Role of Immune Dysregulation in Increased Mortality Among a Specific Subset of COVID-19 Patients and Immune-Enhancement Strategies for Combatting Through Nutritional Supplements

The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages. This contrast triggered us explore the causes, with the background that a vaccine for effective immunization or a drug to tackle COVID-19 is n...

Full description

Saved in:
Bibliographic Details
Published inFrontiers in immunology Vol. 11; p. 1548
Main Authors Rao, Kosagi-Sharaf, Suryaprakash, Vaddi, Senthilkumar, Rajappa, Preethy, Senthilkumar, Katoh, Shojiro, Ikewaki, Nobunao, Abraham, Samuel J. K.
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 09.07.2020
Subjects
Online AccessGet full text

Cover

Loading…
Abstract The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages. This contrast triggered us explore the causes, with the background that a vaccine for effective immunization or a drug to tackle COVID-19 is not too close to reality. We have discussed strategies to combat COVID-19 through immune enhancement, using simple measures including nutritional supplements. A literature search on mortality-related comorbid conditions was performed. For those conditions, we analyzed the pro-inflammatory cytokines, which could cause the draining of the immune reservoir. We also analyzed the immune markers necessary for the defense mechanism/immune surveillance against COVID-19, especially through simple means including immune enhancing nutritional supplement consumption, and we suggest strategies to combat COVID-19. Major comorbid conditions associated with increased mortality include cardiovascular disease (CVD), diabetes, being immunocompromised by cancer, and severe kidney disease with a senile immune system. Consumption of strain (AFO-202) beta 1,3-1,6 glucan supported enhanced IL-8, sFAS macrophage activity, and NK cells' cytotoxicity, which are major defense mechanisms against viral infection. People with co-morbid conditions who are more prone to COVID-19-related deaths due to immune dysregulation are likely to benefit from consuming nutritional supplements that enhance the immune system. We recommend clinical studies to validate AFO-202 beta glucan in COVID-19 patients to prove its efficacy in overcoming a hyper-inflammation status, thus reducing the mortality, until a definite vaccine is made available.
AbstractList Background: The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages. This contrast triggered us explore the causes, with the background that a vaccine for effective immunization or a drug to tackle COVID-19 is not too close to reality. We have discussed strategies to combat COVID-19 through immune enhancement, using simple measures including nutritional supplements. Discussion: A literature search on mortality-related comorbid conditions was performed. For those conditions, we analyzed the pro-inflammatory cytokines, which could cause the draining of the immune reservoir. We also analyzed the immune markers necessary for the defense mechanism/immune surveillance against COVID-19, especially through simple means including immune enhancing nutritional supplement consumption, and we suggest strategies to combat COVID-19. Major comorbid conditions associated with increased mortality include cardiovascular disease (CVD), diabetes, being immunocompromised by cancer, and severe kidney disease with a senile immune system. Consumption of Aureobasidium pullulans strain (AFO-202) beta 1,3-1,6 glucan supported enhanced IL-8, sFAS macrophage activity, and NK cells' cytotoxicity, which are major defense mechanisms against viral infection. Conclusion: People with co-morbid conditions who are more prone to COVID-19-related deaths due to immune dysregulation are likely to benefit from consuming nutritional supplements that enhance the immune system. We recommend clinical studies to validate AFO-202 beta glucan in COVID-19 patients to prove its efficacy in overcoming a hyper-inflammation status, thus reducing the mortality, until a definite vaccine is made available.
The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages. This contrast triggered us explore the causes, with the background that a vaccine for effective immunization or a drug to tackle COVID-19 is not too close to reality. We have discussed strategies to combat COVID-19 through immune enhancement, using simple measures including nutritional supplements. A literature search on mortality-related comorbid conditions was performed. For those conditions, we analyzed the pro-inflammatory cytokines, which could cause the draining of the immune reservoir. We also analyzed the immune markers necessary for the defense mechanism/immune surveillance against COVID-19, especially through simple means including immune enhancing nutritional supplement consumption, and we suggest strategies to combat COVID-19. Major comorbid conditions associated with increased mortality include cardiovascular disease (CVD), diabetes, being immunocompromised by cancer, and severe kidney disease with a senile immune system. Consumption of strain (AFO-202) beta 1,3-1,6 glucan supported enhanced IL-8, sFAS macrophage activity, and NK cells' cytotoxicity, which are major defense mechanisms against viral infection. People with co-morbid conditions who are more prone to COVID-19-related deaths due to immune dysregulation are likely to benefit from consuming nutritional supplements that enhance the immune system. We recommend clinical studies to validate AFO-202 beta glucan in COVID-19 patients to prove its efficacy in overcoming a hyper-inflammation status, thus reducing the mortality, until a definite vaccine is made available.
Background: The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages. This contrast triggered us explore the causes, with the background that a vaccine for effective immunization or a drug to tackle COVID-19 is not too close to reality. We have discussed strategies to combat COVID-19 through immune enhancement, using simple measures including nutritional supplements.Discussion: A literature search on mortality-related comorbid conditions was performed. For those conditions, we analyzed the pro-inflammatory cytokines, which could cause the draining of the immune reservoir. We also analyzed the immune markers necessary for the defense mechanism/immune surveillance against COVID-19, especially through simple means including immune enhancing nutritional supplement consumption, and we suggest strategies to combat COVID-19. Major comorbid conditions associated with increased mortality include cardiovascular disease (CVD), diabetes, being immunocompromised by cancer, and severe kidney disease with a senile immune system. Consumption of Aureobasidium pullulans strain (AFO-202) beta 1,3-1,6 glucan supported enhanced IL-8, sFAS macrophage activity, and NK cells' cytotoxicity, which are major defense mechanisms against viral infection.Conclusion: People with co-morbid conditions who are more prone to COVID-19-related deaths due to immune dysregulation are likely to benefit from consuming nutritional supplements that enhance the immune system. We recommend clinical studies to validate AFO-202 beta glucan in COVID-19 patients to prove its efficacy in overcoming a hyper-inflammation status, thus reducing the mortality, until a definite vaccine is made available.
Background: The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages. This contrast triggered us explore the causes, with the background that a vaccine for effective immunization or a drug to tackle COVID-19 is not too close to reality. We have discussed strategies to combat COVID-19 through immune enhancement, using simple measures including nutritional supplements. Discussion: A literature search on mortality-related comorbid conditions was performed. For those conditions, we analyzed the pro-inflammatory cytokines, which could cause the draining of the immune reservoir. We also analyzed the immune markers necessary for the defense mechanism/immune surveillance against COVID-19, especially through simple means including immune enhancing nutritional supplement consumption, and we suggest strategies to combat COVID-19. Major comorbid conditions associated with increased mortality include cardiovascular disease (CVD), diabetes, being immunocompromised by cancer, and severe kidney disease with a senile immune system. Consumption of Aureobasidium pullulans strain (AFO-202) beta 1,3-1,6 glucan supported enhanced IL-8, sFAS macrophage activity, and NK cells' cytotoxicity, which are major defense mechanisms against viral infection. Conclusion: People with co-morbid conditions who are more prone to COVID-19-related deaths due to immune dysregulation are likely to benefit from consuming nutritional supplements that enhance the immune system. We recommend clinical studies to validate AFO-202 beta glucan in COVID-19 patients to prove its efficacy in overcoming a hyper-inflammation status, thus reducing the mortality, until a definite vaccine is made available.Background: The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages. This contrast triggered us explore the causes, with the background that a vaccine for effective immunization or a drug to tackle COVID-19 is not too close to reality. We have discussed strategies to combat COVID-19 through immune enhancement, using simple measures including nutritional supplements. Discussion: A literature search on mortality-related comorbid conditions was performed. For those conditions, we analyzed the pro-inflammatory cytokines, which could cause the draining of the immune reservoir. We also analyzed the immune markers necessary for the defense mechanism/immune surveillance against COVID-19, especially through simple means including immune enhancing nutritional supplement consumption, and we suggest strategies to combat COVID-19. Major comorbid conditions associated with increased mortality include cardiovascular disease (CVD), diabetes, being immunocompromised by cancer, and severe kidney disease with a senile immune system. Consumption of Aureobasidium pullulans strain (AFO-202) beta 1,3-1,6 glucan supported enhanced IL-8, sFAS macrophage activity, and NK cells' cytotoxicity, which are major defense mechanisms against viral infection. Conclusion: People with co-morbid conditions who are more prone to COVID-19-related deaths due to immune dysregulation are likely to benefit from consuming nutritional supplements that enhance the immune system. We recommend clinical studies to validate AFO-202 beta glucan in COVID-19 patients to prove its efficacy in overcoming a hyper-inflammation status, thus reducing the mortality, until a definite vaccine is made available.
Author Rao, Kosagi-Sharaf
Suryaprakash, Vaddi
Senthilkumar, Rajappa
Ikewaki, Nobunao
Katoh, Shojiro
Preethy, Senthilkumar
Abraham, Samuel J. K.
AuthorAffiliation 4 Edogawa Evolutionary Laboratory of Science, Edogawa Hospital , Tokyo , Japan
8 School of Medicine, Yamanashi University , Yamanashi , Japan
6 Institute of Immunology, Junsei Educational Institute , Nobeoka , Japan
1 Centre for Neuroscience, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT AIP) , Panama City , Panama
5 Department of Medical Life Science, Kyushu University of Health and Welfare , Nobeoka , Japan
7 The Mary-Yoshio Translational Hexagon, Nichi-In Centre for Regenerative Medicine , Chennai , India
3 The Fujio-Eiji Academic Terrain, Nichi-In Centre for Regenerative Medicine , Chennai , India
9 GN Corporation Co. Ltd. , Kofu , Japan
2 Department of Urology, Yashoda Hospitals , Hyderabad , India
AuthorAffiliation_xml – name: 3 The Fujio-Eiji Academic Terrain, Nichi-In Centre for Regenerative Medicine , Chennai , India
– name: 7 The Mary-Yoshio Translational Hexagon, Nichi-In Centre for Regenerative Medicine , Chennai , India
– name: 9 GN Corporation Co. Ltd. , Kofu , Japan
– name: 6 Institute of Immunology, Junsei Educational Institute , Nobeoka , Japan
– name: 2 Department of Urology, Yashoda Hospitals , Hyderabad , India
– name: 4 Edogawa Evolutionary Laboratory of Science, Edogawa Hospital , Tokyo , Japan
– name: 5 Department of Medical Life Science, Kyushu University of Health and Welfare , Nobeoka , Japan
– name: 8 School of Medicine, Yamanashi University , Yamanashi , Japan
– name: 1 Centre for Neuroscience, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT AIP) , Panama City , Panama
Author_xml – sequence: 1
  givenname: Kosagi-Sharaf
  surname: Rao
  fullname: Rao, Kosagi-Sharaf
– sequence: 2
  givenname: Vaddi
  surname: Suryaprakash
  fullname: Suryaprakash, Vaddi
– sequence: 3
  givenname: Rajappa
  surname: Senthilkumar
  fullname: Senthilkumar, Rajappa
– sequence: 4
  givenname: Senthilkumar
  surname: Preethy
  fullname: Preethy, Senthilkumar
– sequence: 5
  givenname: Shojiro
  surname: Katoh
  fullname: Katoh, Shojiro
– sequence: 6
  givenname: Nobunao
  surname: Ikewaki
  fullname: Ikewaki, Nobunao
– sequence: 7
  givenname: Samuel J. K.
  surname: Abraham
  fullname: Abraham, Samuel J. K.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32733487$$D View this record in MEDLINE/PubMed
BookMark eNp1kktv1DAUhSNURMvQPSvkJZsMfiRxskGqpgVGKhQxha1149zMuErswXaQ-rP4h3geRS0S3ti6vvc7ts55mZ1YZzHLXjM6F6Ju3vVmHKc5p5zOKSuL-ll2xqqqyAXnxcmj82l2HsIdTatohBDli-xUcClEUcuz7Pc3NyBxPVkmmEVyeR88rqcBonGWGEuWVnuEgB357HyEwcR7cjE6uyZAVlvUpjearKY2YNxhFjc_lpc5a8jXREAbAwHbHeH5ld2A1TimOllFDxHXBgPpnScLN7YQo0nc241303pDvkzRm90zYEgC2-2wHwyvsuc9DAHPj_ss-_7h6nbxKb---bhcXFznuqh4zDm2GhjVNUralbToKig7DpIVlaxqDbJshGRAG4Fl37dYMl7XtCyQyo5KrMQsWx64nYM7tfVmBH-vHBi1Lzi_VuCj0QOqVmsmOqm51ryAvgaOQld9WTLGdQdtYr0_sLZTO2Kn0z88DE-gT2-s2ai1-6WkqESTbJtlb48A735OGKIaTdA4DGDRTUHxgjeypg0tU-ubx1p_RR48Tw3VoUF7F5LbvdIm7v1O0mZQjKpdvtQ-X2qXL7XPVxqk_ww-sP878gdL4NfP
CitedBy_id crossref_primary_10_1089_vim_2021_0017
crossref_primary_10_1016_j_ibmed_2021_100036
crossref_primary_10_1024_0300_9831_a000793
crossref_primary_10_1097_MD_0000000000031327
crossref_primary_10_3390_molecules28217355
crossref_primary_10_24018_ejmed_2021_3_2_766
crossref_primary_10_1016_j_biopha_2022_113259
crossref_primary_10_1016_j_biopha_2021_112243
crossref_primary_10_3390_nu13041333
crossref_primary_10_5500_wjt_v11_i6_212
crossref_primary_10_3390_healthcare9091173
crossref_primary_10_1080_01635581_2021_1957128
crossref_primary_10_3390_healthcare9010047
crossref_primary_10_29328_journal_apps_1001033
crossref_primary_10_1186_s12959_020_00239_6
crossref_primary_10_3390_ijms24054864
crossref_primary_10_1016_j_scitotenv_2021_152177
crossref_primary_10_3390_jcm11030526
crossref_primary_10_3390_nu13113960
crossref_primary_10_3390_v14061149
crossref_primary_10_3748_wjg_v28_i25_2802
crossref_primary_10_1038_s41538_021_00102_6
crossref_primary_10_3389_fpsyt_2020_585893
crossref_primary_10_3390_pathogens10050565
crossref_primary_10_3389_fnut_2021_646988
crossref_primary_10_1002_hsr2_1865
crossref_primary_10_1155_2020_6914878
crossref_primary_10_1016_j_biotno_2022_05_002
crossref_primary_10_3390_jpm12010068
crossref_primary_10_1080_21645515_2021_1880210
crossref_primary_10_1080_07391102_2021_2016489
crossref_primary_10_3389_fimmu_2021_620658
crossref_primary_10_3390_foods10051088
Cites_doi 10.1016/j.jaut.2020.102468
10.1002/dmrr.3321
10.1093/ndt/gfy276
10.3402/mehd.v26.27824
10.1152/ajpendo.00124.2020
10.1155/2012/895370
10.1111/ajt.15874
10.3347/kjp.2009.47.4.345
10.1101/2020.04.07.024752x
10.26355/eurrev_202004_20871
10.1002/jmv.
10.3109/19390211.2013.859211
10.1016/S1074-7613(03)00233-4
10.1182/blood-2005-07-2705
10.1001/archinte.159.7.748
10.1159/000507417
10.1002/jmv.25685
10.1681/ASN.2006080926
10.3978/j.issn.2305-5839.2015.01.08
10.3390/transplantology1010002
10.1111/ajt.15967
10.1016/S1470-2045(20)30150-9
10.1111/j.1348-0421.2007.tb03982.x
10.3390/v11100907
10.1111/jth.14938
10.1159/000369534
10.22037/aaem.v8i1.683.g806
10.1016/j.cytogfr.2020.04.002
10.4014/jmb.1011.11024
10.3389/fmicb.2016.00129
10.2217/imt-2016-0020
10.1016/S1470-2045(20)30096-6
10.1016/j.immuni.2019.03.007
10.7243/2054-9903-1-2
10.1016/j.ijcard.2020.03.063
10.1248/bpb.24.820
10.20944/preprints202004.0351.v1
10.1046/j.1523-1755.2000.07613.x
10.1016/j.dsx.2020.03.016
10.3332/ecancer.2020.1022
10.1111/ajt.15902
10.1038/s41577-020-0305-6
10.1016/S2213-2600(20)30116-8
10.1080/07315724.2018.1478339
10.1172/JCI137647
10.1186/1475-2891-13-38
10.1016/j.autrev.2020.102567
10.1371/journal.pone.0041399
10.21873/anticanres.12355
10.20944/preprints202003.0206.v1
10.3390/medicina43080076
10.1038/s41577-020-0308-3
10.1001/jama.288.6.715
10.3390/nu12051466
10.1016/S0140-67362030185-9
10.1007/s00421-011-1837-z
10.1016/j.dsx.2020.04.015
10.1016/S0140-67362030251-8
10.12932/AP-200220-0772
10.1136/openhrt-2018-000807
10.15406/icpjl.2016.02.00046
10.3382/ps.2010-01008
10.1128/JVI.00510-20
ContentType Journal Article
Copyright Copyright © 2020 Rao, Suryaprakash, Senthilkumar, Preethy, Katoh, Ikewaki and Abraham.
Copyright © 2020 Rao, Suryaprakash, Senthilkumar, Preethy, Katoh, Ikewaki and Abraham. 2020 Rao, Suryaprakash, Senthilkumar, Preethy, Katoh, Ikewaki and Abraham
Copyright_xml – notice: Copyright © 2020 Rao, Suryaprakash, Senthilkumar, Preethy, Katoh, Ikewaki and Abraham.
– notice: Copyright © 2020 Rao, Suryaprakash, Senthilkumar, Preethy, Katoh, Ikewaki and Abraham. 2020 Rao, Suryaprakash, Senthilkumar, Preethy, Katoh, Ikewaki and Abraham
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
5PM
DOA
DOI 10.3389/fimmu.2020.01548
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
PubMed Central (Full Participant titles)
DOAJ Directory of Open Access Journals
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList
MEDLINE

MEDLINE - Academic
Database_xml – sequence: 1
  dbid: DOA
  name: Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Biology
EISSN 1664-3224
ExternalDocumentID oai_doaj_org_article_bcc13d7c2cc24af8a2e3c6f55112cdab
PMC7363949
32733487
10_3389_fimmu_2020_01548
Genre Journal Article
Review
GroupedDBID 53G
5VS
9T4
AAFWJ
AAKDD
AAYXX
ACGFO
ACGFS
ACXDI
ADBBV
ADRAZ
AENEX
AFPKN
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BAWUL
BCNDV
CITATION
DIK
EBS
EMOBN
GROUPED_DOAJ
GX1
HYE
KQ8
M48
M~E
OK1
PGMZT
RNS
RPM
CGR
CUY
CVF
ECM
EIF
IAO
IEA
IHR
IHW
IPNFZ
NPM
RIG
7X8
5PM
ID FETCH-LOGICAL-c462t-2ebca10c8e70d504d6a5d2a7146768ca759371a093e5ffbe51288054e07d07e63
IEDL.DBID M48
ISSN 1664-3224
IngestDate Wed Aug 27 01:32:42 EDT 2025
Thu Aug 21 18:32:14 EDT 2025
Fri Jul 11 09:30:43 EDT 2025
Thu Jan 02 22:58:53 EST 2025
Thu Apr 24 23:12:42 EDT 2025
Tue Jul 01 00:40:08 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Keywords COVID-19
AFO-202 beta glucan
chronic kidney disease
co-morbidity
nutritional supplement
diabetes
hypertension
immuno-compromised
Language English
License Copyright © 2020 Rao, Suryaprakash, Senthilkumar, Preethy, Katoh, Ikewaki and Abraham.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c462t-2ebca10c8e70d504d6a5d2a7146768ca759371a093e5ffbe51288054e07d07e63
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
content type line 23
This article was submitted to Nutritional Immunology, a section of the journal Frontiers in Immunology
Edited by: Brandt D. Pence, University of Memphis, United States
Reviewed by: Juraj Majtan, Independent Researcher, Bratislava, Slovakia; Chunjian Qi, Nanjing Medical University, China
OpenAccessLink https://doaj.org/article/bcc13d7c2cc24af8a2e3c6f55112cdab
PMID 32733487
PQID 2429780905
PQPubID 23479
ParticipantIDs doaj_primary_oai_doaj_org_article_bcc13d7c2cc24af8a2e3c6f55112cdab
pubmedcentral_primary_oai_pubmedcentral_nih_gov_7363949
proquest_miscellaneous_2429780905
pubmed_primary_32733487
crossref_citationtrail_10_3389_fimmu_2020_01548
crossref_primary_10_3389_fimmu_2020_01548
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2020-07-09
PublicationDateYYYYMMDD 2020-07-09
PublicationDate_xml – month: 07
  year: 2020
  text: 2020-07-09
  day: 09
PublicationDecade 2020
PublicationPlace Switzerland
PublicationPlace_xml – name: Switzerland
PublicationTitle Frontiers in immunology
PublicationTitleAlternate Front Immunol
PublicationYear 2020
Publisher Frontiers Media S.A
Publisher_xml – name: Frontiers Media S.A
References Vetvicka (B39) 2016; 2
Prompetchara (B31) 2020; 38
Stier (B37) 2014; 13
Liang (B25) 2020; 21
Guillen (B27) 2020
Vetvicka (B40) 2018; 38
Xia (B26) 2020; 21
Bergendiova (B41) 2011; 111
Tang (B51) 2011; 90
Tan (B15) 2020; 309
Wang (B1) 2020; 395
Dedeepiya (B42) 2012; 2012
Dharsono (B56) 2019; 38
Cao (B9) 2020; 20
Li (B8) 2020; 92
Williams (B17) 2019; 50
Crépin (B24) 2020; 35
Cascella (B65) 2020
Ikewaki (B53) 2013
Sun (B11) 2020; 53
Girodon (B34) 1999; 159
B3
Ganesh (B43) 2014; 11
Vetvicka (B54) 2015; 3
B5
Vaninov (B12) 2020; 20
Graat (B35) 2002; 288
Stawiski (B61) 2020
Seminari (B30) 2020
Ohno (B47) 2001; 24
Russell (B29) 2020; 14
Brown (B45) 2003; 19
Perricone (B14) 2020; 111
Le (B52) 2011; 21
Vetvicka (B38) 2014; 1
Muniyappa (B19) 2020; 318
Cramer (B46) 2006; 107
Yatawara (B50) 2009; 47
Rajarshi (B63) 2020
Fara (B66) 2020
B48
Pedersen (B7) 2020; 130
Muramatsu (B55) 2012; 7
Zabetakis (B62) 2020; 12
Lu (B2) 2020; 395
Shahabi nezhad (B69) 2020
Nair (B28) 2020
Chakraborty (B4) 2020; 24
Clarke (B16) 2018; 5
Elson (B57) 2015; 33
Lagunas-Rangel (B10) 2020
Jayawardena (B33) 2020; 14
Tanaka (B68) 2016; 8
Patel (B32) 2019; 11
Steinack (B67) 2020; 1
Nguyen (B60) 2020
Ikewaki (B49) 2018; 19
Wang (B58) 2016; 7
Raa (B59) 2015; 26
Maddaloni (B20) 2020
Jofré (B23) 2006; 17
Ikewaki (B44) 2007; 51
Fang (B18) 2020; 8
Ferrey (B21) 2020; 51
Jamilloux (B13) 2020; 19
Akramiene (B36) 2007; 43
Singh (B6) 2020; 14
Katoh (B64) 2020; 8
Pertosa (B22) 2000; 76
References_xml – volume: 111
  start-page: 102468
  year: 2020
  ident: B14
  article-title: The anti-viral facet of anti-rheumatic drugs: lessons from COVID-19
  publication-title: J Autoimmun
  doi: 10.1016/j.jaut.2020.102468
– start-page: e33213321
  year: 2020
  ident: B20
  article-title: Covid-19 and diabetes mellitus: unveiling the interaction of two pandemics
  publication-title: Diabetes Metab Res Rev.
  doi: 10.1002/dmrr.3321
– volume: 35
  start-page: 624
  year: 2020
  ident: B24
  article-title: Uraemia-induced immune senescence and clinical outcomes in chronic kidney disease patients
  publication-title: Nephrol Dial Transplant
  doi: 10.1093/ndt/gfy276
– volume: 26
  start-page: 27824
  year: 2015
  ident: B59
  article-title: Immune modulation by non-digestible and non-absorbable beta-1,3/1,6-glucan
  publication-title: Microb Ecol Health Dis
  doi: 10.3402/mehd.v26.27824
– ident: B3
– volume: 318
  start-page: E736
  year: 2020
  ident: B19
  article-title: COVID-19 pandemic, coronaviruses, and diabetes mellitus
  publication-title: Am J Physiol Endocrinol Metab
  doi: 10.1152/ajpendo.00124.2020
– volume: 2012
  start-page: 895370
  year: 2012
  ident: B42
  article-title: Potential effects of nichi glucan as a food supplement for diabetes mellitus and hyperlipidemia: preliminary findings from the study on three patients from India
  publication-title: Case Rep Med
  doi: 10.1155/2012/895370
– year: 2020
  ident: B27
  article-title: Case report of COVID-19 in a kidney transplant recipient: does immunosuppression alter the clinical presentation?
  publication-title: Am J Transplant
  doi: 10.1111/ajt.15874
– volume: 47
  start-page: 345
  year: 2009
  ident: B50
  article-title: Aureobasidium-derived soluble branched (1,3-1,6) beta-glucan (Sophy beta-glucan) enhances natural killer activity in Leishmania amazonensis-infected mice
  publication-title: Korean J Parasitol
  doi: 10.3347/kjp.2009.47.4.345
– year: 2020
  ident: B61
  article-title: Human ACE2 receptor polymorphisms predict SARS-CoV-2 susceptibility
  publication-title: bioRxiv.
  doi: 10.1101/2020.04.07.024752x
– volume: 24
  start-page: 4016
  year: 2020
  ident: B4
  article-title: SARS-CoV-2 causing pneumonia-associated respiratory disorder (COVID-19): diagnostic and proposed therapeutic options
  publication-title: Eur Rev Med Pharmacol Sci
  doi: 10.26355/eurrev_202004_20871
– start-page: 25819
  year: 2020
  ident: B10
  article-title: Neutrophil-to-lymphocyte ratio and lymphocyte-to- C-reactive protein ratio in patients with severe coronavirus disease 2019 (COVID-19): A meta-analysis
  publication-title: J Med Virol.
  doi: 10.1002/jmv.
– volume: 11
  start-page: 1
  year: 2014
  ident: B43
  article-title: Beneficial effects of black yeast derived 1-3, 1-6 Beta Glucan-Nichi Glucan in a dyslipidemic individual of Indian origin–a case report
  publication-title: J Diet Suppl
  doi: 10.3109/19390211.2013.859211
– volume: 19
  start-page: 311
  year: 2003
  ident: B45
  article-title: Fungal beta-glucans and mammalian immunity
  publication-title: Immunity
  doi: 10.1016/S1074-7613(03)00233-4
– volume: 107
  start-page: 835
  year: 2006
  ident: B46
  article-title: Beta-glucan enhances complement-mediated hematopoietic recovery after bone marrow injury
  publication-title: Blood
  doi: 10.1182/blood-2005-07-2705
– volume: 159
  start-page: 748
  year: 1999
  ident: B34
  article-title: Impact of trace elements and vitamin supplementation on immunity and infections in institutionalized elderly patients: a randomized controlled trial
  publication-title: Arch Intern Med
  doi: 10.1001/archinte.159.7.748
– volume: 51
  start-page: 337
  year: 2020
  ident: B21
  article-title: A case of novel coronavirus disease 19 in a chronic hemodialysis patient presenting with gastroenteritis and developing severe pulmonary disease
  publication-title: Am J Nephrol
  doi: 10.1159/000507417
– volume: 92
  start-page: 424
  year: 2020
  ident: B8
  article-title: Coronavirus infections and immune responses
  publication-title: J Med Virol
  doi: 10.1002/jmv.25685
– volume: 17
  start-page: S274
  year: 2006
  ident: B23
  article-title: Inflammatory syndrome in patients on hemodialysis
  publication-title: J Am Soc Nephrol
  doi: 10.1681/ASN.2006080926
– volume: 3
  start-page: 22
  year: 2015
  ident: B54
  article-title: Glucan supplementation enhances the immune response against an influenza challenge in mice
  publication-title: Ann Transl Med
  doi: 10.3978/j.issn.2305-5839.2015.01.08
– volume: 1
  start-page: 16
  year: 2020
  ident: B67
  article-title: SARS-CoV-2 and norovirus co-infection after lung transplantation
  publication-title: Transplantology.
  doi: 10.3390/transplantology1010002
– year: 2020
  ident: B28
  article-title: COVID-19 in kidney transplant recipients
  publication-title: Am J Transplant.
  doi: 10.1111/ajt.15967
– volume: 21
  start-page: e180
  year: 2020
  ident: B26
  article-title: Risk of COVID-19 for patients with cancer
  publication-title: Lancet. Oncol.
  doi: 10.1016/S1470-2045(20)30150-9
– volume: 51
  start-page: 861
  year: 2007
  ident: B44
  article-title: Immunological actions of Sophy beta-glucan (beta-1,3-1,6 glucan), currently available commercially as a health food supplement
  publication-title: Microbiol Immunol
  doi: 10.1111/j.1348-0421.2007.tb03982.x
– volume: 11
  start-page: 907
  year: 2019
  ident: B32
  article-title: Baseline serum vitamin A and D levels determine benefit of oral vitamin A&D supplements to humoral immune responses following pediatric influenza vaccination
  publication-title: Viruses.
  doi: 10.3390/v11100907
– year: 2020
  ident: B66
  article-title: Macrothrombosis and stroke in patients with mild Covid-19 infection
  publication-title: J Thromb Haemost.
  doi: 10.1111/jth.14938
– volume: 33
  start-page: 131
  year: 2015
  ident: B57
  article-title: Host-microbiota interactions in the intestine
  publication-title: Dig Dis
  doi: 10.1159/000369534
– volume: 8
  start-page: e54
  year: 2020
  ident: B64
  article-title: Cross-protection induced by encephalitis vaccines against COVID-19 might be a reason for relatively lower mortality rate in some Countries
  publication-title: Arch Acad Emerg Med.
  doi: 10.22037/aaem.v8i1.683.g806
– volume: 19
  start-page: 87
  year: 2018
  ident: B49
  article-title: Serum levels of β-1,3-1,6 glucan-specific antibodies and immune biomarkers in normal individuals
  publication-title: J Kyushu Univ Health Welfare.
– volume: 53
  start-page: 38
  year: 2020
  ident: B11
  article-title: Cytokine storm intervention in the early stages of COVID-19 pneumonia
  publication-title: Cytokine Growth Factor Rev.
  doi: 10.1016/j.cytogfr.2020.04.002
– ident: B48
– volume: 21
  start-page: 405
  year: 2011
  ident: B52
  article-title: The adjuvant effect of Sophy β-glucan to the antibody response in poultry immunized by the avian influenza A H5N1 and H5N2 vaccines
  publication-title: J Microbiol Biotechnol
  doi: 10.4014/jmb.1011.11024
– volume: 7
  start-page: 129
  year: 2016
  ident: B58
  article-title: High molecular weight barley β-glucan alters gut microbiota toward reduced cardiovascular disease risk
  publication-title: Front Microbiol
  doi: 10.3389/fmicb.2016.00129
– volume: 8
  start-page: 959
  year: 2016
  ident: B68
  article-title: Immunotherapeutic implications of IL-6 blockade for cytokine storm
  publication-title: Immunotherapy.
  doi: 10.2217/imt-2016-0020
– volume: 21
  start-page: 335
  year: 2020
  ident: B25
  article-title: Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China
  publication-title: Lancet Oncol
  doi: 10.1016/S1470-2045(20)30096-6
– volume: 50
  start-page: 941
  year: 2019
  ident: B17
  article-title: Cytokine circuits in cardiovascular disease
  publication-title: Immunity
  doi: 10.1016/j.immuni.2019.03.007
– volume: 1
  start-page: 2
  year: 2014
  ident: B38
  article-title: Comparison of immunological effects of commercially available β-glucans
  publication-title: Appl Sci Rep.
  doi: 10.7243/2054-9903-1-2
– volume: 309
  start-page: 70
  year: 2020
  ident: B15
  article-title: The cardiovascular burden of coronavirus disease 2019 (COVID-19) with a focus on congenital heart disease
  publication-title: Int J Cardiol
  doi: 10.1016/j.ijcard.2020.03.063
– volume: 24
  start-page: 820
  year: 2001
  ident: B47
  article-title: Antitumor beta glucan from the cultured fruit body of Agaricus blazei
  publication-title: Biol Pharm Bull
  doi: 10.1248/bpb.24.820
– start-page: 2020040351
  year: 2020
  ident: B63
  article-title: BCG vaccination strategy for preventaion against COVID-19: Hype or Hope?
  publication-title: Preprints.
  doi: 10.20944/preprints202004.0351.v1
– volume: 76
  start-page: S104
  year: 2000
  ident: B22
  article-title: Clinical relevance of cytokine production in hemodialysis
  publication-title: Kidney Int Suppl
  doi: 10.1046/j.1523-1755.2000.07613.x
– volume: 14
  start-page: 283
  year: 2020
  ident: B6
  article-title: Comorbidities in COVID-19: Outcomes in hypertensive cohort and controversies with renin angiotensin system blockers
  publication-title: Diabetes Metab Syndr
  doi: 10.1016/j.dsx.2020.03.016
– volume: 14
  start-page: 1022
  year: 2020
  ident: B29
  article-title: Associations between immune-suppressive and stimulating drugs and novel COVID-19-a systematic review of current evidence
  publication-title: Ecancermedicalscience.
  doi: 10.3332/ecancer.2020.1022
– year: 2020
  ident: B30
  article-title: SARS Cov2 infection in a renal transplanted patients. A case report
  publication-title: Am J Transplant.
  doi: 10.1111/ajt.15902
– year: 2013
  ident: B53
  article-title: Results of oral consumption of AFO-202 Beta Glucan in elderly volunteers and cancer patients through NK cell activity. Abstract presented at 28th Annual Meeting of Japanese Society for Parenteral and Enteral Nutrition
– volume: 20
  start-page: 277
  year: 2020
  ident: B12
  article-title: In the eye of the COVID-19 cytokine storm
  publication-title: Nat Rev Immunol.
  doi: 10.1038/s41577-020-0305-6
– ident: B5
– volume: 8
  start-page: e21
  year: 2020
  ident: B18
  article-title: Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection?
  publication-title: Lancet Respir Med
  doi: 10.1016/S2213-2600(20)30116-8
– volume: 38
  start-page: 40
  year: 2019
  ident: B56
  article-title: Effects of yeast (1,3)-(1,6)-beta-glucan on severity of upper respiratory tract infections: a double-blind, randomized, placebo-controlled study in healthy subjects
  publication-title: J Am Coll Nutr
  doi: 10.1080/07315724.2018.1478339
– volume: 130
  start-page: 2202
  year: 2020
  ident: B7
  article-title: SARS-CoV-2: a storm is raging
  publication-title: J Clin Invest
  doi: 10.1172/JCI137647
– volume: 13
  start-page: 38
  year: 2014
  ident: B37
  article-title: Immune-modulatory effects of dietary Yeast Beta-1,3/1,6-D-glucan
  publication-title: Nutr. J.
  doi: 10.1186/1475-2891-13-38
– volume: 19
  start-page: 102567
  year: 2020
  ident: B13
  article-title: Should we stimulate or suppress immune responses in COVID-19? Cytokine and anti-cytokine interventions
  publication-title: Autoimmun Rev.
  doi: 10.1016/j.autrev.2020.102567
– volume: 7
  start-page: e41399
  year: 2012
  ident: B55
  article-title: β-Glucan derived from Aureobasidium pullulans is effective for the prevention of influenza in mice
  publication-title: PLoS ONE
  doi: 10.1371/journal.pone.0041399
– volume: 38
  start-page: 1327
  year: 2018
  ident: B40
  article-title: Glucans and cancer: comparison of commercially available β-glucans - Part IV
  publication-title: Anticancer Res
  doi: 10.21873/anticanres.12355
– year: 2020
  ident: B69
  article-title: Therapeutic approaches for COVID-19 based on the dynamics of interferon-mediated immune responses
  publication-title: Preprints.
  doi: 10.20944/preprints202003.0206.v1
– volume: 43
  start-page: 597
  year: 2007
  ident: B36
  article-title: Effects of beta-glucans on the immune system
  publication-title: Medicina.
  doi: 10.3390/medicina43080076
– volume: 20
  start-page: 269
  year: 2020
  ident: B9
  article-title: COVID-19: immunopathology and its implications for therapy
  publication-title: Nat Rev Immunol
  doi: 10.1038/s41577-020-0308-3
– volume: 288
  start-page: 715
  year: 2002
  ident: B35
  article-title: Effect of daily vitamin E and multivitamin-mineral supplementation on acute respiratory tract infections in elderly Persons-A randomized controlled trial
  publication-title: JAMA
  doi: 10.1001/jama.288.6.715
– volume: 12
  start-page: E1466
  year: 2020
  ident: B62
  article-title: COVID-19: the inflammation link and the role of nutrition in potential mitigation
  publication-title: Nutrients.
  doi: 10.3390/nu12051466
– volume: 395
  start-page: 470
  year: 2020
  ident: B1
  article-title: A novel coronavirus outbreak of global health concern
  publication-title: Lancet.
  doi: 10.1016/S0140-67362030185-9
– volume: 111
  start-page: 2033
  year: 2011
  ident: B41
  article-title: Pleuran (β-glucan from Pleurotus ostreatus) supplementation, cellular immune response and respiratory tract infections in athletes
  publication-title: Eur J Appl Physiol.
  doi: 10.1007/s00421-011-1837-z
– volume: 14
  start-page: 367
  year: 2020
  ident: B33
  article-title: Enhancing immunity in viral infections, with special emphasis on COVID-19: a review
  publication-title: Diabetes Metab Syndr
  doi: 10.1016/j.dsx.2020.04.015
– volume: 395
  start-page: 565
  year: 2020
  ident: B2
  article-title: Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding
  publication-title: Lancet.
  doi: 10.1016/S0140-67362030251-8
– volume: 38
  start-page: 1
  year: 2020
  ident: B31
  article-title: Immune responses in COVID-19 and potential vaccines: lessons learned from SARS and MERS epidemic
  publication-title: Asian Pac J Allergy Immunol.
  doi: 10.12932/AP-200220-0772
– volume: 5
  start-page: e000807
  year: 2018
  ident: B16
  article-title: Plasma cytokines and risk of coronary heart disease in the PROCARDIS study
  publication-title: Open Heart
  doi: 10.1136/openhrt-2018-000807
– volume: 2
  start-page: 78
  year: 2016
  ident: B39
  article-title: Comparison of immunological effects of commercially available beta-glucans: part III
  publication-title: Int Clin Pathol J
  doi: 10.15406/icpjl.2016.02.00046
– volume: 90
  start-page: 737
  year: 2011
  ident: B51
  article-title: Effects of Sophy β-glucan on growth performance, carcass traits, meat composition, and immunological responses of Peking ducks
  publication-title: Poult Sci
  doi: 10.3382/ps.2010-01008
– start-page: JVI.00510
  year: 2020
  ident: B60
  article-title: Human leukocyte antigen susceptibility map for SARS-CoV-2
  publication-title: J Virol.
  doi: 10.1128/JVI.00510-20
– volume-title: StatPearls [Internet]
  year: 2020
  ident: B65
  article-title: Features, Evaluation and Treatment Coronavirus (COVID-19) [Updated 2020 May 18]
SSID ssj0000493335
Score 2.4209044
SecondaryResourceType review_article
Snippet The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality across ages....
Background: The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality...
Background: The COVID-19 pandemic has been causing varying severities of illness. Some are asymptomatic and some develop severe disease leading to mortality...
SourceID doaj
pubmedcentral
proquest
pubmed
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
StartPage 1548
SubjectTerms Actinobacteria - chemistry
beta-Glucans - pharmacology
beta-Glucans - therapeutic use
Betacoronavirus
Biomarkers - blood
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - immunology
chronic kidney disease
co-morbidity
Comorbidity
Coronavirus Infections - diet therapy
Coronavirus Infections - epidemiology
Coronavirus Infections - immunology
Coronavirus Infections - mortality
COVID-19
Cytokines - blood
diabetes
Diabetes Mellitus - epidemiology
Diabetes Mellitus - immunology
Dietary Supplements
Humans
hypertension
immuno-compromised
Immunocompromised Host
Immunology
Neoplasms - epidemiology
Neoplasms - immunology
Pandemics
Pneumonia, Viral - diet therapy
Pneumonia, Viral - epidemiology
Pneumonia, Viral - immunology
Pneumonia, Viral - mortality
Renal Insufficiency, Chronic - epidemiology
Renal Insufficiency, Chronic - immunology
SARS-CoV-2
SummonAdditionalLinks – databaseName: DOAJ Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQJSQuiDfhpUHiwiGsE9txcix9qEVqQahFvVl-hS5qs4jdPfRn8Q-ZsbOrXYTgwjVPKzMef18y-T7G3liuLSHt0jmkKLKydWllVZWtxOlhNTLopLZ_ctocncsPF-piw-qLesKyPHB-cBPnfSWC9rX3tbR9a-sofNMrAgo-WEfVF9e8DTL1LeNeIYTK3yWRhXWTfnp9vUQ-WPN3CaZvrUNJrv9PGPP3VsmNtefwHrs7gkbYzYO9z27F4QG7nW0kbx6yn59nVxFmPRzTzx4R9m_wfl9HXy6YDoBFgHrPY4CThLYRecMuuQyBhWRA3089UAmJC7rM3scvx_tl1cGnLLo6BzuE8eLlwXBJiUIvFWElbRvngNgXsLY4m_qo4Szb_8DpSuwfh58MRNOJ80fs_PDgbO-oHK0YSi-belHW1DNVcd9GzYPiMjRWhdpqqrNN661WpKtneSei6nsXEUZgYVAych24jo14zHaG2RCfMuh86x2PiAwd0vLAW3prXNvQ8eglksGCTVaBMX7UKSe7jCuDfIVCaVIoDYXSpFAW7O36jO9Zo-Mvx76nWK-PI3XttAFzzow5Z_6VcwV7vcoUg7ORPrHYIc6Wc4OAhySdOq4K9iRnzvpWApGiQH5YML2VU1tj2d4zTC-T4rcWCCRl9-x_DP45u0OPI7Ucdy_YzuLHMr5EYLVwr9Ic-gWReCZY
  priority: 102
  providerName: Directory of Open Access Journals
Title Role of Immune Dysregulation in Increased Mortality Among a Specific Subset of COVID-19 Patients and Immune-Enhancement Strategies for Combatting Through Nutritional Supplements
URI https://www.ncbi.nlm.nih.gov/pubmed/32733487
https://www.proquest.com/docview/2429780905
https://pubmed.ncbi.nlm.nih.gov/PMC7363949
https://doaj.org/article/bcc13d7c2cc24af8a2e3c6f55112cdab
Volume 11
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1bb9MwFLZgCLQXxJ1wmQ4SLzxkc2InTh4QGruwIXUgtKK-RY7tbEVdAk0r0Z_FP-QcJy0rKrz0oY2dNOfi7zgn38fYa82VJqQdliWWKDLScahlFIWZxPDQCitoz7Y_OEtPhvLjKBn9eT26v4HtxtKO9KSG08nuzx-Ldxjwb6nixPV2rxpfXc2x1Iv5rkfgN9ktXJcUhemgB_vfOiwshEi6Z5UbB26zOwKXcyGpwe7aMuXZ_DdB0L87Ka8tTcf32N0eU8J-5wT32Q1XP2C3O5XJxUP260szcdBUcErvgjg4XOD5LnrZLhjXgDmCWtOdhYG_DwjMYZ9EiECD16evxgYow7gZTXPw6evpYRjl8LnjZG1B17afPDyqL8mPaM8Rlsy3rgWExoCpp9S-zRrOO3UgOFtqAeDle31RP7B9xIbHR-cHJ2Gv1BAamcazMKaWqoibzCluEy5tqhMba0VpOM2MVgnR7mmeC5dUVekQZWDeSKTjynLlUvGYbdVN7Z4yyE1mSu4QOJZYtVue0aZyrG3OnZFYKwZsb2mYwvQ05qSmMSmwnCGrFt6qBVm18FYN2JvViO8dhcd_jn1Ptl4dR-Tb_otmelH0sVyUxkTCKhMbE0tdZTp2wqRVQtjVWF0G7NXSUwoMVnoCo2vXzNsC8RAxPuU8CdiTznNWp1p6XsDUmk-tXcv6L_X40hOCK4E4U-bP_jnnc7ZN_9G3Gecv2NZsOncvEUzNyh2_CYGfH0bRjo-X3z6kIX0
linkProvider Scholars Portal
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Role+of+Immune+Dysregulation+in+Increased+Mortality+Among+a+Specific+Subset+of+COVID-19+Patients+and+Immune-Enhancement+Strategies+for+Combatting+Through+Nutritional+Supplements&rft.jtitle=Frontiers+in+immunology&rft.au=Rao%2C+Kosagi-Sharaf&rft.au=Suryaprakash%2C+Vaddi&rft.au=Senthilkumar%2C+Rajappa&rft.au=Preethy%2C+Senthilkumar&rft.date=2020-07-09&rft.eissn=1664-3224&rft.volume=11&rft.spage=1548&rft_id=info:doi/10.3389%2Ffimmu.2020.01548&rft_id=info%3Apmid%2F32733487&rft.externalDocID=32733487
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1664-3224&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1664-3224&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1664-3224&client=summon