Mechanistic considerations linking SARS-CoV-2 infection, inflammation, and the loss of immune tolerance Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.1016/j.coi.2025.102567
The immune response to SARS-CoV-2 has been implicated in the onset of multiple, seemingly unrelated, autoimmune diseases. The immune response to SARS-CoV-2 has also been implicated in the unmasking and/or production of multiple autoantibodies, even in the absence of clinical disease. Despite such data, it remains unclear whether antibodies targeting antiviral signaling proteins and mitochondrial antigens reflect bystander activation or alternatively contribute to de novo viral immune escape mechanisms. With these comments in mind, a variety of professional antibody presenting cells and including lung resident macrophages of COVID-19 infected patients are impacted and dependent on the uptake of antibody-opsonized virus by Fcγ receptors; yet infection is aborted via antibody-dependent effector mechanisms or pyroptosis, possibly leading to autoantibody production, and autoinflammatory manifestations, respectively. TRIM21/Ro52, a cytosolic E3-ubiquitin ligase with an Fc-gamma receptor domain, functions as an intracytoplasmic antibody receptor, directs immune complexes binding virions but also autoantigens to autophagy. During autophagy, Ig-virions-TRIM21/Ro52-autoantigens complexes bind directly to class II human leukocyte antigen in lysosomal compartment, leading to subsequent presentation on the cell surface. This process favors the development of a specific humoral immune response but has the potential to lead to loss of tolerance. Interestingly, TRIM21/Ro52 can also contribute to pyroptosis. We propose that TRIM21/Ro52 is well-placed at the crossroad between the inflammatory response and clinical autoimmunity.
Related Topics
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.1016/j.coi.2025.102567
- OA Status
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4410594083Canonical identifier for this work in OpenAlex
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https://doi.org/10.1016/j.coi.2025.102567Digital Object Identifier
- Title
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Mechanistic considerations linking SARS-CoV-2 infection, inflammation, and the loss of immune toleranceWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-05-22Full publication date if available
- Authors
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Antonio Tonutti, Francesca Motta, Natasa Isailovic, Carlo Selmi, Suraj Timilsina, M. Eric Gershwin, Maria De SantisList of authors in order
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https://doi.org/10.1016/j.coi.2025.102567Publisher landing page
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hybridOpen access status per OpenAlex
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https://doi.org/10.1016/j.coi.2025.102567Direct OA link when available
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Pyroptosis, Immune system, Biology, Immunology, Autoimmunity, Antibody, Autoantibody, Inflammation, Antigen, Virology, InflammasomeTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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68Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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