This Is How Your Immune System Responds to COVID-19 And Distribution of Its Functional Receptor
Most
of the people get infected with novel coronavirus can have reportedly various
results. This whole reaction depends on the immunity of the infected person.
Likewise, some people can report nothing more than symptoms of mild cold;
whereas many others are hospitalized and even lacking of good immunity boosting
power, people die as their lungs become inflamed and fill up with fluid. Here,
a simple question arises is; How can the same virus result in such different results ?
Scientists
all over the world are still confused of this action by Coronavirus. But here
we all are
getting
the idea for crucial role of immune system of person coming in contact with it.
Here
it depends, whether the person who is getting infected will die of it or will
recover from
it.
"
In fact, most of the cases
being
reported world-wide, so,
outcomes
of this, depends on
the
functioning of immune system
of
the person being infected, whether
Person
will die or will recover."
The standard immune procedure for encountering the virus, your
body launches its standard innate immune defense. This process involves the
release of proteins called Interferons that interfere with virus's ability to
replicate inside the body's cells. Simultaneously, Interferons recruits other
immune cells,
like, Cytotoxic T cells, Natural Killer(NK) cells, and Antiviral Macrophages,
these cells have the ability to recognize and kill the virus-infected cells.
Humoral immunity also plays an important role in viral infection,
virus-infected cells can stimulate B lymphocyte to produce specific antibody
for the virus. Antibody neutralization is more effective when virus is present
in large fluid spaces(e.g., serum) or on moist surfaces(e.g., Gastrointestinal
tract and Respiratory tract). IgG, IgM, and
IgA have all been shown to exert antiviral activity. Antibody can neutralize
virus by: 1) blocking virus-host cell interactions or 2) recognizing viral
antigens on virus-infected cells which can lead to antibody-dependent cytotoxic
cells (ADCC) or complement-mediated lysis. IgG antibodies are responsible for
most antiviral activity in serum, while IgA is the most important antibody when
viruses infect mucosal surfaces. The
activation of different immune functions and the duration and magnitude of the
immune response depend on how the virus interacts with host cells (on whether
it is a cytolytic, steady-state, latent, and/or integrated infection) and on
how the virus spreads (by local, primary hematogenous, secondary hematogenous,
and/or nervous system spread).
On the basis of viral antigen interaction with
host cells (depends on the immune system of person, which usually weakens as
age increases), the period in which virus establishes itself, and where in the
body virus takes hold, symptoms of persons are devised, whether it can be mild
symptoms or severe symptoms.
The novel coronavirus gains entry into a cell by
locking onto a specific protein ACE-2(metallopeptidase-Angiotensin Converting
Enzyme-2) receptor that sits on the cell's surface.
Although ACE-2 mRNA is known to be present in virtually all
organs, its protein expression is largely unknown. Since identifying the
possible route of infection has major implications for understanding the
pathogenesis and future treatment strategies for SARS, recent study reveals the
localization of ACE-2 protein in various human organs (oral and nasal mucosa,
naso-pharynx, lung, stomach, small intestine, colon, skin, lymph nodes, thymus,
bone marrow, spleen, liver, kidney, and brain). The most remarkable finding was
the surface expression of ACE-2 protein on lung alveolar epithelial cells and
enterocytes of the small intestine. Furthermore, ACE-2 was present in arterial
and venous endothelial cells and arterial smooth muscle cells in all organs.
ACE-2 receptors are mostly abundant in lungs,
secondly in intestine, which could explain why many people with novel coronavirus
experience respiratory illness and diarrhea respectively. A distinct
coronavirus also has been identified as aetiological agent of SARS -
Severe Acute Respiratory Syndrome, that's why SARS-CoV.
Because, the mode of transmission through
droplets, if it comes to your mouth and enters your oropharynx, then it has two
options where it can reside from there. It can transit into the lung through
trachea from the oropharynx during breathe in process or due to swallow reflex,
secondly it can go down to your intestine through stomach.
In some people, however, the virus will replicate
and spread rapidly before the immune system start its function to control it.
By the two reasons this can happen are if a high quantity of viral particles
infect the body - which is why doctors and nurses, who are exposed huge amounts
of virus multiple times a day caring for patients, can have more severe
infections even if they are healthy and young. The more the quantity of virus
inside the body, harder it will be for immune system to manage it.
Another, important reason the body can lose
control over the corona virus lies in the immune system itself. Susceptibility
of the population during this pandemic are elderly people, whose immune system
naturally start to decline with age, and people who is immunosuppressed because
of another illness or medication. A weaker immune system will result in weaker
initial Interferon response or a delayed antibody response, allowing the virus
to spread from cell to cell relatively unchecked. If the Antibody
Neutralization is good, then there are chances of recovery is more. If virus is
able to hold in lungs, it can lead to many lungs related problems, like,
pneumonia as more cells become infected and inflamed. There is really great
curiosity for this CoViD-19. For now, your best companion to counter this
coronavirus is to support your immune system with sleep, exercise, and good
nutrition and, most importantly to wash your hands and practice social
distancing so you don't get infected.
For more information on Novel Corona Virus COVID-19, please visit
cdc.gov
References :- J Pathol. 2004 Jun;203(2):631-7,
For more information on Novel Corona Virus COVID-19, please visit
cdc.gov
References :- J Pathol. 2004 Jun;203(2):631-7,
Department of Pathology and Laboratory Medicine, University Hospital Groningen, The Netherlands
2) Gary R. Klimpel. Chapter 50: Immune Defenses, Medical Microbiology 4th edition by Baron S.
Great insights on corona!:
ReplyDeleteGood initiative. Hope to see more such useful contents in future
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