新冠病毒(SARS-CoV-2,又称2019-nCoV),是引发新冠肺炎(COVID-19)疫情的元凶。截止日前,全球新冠肺炎确诊病例攀升至1.19亿,死亡人数高达265万(数据来自WTO,https://covid19.who.int/),严重危害人类健康和公共卫生。与SARS冠状病毒、流感病毒等其他呼吸道病毒不同,新冠病毒感染和发病呈现出轻度无症状和重度全身炎症“两个阶段”[1]。在新冠病毒感染早期(early stage),机体免疫系统受到抑制,导致干扰素IFN-β和IFN-γ产生迟滞,TNF-α, IL-6 ,IL-1β等促炎因子表达受阻,多种抗病毒信号遭到屏蔽。该阶段的感染者大多没有咳嗽、发热等临床症状,因此成为新冠病毒隐性传播的媒介,导致疫情迅速扩散。免疫抑制这一现象已被多个团队相继报道[2-4],其潜在的分子机制尤其是新冠病毒在感染早期如何抑制机体的天然免疫应答,有待深入研究。
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参考文献:
1. Tian W, Zhang N, Jin R, Feng Y, Wang S, et al. (2020)Immune suppression in the early stage of COVID-19 disease. NatureCommunications 11.
2. Blanco-Melo D,Nilsson-Payant BE, Liu WC, Uhl S, Hoagland D, et al. (2020) Imbalanced Host Responseto SARS-CoV-2 Drives Development of COVID-19. Cell 181: 1036-1045 e1039.
3. Huang C, Wang Y, Li X, RenL, Zhao J, et al. (2020) Clinical features of patients infected with 2019 novelcoronavirus in Wuhan, China. The Lancet 395: 497-506.
4. Qin C, Zhou L, Hu Z, ZhangS, Yang S, et al. (2020) Dysregulation of immune response in patients withCOVID-19 in Wuhan, China. Clin Infect Dis.
5. Jiang H, Zhang H, Meng Q,Xie J, Li Y, et al. (2020) SARS-CoV-2 Orf9b suppresses type I interferonresponses by targeting TOM70. Cellular & Molecular Immunology.
6. Gordon DE, Jang GM,Bouhaddou M, Xu J, Obernier K, et al. (2020) A SARS-CoV-2 protein interactionmap reveals targets for drug repurposing. Nature.
7. Jiang H, Li Y, Zhang H, WangW, Yang X, et al. (2020) SARS-CoV-2 proteome microarray for global profiling ofCOVID-19 specific IgG and IgM responses. Nature Communications 11.
8. Lei X, Dong X, Ma R, Wang W,Xiao X, et al. (2020) Activation and evasion of type I interferon responses bySARS-CoV-2. Nat Commun 11: 3810.
9. Zheng Y, Zhuang MW, Han L,Zhang J, Nan ML, et al. (2020) Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) membrane (M) protein inhibits type I and III interferon productionby targeting RIG-I/MDA-5 signaling. Signal Transduct Target Ther 5: 299.



