Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: March 17, 2023
The
hallmark
of
acute
respiratory
distress
syndrome
(ARDS)
pathobiology
is
unchecked
inflammation-driven
diffuse
alveolar
damage
and
alveolar-capillary
barrier
dysfunction.
Currently,
therapeutic
interventions
for
ARDS
remain
largely
limited
to
pulmonary-supportive
strategies,
there
an
unmet
demand
pharmacologic
therapies
targeting
the
underlying
pathology
in
patients
suffering
from
illness.
complement
cascade
(ComC)
plays
integral
role
regulation
both
innate
adaptive
immune
responses.
ComC
activation
can
prime
overzealous
cytokine
storm
tissue/organ
damage.
lung
injury
(ALI)
have
established
relationship
with
early
maladaptive
activation.
In
this
review,
we
collected
evidence
current
studies
linking
ALI/ARDS
dysregulation,
focusing
on
elucidating
new
emerging
roles
extracellular
(canonical)
intracellular
(non-canonical
or
complosome),
(complementome)
pathobiology,
highlighting
complementome
as
a
vital
nexus
pathobiological
connectome
via
its
crosstalking
other
systems
immunome,
DAMPome,
PAMPome,
coagulome,
metabolome,
microbiome.
We
also
discussed
diagnostic/therapeutic
potential
future
direction
care
ultimate
goal
better
defining
mechanistic
subtypes
(endotypes
theratypes)
through
methodologies
order
facilitate
more
precise
effective
complement-targeted
therapy
treating
these
comorbidities.
This
information
leads
support
anti-inflammatory
strategy
by
ComC,
where
arsenal
clinical-stage
complement-specific
drugs
available,
especially
due
COVID-19.
Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: March 27, 2023
Introduction
While
complement
is
a
contributor
to
disease
severity
in
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
infections,
all
three
pathways
might
be
activated
by
the
virus.
Lectin
pathway
activation
occurs
through
different
pattern
recognition
molecules,
including
mannan
binding
lectin
(MBL),
protein
shown
interact
with
SARS-CoV-2
proteins.
However,
exact
role
of
and
its
key
molecule
MBL
COVID-19
still
not
fully
understood.
Methods
We
therefore
investigated
two
independent
cohorts
infected
patients,
while
also
analysing
levels
potential
effects
six
major
single
nucleotide
polymorphisms
(SNPs)
found
MBL2
gene
on
outcome.
Results
show
that
COVID-19,
indicated
correlation
between
product
MASP-1/C1-INH
complex
(p=0.0011)
C4d
(p<0.0001)
severity.
Despite
this,
genetic
variations
are
associated
susceptibility
infection
or
outcomes
such
as
mortality
development
Long
COVID.
Conclusion
In
conclusion,
MBL-LP
only
plays
minor
pathogenesis,
since
no
clinically
meaningful,
consistent
associations
were
noted.
Frontiers in Immunology,
Journal Year:
2020,
Volume and Issue:
11
Published: Oct. 6, 2020
The
emergence
and
rapid
spread
of
SARS-CoV-2
in
December
2019
has
brought
the
world
to
a
standstill.
While
less
pathogenic
than
2002-2003
SARS-CoV,
this
novel
Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: March 17, 2023
The
hallmark
of
acute
respiratory
distress
syndrome
(ARDS)
pathobiology
is
unchecked
inflammation-driven
diffuse
alveolar
damage
and
alveolar-capillary
barrier
dysfunction.
Currently,
therapeutic
interventions
for
ARDS
remain
largely
limited
to
pulmonary-supportive
strategies,
there
an
unmet
demand
pharmacologic
therapies
targeting
the
underlying
pathology
in
patients
suffering
from
illness.
complement
cascade
(ComC)
plays
integral
role
regulation
both
innate
adaptive
immune
responses.
ComC
activation
can
prime
overzealous
cytokine
storm
tissue/organ
damage.
lung
injury
(ALI)
have
established
relationship
with
early
maladaptive
activation.
In
this
review,
we
collected
evidence
current
studies
linking
ALI/ARDS
dysregulation,
focusing
on
elucidating
new
emerging
roles
extracellular
(canonical)
intracellular
(non-canonical
or
complosome),
(complementome)
pathobiology,
highlighting
complementome
as
a
vital
nexus
pathobiological
connectome
via
its
crosstalking
other
systems
immunome,
DAMPome,
PAMPome,
coagulome,
metabolome,
microbiome.
We
also
discussed
diagnostic/therapeutic
potential
future
direction
care
ultimate
goal
better
defining
mechanistic
subtypes
(endotypes
theratypes)
through
methodologies
order
facilitate
more
precise
effective
complement-targeted
therapy
treating
these
comorbidities.
This
information
leads
support
anti-inflammatory
strategy
by
ComC,
where
arsenal
clinical-stage
complement-specific
drugs
available,
especially
due
COVID-19.