Autoantibodies against type I IFNs in patients with life-threatening COVID-19

The immune system is complex and involves many genes, including those that encode cytokines known as interferons (IFNs). Individuals that lack specific IFNs can be more susceptible to infectious diseases. Furthermore, the autoantibody system dampens IFN response to prevent damage from pathogen-induc...

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Published inScience (American Association for the Advancement of Science) Vol. 370; no. 6515; p. 423
Main Authors Bastard, Paul, Rosen, Lindsey B., Zhang, Qian, Michailidis, Eleftherios, Hoffmann, Hans-Heinrich, Zhang, Yu, Dorgham, Karim, Philippot, Quentin, Rosain, Jérémie, Béziat, Vivien, Manry, Jérémy, Shaw, Elana, Haljasmägi, Liis, Peterson, Pärt, Lorenzo, Lazaro, Bizien, Lucy, Trouillet-Assant, Sophie, Dobbs, Kerry, de Jesus, Adriana Almeida, Belot, Alexandre, Kallaste, Anne, Catherinot, Emilie, Tandjaoui-Lambiotte, Yacine, Le Pen, Jeremie, Kerner, Gaspard, Bigio, Benedetta, Seeleuthner, Yoann, Yang, Rui, Bolze, Alexandre, Spaan, András N., Delmonte, Ottavia M., Abers, Michael S., Aiuti, Alessandro, Casari, Giorgio, Lampasona, Vito, Piemonti, Lorenzo, Ciceri, Fabio, Bilguvar, Kaya, Lifton, Richard P., Vasse, Marc, Smadja, David M., Migaud, Mélanie, Hadjadj, Jérome, Terrier, Benjamin, Duffy, Darragh, Quintana-Murci, Lluis, van de Beek, Diederik, Roussel, Lucie, Vinh, Donald C., Tangye, Stuart G., Haerynck, Filomeen, Dalmau, David, Martinez-Picado, Javier, Brodin, Petter, Nussenzweig, Michel C., Boisson-Dupuis, Stéphanie, Rodríguez-Gallego, Carlos, Vogt, Guillaume, Mogensen, Trine H., Oler, Andrew J., Gu, Jingwen, Burbelo, Peter D., Cohen, Jeffrey I., Biondi, Andrea, Bettini, Laura Rachele, D'Angio, Mariella, Bonfanti, Paolo, Rossignol, Patrick, Mayaux, Julien, Rieux-Laucat, Frédéric, Husebye, Eystein S., Fusco, Francesca, Ursini, Matilde Valeria, Imberti, Luisa, Sottini, Alessandra, Paghera, Simone, Quiros-Roldan, Eugenia, Rossi, Camillo, Castagnoli, Riccardo, Montagna, Daniela, Licari, Amelia, Marseglia, Gian Luigi, Duval, Xavier, Ghosn, Jade, Tsang, John S., Goldbach-Mansky, Raphaela, Kisand, Kai, Lionakis, Michail S., Puel, Anne, Zhang, Shen-Ying, Holland, Steven M., Gorochov, Guy, Jouanguy, Emmanuelle, Rice, Charles M., Cobat, Aurélie, Notarangelo, Luigi D., Abel, Laurent, Su, Helen C., Casanova, Jean-Laurent, Arias, Andrés Augusto
Format Journal Article
LanguageEnglish
Published United States The American Association for the Advancement of Science 23.10.2020
American Association for the Advancement of Science (AAAS)
American Association for the Advancement of Science
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Abstract The immune system is complex and involves many genes, including those that encode cytokines known as interferons (IFNs). Individuals that lack specific IFNs can be more susceptible to infectious diseases. Furthermore, the autoantibody system dampens IFN response to prevent damage from pathogen-induced inflammation. Two studies now examine the likelihood that genetics affects the risk of severe coronavirus disease 2019 (COVID-19) through components of this system (see the Perspective by Beck and Aksentijevich). Q. Zhang et al. used a candidate gene approach and identified patients with severe COVID-19 who have mutations in genes involved in the regulation of type I and III IFN immunity. They found enrichment of these genes in patients and conclude that genetics may determine the clinical course of the infection. Bastard et al. identified individuals with high titers of neutralizing autoantibodies against type I IFN-α2 and IFN-ω in about 10% of patients with severe COVID-19 pneumonia. These autoantibodies were not found either in infected people who were asymptomatic or had milder phenotype or in healthy individuals. Together, these studies identify a means by which individuals at highest risk of life-threatening COVID-19 can be identified. Science , this issue p. eabd4570 , p. eabd4585 ; see also p. 404 In a large immunological and genomics study of COVID-19 patients, autoantibodies to type 1 interferons correlated with outcomes. Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least 101 of 987 patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia had neutralizing immunoglobulin G (IgG) autoantibodies (auto-Abs) against interferon-ω (IFN-ω) (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three type I IFNs. The auto-Abs neutralize the ability of the corresponding type I IFNs to block SARS-CoV-2 infection in vitro. These auto-Abs were not found in 663 individuals with asymptomatic or mild SARS-CoV-2 infection and were present in only 4 of 1227 healthy individuals. Patients with auto-Abs were aged 25 to 87 years and 95 of the 101 were men. A B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men.
AbstractList The immune system is complex and involves many genes, including those that encode cytokines known as interferons (IFNs). Individuals that lack specific IFNs can be more susceptible to infectious diseases. Furthermore, the autoantibody system dampens IFN response to prevent damage from pathogen-induced inflammation. Two studies now examine the likelihood that genetics affects the risk of severe coronavirus disease 2019 (COVID-19) through components of this system (see the Perspective by Beck and Aksentijevich). Q. Zhang et al. used a candidate gene approach and identified patients with severe COVID-19 who have mutations in genes involved in the regulation of type I and III IFN immunity. They found enrichment of these genes in patients and conclude that genetics may determine the clinical course of the infection. Bastard et al. identified individuals with high titers of neutralizing autoantibodies against type I IFN-α2 and IFN-ω in about 10% of patients with severe COVID-19 pneumonia. These autoantibodies were not found either in infected people who were asymptomatic or had milder phenotype or in healthy individuals. Together, these studies identify a means by which individuals at highest risk of life-threatening COVID-19 can be identified. Science , this issue p. eabd4570 , p. eabd4585; see also p. 404 In a large immunological and genomics study of COVID-19 patients, autoantibodies to type 1 interferons correlated with outcomes. Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least 101 of 987 patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia had neutralizing immunoglobulin G (IgG) autoantibodies (auto-Abs) against interferon-ω (IFN-ω) (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three type I IFNs. The auto-Abs neutralize the ability of the corresponding type I IFNs to block SARS-CoV-2 infection in vitro. These auto-Abs were not found in 663 individuals with asymptomatic or mild SARS-CoV-2 infection and were present in only 4 of 1227 healthy individuals. Patients with auto-Abs were aged 25 to 87 years and 95 of the 101 were men. A B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men.
The immune system is complex and involves many genes, including those that encode cytokines known as interferons (IFNs). Individuals that lack specific IFNs can be more susceptible to infectious diseases. Furthermore, the autoantibody system dampens IFN response to prevent damage from pathogen-induced inflammation. Two studies now examine the likelihood that genetics affects the risk of severe coronavirus disease 2019 (COVID-19) through components of this system (see the Perspective by Beck and Aksentijevich). Q. Zhang et al. used a candidate gene approach and identified patients with severe COVID-19 who have mutations in genes involved in the regulation of type I and III IFN immunity. They found enrichment of these genes in patients and conclude that genetics may determine the clinical course of the infection. Bastard et al. identified individuals with high titers of neutralizing autoantibodies against type I IFN-α2 and IFN-ω in about 10% of patients with severe COVID-19 pneumonia. These autoantibodies were not found either in infected people who were asymptomatic or had milder phenotype or in healthy individuals. Together, these studies identify a means by which individuals at highest risk of life-threatening COVID-19 can be identified. Science , this issue p. eabd4570 , p. eabd4585 ; see also p. 404 In a large immunological and genomics study of COVID-19 patients, autoantibodies to type 1 interferons correlated with outcomes. Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least 101 of 987 patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia had neutralizing immunoglobulin G (IgG) autoantibodies (auto-Abs) against interferon-ω (IFN-ω) (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three type I IFNs. The auto-Abs neutralize the ability of the corresponding type I IFNs to block SARS-CoV-2 infection in vitro. These auto-Abs were not found in 663 individuals with asymptomatic or mild SARS-CoV-2 infection and were present in only 4 of 1227 healthy individuals. Patients with auto-Abs were aged 25 to 87 years and 95 of the 101 were men. A B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men.
Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least 101 of 987 patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia had neutralizing immunoglobulin G (IgG) autoantibodies (auto-Abs) against interferon-ω (IFN-ω) (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three type I IFNs. The auto-Abs neutralize the ability of the corresponding type I IFNs to block SARS-CoV-2 infection in vitro. These auto-Abs were not found in 663 individuals with asymptomatic or mild SARS-CoV-2 infection and were present in only 4 of 1227 healthy individuals. Patients with auto-Abs were aged 25 to 87 years and 95 of the 101 were men. A B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men.
Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least 101 of 987 patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia had neutralizing immunoglobulin G (IgG) autoantibodies (auto-Abs) against interferon-ω (IFN-ω) (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three type I IFNs. The auto-Abs neutralize the ability of the corresponding type I IFNs to block SARS-CoV-2 infection in vitro. These auto-Abs were not found in 663 individuals with asymptomatic or mild SARS-CoV-2 infection and were present in only 4 of 1227 healthy individuals. Patients with auto-Abs were aged 25 to 87 years and 95 of the 101 were men. A B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men.Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least 101 of 987 patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia had neutralizing immunoglobulin G (IgG) autoantibodies (auto-Abs) against interferon-ω (IFN-ω) (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three type I IFNs. The auto-Abs neutralize the ability of the corresponding type I IFNs to block SARS-CoV-2 infection in vitro. These auto-Abs were not found in 663 individuals with asymptomatic or mild SARS-CoV-2 infection and were present in only 4 of 1227 healthy individuals. Patients with auto-Abs were aged 25 to 87 years and 95 of the 101 were men. A B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men.
The genetics underlying severe COVID-19The immune system is complex and involves many genes, including those that encode cytokines known as interferons (IFNs). Individuals that lack specific IFNs can be more susceptible to infectious diseases. Furthermore, the autoantibody system dampens IFN response to prevent damage from pathogen-induced inflammation. Two studies now examine the likelihood that genetics affects the risk of severe coronavirus disease 2019 (COVID-19) through components of this system (see the Perspective by Beck and Aksentijevich). Q. Zhang et al. used a candidate gene approach and identified patients with severe COVID-19 who have mutations in genes involved in the regulation of type I and III IFN immunity. They found enrichment of these genes in patients and conclude that genetics may determine the clinical course of the infection. Bastard et al. identified individuals with high titers of neutralizing autoantibodies against type I IFN-α2 and IFN-ω in about 10% of patients with severe COVID-19 pneumonia. These autoantibodies were not found either in infected people who were asymptomatic or had milder phenotype or in healthy individuals. Together, these studies identify a means by which individuals at highest risk of life-threatening COVID-19 can be identified.Science, this issue p. eabd4570, p. eabd4585; see also p. 404INTRODUCTIONInterindividual clinical variability is vast in humans infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), ranging from silent infection to rapid death. Three risk factors for life-threatening coronavirus disease 2019 (COVID-19) pneumonia have been identified—being male, being elderly, or having other medical conditions—but these risk factors cannot explain why critical disease remains relatively rare in any given epidemiological group. Given the rising toll of the COVID-19 pandemic in terms of morbidity and mortality, understanding the causes and mechanisms of life-threatening COVID-19 is crucial.RATIONALEB cell autoimmune infectious phenocopies of three inborn errors of cytokine immunity exist, in which neutralizing autoantibodies (auto-Abs) against interferon-γ (IFN-γ) (mycobacterial disease), interleukin-6 (IL-6) (staphylococcal disease), and IL-17A and IL-17F (mucocutaneous candidiasis) mimic the clinical phenotypes of germline mutations of the genes that encode the corresponding cytokines or receptors. Human inborn errors of type I IFNs underlie severe viral respiratory diseases. Neutralizing auto-Abs against type I IFNs, which have been found in patients with a few underlying noninfectious conditions, have not been unequivocally shown to underlie severe viral infections. While searching for inborn errors of type I IFN immunity in patients with life-threatening COVID-19 pneumonia, we also tested the hypothesis that neutralizing auto-Abs against type I IFNs may underlie critical COVID-19. We searched for auto-Abs against type I IFNs in 987 patients hospitalized for life-threatening COVID-19 pneumonia, 663 asymptomatic or mildly affected individuals infected with SARS-CoV-2, and 1227 healthy controls from whom samples were collected before the COVID-19 pandemic.RESULTSAt least 101 of 987 patients (10.2%) with life-threatening COVID-19 pneumonia had neutralizing immunoglobulin G (IgG) auto-Abs against IFN-ω (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three individual type I IFNs. These auto-Abs neutralize high concentrations of the corresponding type I IFNs, including their ability to block SARS-CoV-2 infection in vitro. Moreover, all of the patients tested had low or undetectable serum IFN-α levels during acute disease. These auto-Abs were present before infection in the patients tested and were absent from 663 individuals with asymptomatic or mild SARS-CoV-2 infection (P < 10−16). They were present in only 4 of 1227 (0.33%) healthy individuals (P < 10−16) before the pandemic. The patients with auto-Abs were 25 to 87 years old (half were over 65) and of various ancestries. Notably, 95 of the 101 patients with auto-Abs were men (94%).CONCLUSIONA B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men. In these patients, adaptive autoimmunity impairs innate and intrinsic antiviral immunity. These findings provide a first explanation for the excess of men among patients with life-threatening COVID-19 and the increase in risk with age. They also provide a means of identifying individuals at risk of developing life-threatening COVID-19 and ensuring their enrolment in vaccine trials. Finally, they pave the way for prevention and treatment, including plasmapheresis, plasmablast depletion, and recombinant type I IFNs not targeted by the auto-Abs (e.g., IFN-β).Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least 101 of 987 patients with life-threatening coronavirus disease 2019 (COVID-19) pneumonia had neutralizing immunoglobulin G (IgG) autoantibodies (auto-Abs) against interferon-ω (IFN-ω) (13 patients), against the 13 types of IFN-α (36), or against both (52) at the onset of critical disease; a few also had auto-Abs against the other three type I IFNs. The auto-Abs neutralize the ability of the corresponding type I IFNs to block SARS-CoV-2 infection in vitro. These auto-Abs were not found in 663 individuals with asymptomatic or mild SARS-CoV-2 infection and were present in only 4 of 1227 healthy individuals. Patients with auto-Abs were aged 25 to 87 years and 95 of the 101 were men. A B cell autoimmune phenocopy of inborn errors of type I IFN immunity accounts for life-threatening COVID-19 pneumonia in at least 2.6% of women and 12.5% of men.
Author Dorgham, Karim
Martinez-Picado, Javier
Lampasona, Vito
Belot, Alexandre
Holland, Steven M.
Rice, Charles M.
Kerner, Gaspard
Lorenzo, Lazaro
Cohen, Jeffrey I.
Oler, Andrew J.
Philippot, Quentin
Gu, Jingwen
Bettini, Laura Rachele
Lionakis, Michail S.
Ursini, Matilde Valeria
Duval, Xavier
Zhang, Qian
Shaw, Elana
Quintana-Murci, Lluis
Vinh, Donald C.
Spaan, András N.
Aiuti, Alessandro
Boisson-Dupuis, Stéphanie
Abers, Michael S.
Terrier, Benjamin
Dalmau, David
Cobat, Aurélie
Zhang, Yu
Ciceri, Fabio
Delmonte, Ottavia M.
Peterson, Pärt
van de Beek, Diederik
Brodin, Petter
Sottini, Alessandra
Imberti, Luisa
Rosain, Jérémie
Bolze, Alexandre
Paghera, Simone
Kallaste, Anne
D'Angio, Mariella
Bigio, Benedetta
Montagna, Daniela
Vasse, Marc
Tsang, John S.
Rossi, Camillo
Goldbach-Mansky, Raphaela
Yang, Rui
Michailidis, Eleftherios
Bizien, Lucy
Le Pen, Jeremie
Haerynck, Filomeen
Hoffmann, Hans-Heinrich
Tangye, Stuart G.
Su, Helen C.
Husebye, Eystein S.
de Jesus, Adriana Almeida
Duffy, Darragh
Rosen, Lindsey B.
Piemonti, Lorenzo
Béziat, Vivien
Arias, Andrés Augu
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– sequence: 33
  givenname: Alessandro
  orcidid: 0000-0002-5398-1717
  surname: Aiuti
  fullname: Aiuti, Alessandro
  organization: IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy
– sequence: 34
  givenname: Giorgio
  surname: Casari
  fullname: Casari, Giorgio
  organization: IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy
– sequence: 35
  givenname: Vito
  orcidid: 0000-0001-5162-8445
  surname: Lampasona
  fullname: Lampasona, Vito
  organization: IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy
– sequence: 36
  givenname: Lorenzo
  orcidid: 0000-0002-2172-2198
  surname: Piemonti
  fullname: Piemonti, Lorenzo
  organization: IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy
– sequence: 37
  givenname: Fabio
  surname: Ciceri
  fullname: Ciceri, Fabio
  organization: IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy
– sequence: 38
  givenname: Kaya
  orcidid: 0000-0002-7313-7652
  surname: Bilguvar
  fullname: Bilguvar, Kaya
  organization: Department of Genetics, Yale University School of Medicine, New Haven, CT, USA
– sequence: 39
  givenname: Richard P.
  surname: Lifton
  fullname: Lifton, Richard P.
  organization: Department of Genetics, Yale University School of Medicine, New Haven, CT, USA., Yale Center for Genome Analysis, Yale University School of Medicine, New Haven, CT, USA., Laboratory of Human Genetics and Genomics, The Rockefeller University, New York, NY, USA
– sequence: 40
  givenname: Marc
  surname: Vasse
  fullname: Vasse, Marc
  organization: Service de Biologie Clinique and UMR-S 1176, Hôpital Foch, Suresnes, France
– sequence: 41
  givenname: David M.
  surname: Smadja
  fullname: Smadja, David M.
  organization: INSERM UMR-S 1140, Biosurgical Research Laboratory (Carpentier Foundation), Paris University and European Georges Pompidou Hospital, Paris, France
– sequence: 42
  givenname: Mélanie
  orcidid: 0000-0003-3062-1214
  surname: Migaud
  fullname: Migaud, Mélanie
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France
– sequence: 43
  givenname: Jérome
  orcidid: 0000-0002-2520-3272
  surname: Hadjadj
  fullname: Hadjadj, Jérome
  organization: Laboratory of Immunogenetics of Pediatric Autoimmune Diseases, INSERM UMR 1163, University of Paris, Imagine Institute, Paris, France
– sequence: 44
  givenname: Benjamin
  orcidid: 0000-0001-6612-7336
  surname: Terrier
  fullname: Terrier, Benjamin
  organization: Department of Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Assistance Publique Hôpitaux de Paris-Centre (APHP-CUP), University of Paris, Paris, France
– sequence: 45
  givenname: Darragh
  orcidid: 0000-0002-8875-2308
  surname: Duffy
  fullname: Duffy, Darragh
  organization: Translational Immunology Laboratory, Institut Pasteur, Paris, France
– sequence: 46
  givenname: Lluis
  orcidid: 0000-0003-2429-6320
  surname: Quintana-Murci
  fullname: Quintana-Murci, Lluis
  organization: Human Evolutionary Genetics Unit, Institut Pasteur, CNRS UMR 2000, 75015, Paris, France., Human Genomics and Evolution, Collège de France, Paris, France
– sequence: 47
  givenname: Diederik
  orcidid: 0000-0002-4571-044X
  surname: van de Beek
  fullname: van de Beek, Diederik
  organization: Amsterdam UMC, University of Amsterdam, Department of Neurology, Amsterdam Neuroscience, Amsterdam, Netherlands
– sequence: 48
  givenname: Lucie
  orcidid: 0000-0001-5355-702X
  surname: Roussel
  fullname: Roussel, Lucie
  organization: Department of Medicine, Division of Infectious Diseases, McGill University Health Centre, Montréal, Québec, Canada., Infectious Disease Susceptibility Program, Research Institute, McGill University Health Centre, Montréal, Québec, Canada
– sequence: 49
  givenname: Donald C.
  orcidid: 0000-0003-1347-7767
  surname: Vinh
  fullname: Vinh, Donald C.
  organization: Department of Medicine, Division of Infectious Diseases, McGill University Health Centre, Montréal, Québec, Canada., Infectious Disease Susceptibility Program, Research Institute, McGill University Health Centre, Montréal, Québec, Canada
– sequence: 50
  givenname: Stuart G.
  orcidid: 0000-0002-5360-5180
  surname: Tangye
  fullname: Tangye, Stuart G.
  organization: Garvan Institute of Medical Research, Darlinghurst 2010, NSW, Sydney, Australia., St Vincent’s Clinical School, Faculty of Medicine, University of New South Wales Sydney, Darlinghurst 2010, NSW, Australia
– sequence: 51
  givenname: Filomeen
  surname: Haerynck
  fullname: Haerynck, Filomeen
  organization: Department of Paediatric Immunology and Pulmonology, Centre for Primary Immunodeficiency Ghent (CPIG), PID Research Laboratory, Jeffrey Modell Diagnosis and Research Centre, Ghent University Hospital, Ghent, Belgium
– sequence: 52
  givenname: David
  orcidid: 0000-0003-1936-478X
  surname: Dalmau
  fullname: Dalmau, David
  organization: Infectious Diseases and HIV Service, Hospital Universitari Mutua Terrassa, Universitat de Barcelona, Fundació Docència i Recerca Mutua Terrassa, Terrassa, Barcelona, Catalonia, Spain
– sequence: 53
  givenname: Javier
  orcidid: 0000-0002-4916-2129
  surname: Martinez-Picado
  fullname: Martinez-Picado, Javier
  organization: IrsiCaixa AIDS Research Institute and Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain., Infectious Diseases and Immunity, Centre for Health and Social Care Research (CESS), Faculty of Medicine, University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain., Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
– sequence: 54
  givenname: Petter
  orcidid: 0000-0002-8103-0046
  surname: Brodin
  fullname: Brodin, Petter
  organization: Science for Life Laboratory, Department of Women's and Children's Health, Karolinska Institutet, Karolinska, Sweden., Department of Pediatric Rheumatology, Karolinska University Hospital, Karolinska, Sweden
– sequence: 55
  givenname: Michel C.
  orcidid: 0000-0003-0592-8564
  surname: Nussenzweig
  fullname: Nussenzweig, Michel C.
  organization: Laboratory of Molecular Immunology, The Rockefeller University, New York, NY, USA., Howard Hughes Medical Institute, New York, NY, USA
– sequence: 56
  givenname: Stéphanie
  orcidid: 0000-0002-7115-116X
  surname: Boisson-Dupuis
  fullname: Boisson-Dupuis, Stéphanie
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France., St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA
– sequence: 57
  givenname: Carlos
  orcidid: 0000-0002-4344-8644
  surname: Rodríguez-Gallego
  fullname: Rodríguez-Gallego, Carlos
  organization: Department of Immunology, Hospital Universitario de Gran Canaria Dr. Negrín, Canarian Health System, Las Palmas de Gran Canaria, Spain., Department of Clinical Sciences, University Fernando Pessoa Canarias, Las Palmas de Gran Canaria, Spain
– sequence: 58
  givenname: Guillaume
  surname: Vogt
  fullname: Vogt, Guillaume
  organization: Neglected Human Genetics Laboratory, INSERM, University of Paris, Paris, France
– sequence: 59
  givenname: Trine H.
  orcidid: 0000-0002-1853-9704
  surname: Mogensen
  fullname: Mogensen, Trine H.
  organization: Department of Infectious Diseases, Aarhus University Hospital, Skejby, Denmark., Department of Biomedicine, Aarhus University, Aarhus, Denmark
– sequence: 60
  givenname: Andrew J.
  orcidid: 0000-0002-6310-0434
  surname: Oler
  fullname: Oler, Andrew J.
  organization: Bioinformatics and Computational Biosciences Branch, Office of Cyber Infrastructure and Computational Biology, NIAID, NIH, Bethesda, MD, USA
– sequence: 61
  givenname: Jingwen
  surname: Gu
  fullname: Gu, Jingwen
  organization: Bioinformatics and Computational Biosciences Branch, Office of Cyber Infrastructure and Computational Biology, NIAID, NIH, Bethesda, MD, USA
– sequence: 62
  givenname: Peter D.
  orcidid: 0000-0003-1717-048X
  surname: Burbelo
  fullname: Burbelo, Peter D.
  organization: Division of Intramural Research, National Institute of Dental Craniofacial Research (NIDCR), NIH, Bethesda, MD, USA
– sequence: 63
  givenname: Jeffrey I.
  orcidid: 0000-0003-0238-7176
  surname: Cohen
  fullname: Cohen, Jeffrey I.
  organization: Laboratory of Infectious Diseases, Division of Intramural Research, NIAID, NIH, Bethesda, MD, USA
– sequence: 64
  givenname: Andrea
  surname: Biondi
  fullname: Biondi, Andrea
  organization: Pediatric Department and Centro Tettamanti-European Reference Network PaedCan, EuroBloodNet, MetabERN-University of Milano-Bicocca-Fondazione MBBM-Ospedale, San Gerardo, Monza, Italy
– sequence: 65
  givenname: Laura Rachele
  orcidid: 0000-0002-0280-1704
  surname: Bettini
  fullname: Bettini, Laura Rachele
  organization: Pediatric Department and Centro Tettamanti-European Reference Network PaedCan, EuroBloodNet, MetabERN-University of Milano-Bicocca-Fondazione MBBM-Ospedale, San Gerardo, Monza, Italy
– sequence: 66
  givenname: Mariella
  surname: D'Angio
  fullname: D'Angio, Mariella
  organization: Pediatric Department and Centro Tettamanti-European Reference Network PaedCan, EuroBloodNet, MetabERN-University of Milano-Bicocca-Fondazione MBBM-Ospedale, San Gerardo, Monza, Italy
– sequence: 67
  givenname: Paolo
  orcidid: 0000-0001-7289-8823
  surname: Bonfanti
  fullname: Bonfanti, Paolo
  organization: Department of Infectious Diseases, San Gerardo Hospital - University of Milano-Bicocca, Monza, Italy
– sequence: 68
  givenname: Patrick
  surname: Rossignol
  fullname: Rossignol, Patrick
  organization: University of Lorraine, Plurithematic Clinical Investigation Centre INSERM CIC-P 1433, INSERM U1116, CHRU Nancy Hopitaux de Brabois, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France
– sequence: 69
  givenname: Julien
  surname: Mayaux
  fullname: Mayaux, Julien
  organization: Intensive Care Unit, Pitié-Salpétrière Hospital, Paris University, AP-HP, Paris, France
– sequence: 70
  givenname: Frédéric
  orcidid: 0000-0001-7858-7866
  surname: Rieux-Laucat
  fullname: Rieux-Laucat, Frédéric
  organization: Laboratory of Immunogenetics of Pediatric Autoimmune Diseases, INSERM UMR 1163, University of Paris, Imagine Institute, Paris, France
– sequence: 71
  givenname: Eystein S.
  orcidid: 0000-0002-7886-2976
  surname: Husebye
  fullname: Husebye, Eystein S.
  organization: Department of Clinical Science and K.G. Jebsen Center for Autoimmune Disorders, University of Bergen, Bergen, Norway., Department of Medicine, Haukeland University Hospital, Bergen, Norway., Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden
– sequence: 72
  givenname: Francesca
  surname: Fusco
  fullname: Fusco, Francesca
  organization: Human Molecular Genetics Laboratory, Institute of Genetics and Biophysics, “A. Buzzati-Traverso” Consiglio Nazionale delle Ricerche, Naples, Italy
– sequence: 73
  givenname: Matilde Valeria
  surname: Ursini
  fullname: Ursini, Matilde Valeria
  organization: Human Molecular Genetics Laboratory, Institute of Genetics and Biophysics, “A. Buzzati-Traverso” Consiglio Nazionale delle Ricerche, Naples, Italy
– sequence: 74
  givenname: Luisa
  surname: Imberti
  fullname: Imberti, Luisa
  organization: Centro di Ricerca Emato-oncologica AIL (CREA) Laboratory, Diagnostic Department, ASST Spedali Civili di Brescia, Brescia, Italy
– sequence: 75
  givenname: Alessandra
  surname: Sottini
  fullname: Sottini, Alessandra
  organization: Centro di Ricerca Emato-oncologica AIL (CREA) Laboratory, Diagnostic Department, ASST Spedali Civili di Brescia, Brescia, Italy
– sequence: 76
  givenname: Simone
  surname: Paghera
  fullname: Paghera, Simone
  organization: Centro di Ricerca Emato-oncologica AIL (CREA) Laboratory, Diagnostic Department, ASST Spedali Civili di Brescia, Brescia, Italy
– sequence: 77
  givenname: Eugenia
  surname: Quiros-Roldan
  fullname: Quiros-Roldan, Eugenia
  organization: Department of Infectious and Tropical Diseases, University of Brescia and ASST Spedali di Brescia, Brescia, Italy
– sequence: 78
  givenname: Camillo
  surname: Rossi
  fullname: Rossi, Camillo
  organization: Direzione Sanitaria, ASST Spedali Civili di Brescia, Brescia, Italy
– sequence: 79
  givenname: Riccardo
  orcidid: 0000-0003-0029-9383
  surname: Castagnoli
  fullname: Castagnoli, Riccardo
  organization: Department of Pediatrics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
– sequence: 80
  givenname: Daniela
  surname: Montagna
  fullname: Montagna, Daniela
  organization: Laboratory of Immunology and Transplantation, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy., Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
– sequence: 81
  givenname: Amelia
  orcidid: 0000-0002-1773-6482
  surname: Licari
  fullname: Licari, Amelia
  organization: Department of Pediatrics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
– sequence: 82
  givenname: Gian Luigi
  surname: Marseglia
  fullname: Marseglia, Gian Luigi
  organization: Department of Pediatrics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
– sequence: 83
  givenname: Xavier
  surname: Duval
  fullname: Duval, Xavier
  organization: INSERM CIC 1425, Paris, France., AP-HP, University Hospital of Bichat, Paris, France., University Paris Diderot, Paris 7, UFR de Médecine-Bichat, Paris, France., Infection, Antimicrobials, Modelling, Evolution (IAME), INSERM, UMRS1137, University of Paris, Paris, France., AP-HP, Bichat Claude Bernard Hospital, Infectious and Tropical Diseases Department, Paris, France
– sequence: 84
  givenname: Jade
  surname: Ghosn
  fullname: Ghosn, Jade
  organization: Infection, Antimicrobials, Modelling, Evolution (IAME), INSERM, UMRS1137, University of Paris, Paris, France., AP-HP, Bichat Claude Bernard Hospital, Infectious and Tropical Diseases Department, Paris, France
– sequence: 85
  givenname: John S.
  orcidid: 0000-0003-3186-3047
  surname: Tsang
  fullname: Tsang, John S.
  organization: Center for Human Immunology, NIH, Bethesda, MD, USA., Multiscale Systems Biology Section, Laboratory of Immune System Biology, NIAID, NIH, Bethesda, MD, USA
– sequence: 86
  givenname: Raphaela
  orcidid: 0000-0001-7865-5769
  surname: Goldbach-Mansky
  fullname: Goldbach-Mansky, Raphaela
  organization: Laboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA
– sequence: 87
  givenname: Kai
  orcidid: 0000-0002-5426-4648
  surname: Kisand
  fullname: Kisand, Kai
  organization: Institute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia
– sequence: 88
  givenname: Michail S.
  surname: Lionakis
  fullname: Lionakis, Michail S.
  organization: Laboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA
– sequence: 89
  givenname: Anne
  orcidid: 0000-0003-2603-0323
  surname: Puel
  fullname: Puel, Anne
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France., St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA
– sequence: 90
  givenname: Shen-Ying
  surname: Zhang
  fullname: Zhang, Shen-Ying
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France., St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA
– sequence: 91
  givenname: Steven M.
  orcidid: 0000-0003-3207-5464
  surname: Holland
  fullname: Holland, Steven M.
  organization: Laboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA
– sequence: 92
  givenname: Guy
  surname: Gorochov
  fullname: Gorochov, Guy
  organization: Sorbonne Université, INSERM, Centre d’Immunologie et des Maladies Infectieuses, (CIMI-Paris), Paris, France., Département d’Immunologie, AP-HP, Hôpital Pitié-Salpétrière, Paris, France
– sequence: 93
  givenname: Emmanuelle
  orcidid: 0000-0002-7358-9157
  surname: Jouanguy
  fullname: Jouanguy, Emmanuelle
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France., St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA
– sequence: 94
  givenname: Charles M.
  surname: Rice
  fullname: Rice, Charles M.
  organization: Laboratory of Virology and Infectious Disease, The Rockefeller University, New York, NY, USA
– sequence: 95
  givenname: Aurélie
  orcidid: 0000-0001-7209-6257
  surname: Cobat
  fullname: Cobat, Aurélie
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France., St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA
– sequence: 96
  givenname: Luigi D.
  orcidid: 0000-0002-8335-0262
  surname: Notarangelo
  fullname: Notarangelo, Luigi D.
  organization: Laboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA
– sequence: 97
  givenname: Laurent
  orcidid: 0000-0001-7016-6493
  surname: Abel
  fullname: Abel, Laurent
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France., St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA
– sequence: 98
  givenname: Helen C.
  orcidid: 0000-0002-5582-9110
  surname: Su
  fullname: Su, Helen C.
  organization: Laboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA
– sequence: 99
  givenname: Jean-Laurent
  orcidid: 0000-0002-7782-4169
  surname: Casanova
  fullname: Casanova, Jean-Laurent
  organization: Laboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM U1163, Necker Hospital for Sick Children, Paris, France., University of Paris, Imagine Institute, Paris, France., St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA., Howard Hughes Medical Institute, New York, NY, USA., Pediatric Hematology and Immunology Unit, Necker Hospital for Sick Children, AP-HP, Paris, France
– sequence: 100
  givenname: Andrés Augusto
  surname: Arias
  fullname: Arias, Andrés Augusto
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32972996$$D View this record in MEDLINE/PubMed
https://pasteur.hal.science/pasteur-02958871$$DView record in HAL
http://kipublications.ki.se/Default.aspx?queryparsed=id:144930113$$DView record from Swedish Publication Index
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Contributor Corsico, Angelo G
Ogishi, Masato
Castelle, Martin
Dehban, Amin
Delplancq, Geoffroy
Carrabba, Maria
Blanchard-Rohner, Geraldine
Colkesen, Fatih
Koroleva, Galina
Stack, Michael
Liu, Hui
Boisson, Bertrand
Bajolle, Fanny
Papandrea, Dominick
Liu, Dana
Bloomfield, Marketa
Darley, David Ross
Arslan, Sevket
Clavé, Père
Dauby, Nicolas
Aguilera-Albesa, Sergio
Rapaport, Franck
Kashyap, Anuj
Abad, Jorge
Allende, Luis M
de Vera, Martín Castillo
Castro, Mateus V
Snow, Andrew L
Dalmau, David
Zhang, Peng
Boucherit, Soraya
Kochetkov, Tatiana
Boyarchuk, Oksana
Amador-Borrero, Blanca
Beurton, Alexandra
Amoura, Zahir
Assant, Sophie
Bueno, Maria Rita P
Baldolli, Aurélie
Roynard, Manon
Calimli, Semra
Darazam, Ilad Alavi
Chauvin, Samuel D
Cheng, Matthew P
Bolivar-Prados, Mireia
Ramos, Miquel Alfonso
Bousfiha, Ahmed A
Charbit, Bruno
Ballester, Maite
Feldman, Hagit Baris
Castelli, Francesco
Bosticardo, Marita
Auguet, Terese
Ochoa, Sebastian
Chbihi, Marwa
Azot, Axelle
Clotet, Bonaventura
Nadji, Seyed Alireza
Vladikine, Natasha
Casasnovas, Carlos
de Pontual, Loic
Bouvatti
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Copyright Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.
Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works
Attribution
Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works 2020 The Authors
Copyright_xml – notice: Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.
– notice: Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works
– notice: Attribution
– notice: Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works 2020 The Authors
CorporateAuthor Imagine COVID Group
The Milieu Intérieur Consortium
French COVID Cohort Study Group
COVID Human Genetic Effort
NIAID-USUHS Immune Response to COVID Group
HGID Lab
COVID Clinicians
COVID-STORM Clinicians
CoV-Contact Cohort
Amsterdam UMC Covid-19 Biobank
Milieu Intérieur Consortium
CorporateAuthor_xml – name: Amsterdam UMC Covid-19 Biobank
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– name: HGID Lab
– name: Imagine COVID Group
– name: French COVID Cohort Study Group
– name: NIAID-USUHS Immune Response to COVID Group
– name: CoV-Contact Cohort
– name: COVID Human Genetic Effort
– name: Milieu Intérieur Consortium
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DOI 10.1126/science.abd4585
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PMCID: PMC7857397
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Snippet The immune system is complex and involves many genes, including those that encode cytokines known as interferons (IFNs). Individuals that lack specific IFNs...
Interindividual clinical variability in the course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is vast. We report that at least...
The genetics underlying severe COVID-19The immune system is complex and involves many genes, including those that encode cytokines known as interferons (IFNs)....
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StartPage 423
SubjectTerms Adult
Aged
Aged, 80 and over
Antibodies, Neutralizing
Antibodies, Neutralizing - blood
Antiviral drugs
Asymptomatic
Asymptomatic Infections
Autoantibodies
Autoantibodies - blood
Autoimmunity
Betacoronavirus
Case-Control Studies
Control Groups
Coronaviridae
Coronavirus Infections
Coronavirus Infections - immunology
Coronaviruses
COVID-19
Critical Illness
Cytokines
Disease
Female
Genetics
Humans
Immune system
Immunoglobulin G
Immunoglobulin G - blood
Immunoglobulins
Immunology
Infections
Infectious diseases
Interferon alpha-2
Interferon alpha-2 - immunology
Interferon Type I
Interferon Type I - immunology
Life Sciences
Male
Males
Middle Aged
Mutation
Online
Pandemics
Patients
Pneumonia
Pneumonia, Viral
Pneumonia, Viral - immunology
Public health
Respiratory diseases
Risk factors
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Viral infections
Title Autoantibodies against type I IFNs in patients with life-threatening COVID-19
URI https://www.ncbi.nlm.nih.gov/pubmed/32972996
https://www.proquest.com/docview/2446040999
https://www.proquest.com/docview/2446665520
https://pasteur.hal.science/pasteur-02958871
https://pubmed.ncbi.nlm.nih.gov/PMC7857397
http://kipublications.ki.se/Default.aspx?queryparsed=id:144930113
Volume 370
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