruit immune cells such as T cells to a tissue site and promote inflammation. By contrast, the corresponding blood samples were low in T cells, but high in other immune cells called monocytes, which were displaying unusual patterns of cell-surface receptors. Lung samples from patients who had died showed monocytes and a further type of immune cell (macrophages) clustered in the lung’s tiny air sacs; this is associated with the damage that typifies severe COVID-19. The unusual receptors suggested to us that monocytes circulating in the blood had been both altered and summoned by the cytokines produced in the airway1. Had we not collected both airway and blood samples, we would not have put these pieces together.
As this example shows, the pandemic has revealed major gaps in our understanding of the human immune system. One of the biggest is the reactions in tissues — at sites of infection and where disease manifests."
https://www.nature.com/articles/d41586-021-01396-y