SARS-CoV2 coronavirus: so far polite with children. Debatable immunological and non-immunological evidence

被引:3
作者
Alvez, F. [1 ,2 ]
机构
[1] Univ Clin Hosp, Infect Dis & Vaccines Unit UNIV, Vaccines & Pediat Infect GENVIP, Santiago De Compostela, Spain
[2] Spanish Soc Pediat Infectol, Madrid, Spain
关键词
SARS-CoV2; COVID-19; Innate; Adaptive; ACE2; Melatonin; VIRUS; INFECTIONS; MELATONIN; RESPONSES; COVID-19; VACCINE; DISEASE; IMPACT;
D O I
10.1016/j.aller.2020.05.003
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
The reasons for the relative resistance of children to certain infections such as that caused by coronavirus SARS-CoV2 are not yet fully clear. Deciphering these differences can provide important information about the pathogenesis of the disease. Regarding the SARS-CoV2 virus, children are at the same risk of infection as the general population of all ages, with the most serious cases being found in infants. However, it has been reported that the disease is much less frequent than in adults and that most cases are benign or moderate (even with high viral loads), provided there are no other risk factors or underlying diseases. It is not clear why they have lower morbidity and virtually no mortality. A series of findings, relationships and behavioral patterns between the infectious agent and the child host may account for the lower incidence and a greatly attenuated clinical presentation of the disease in children. (C) 2020 SEICAP. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:500 / 506
页数:7
相关论文
共 39 条
[11]   The Impact of Pneumococcal Vaccination on Bacterial and Viral Pneumonia in Western Australian Children: Record Linkage Cohort Study of 469 589 Births, 1996-2012 [J].
Fathima, Parveen ;
Blyth, Christopher C. ;
Lehmann, Deborah ;
Lim, Faye J. ;
Abdalla, Tasnim ;
de Klerk, Nicholas ;
Moore, Hannah C. .
CLINICAL INFECTIOUS DISEASES, 2018, 66 (07) :1075-1085
[12]  
He X, 2020, NAT MED, DOI [10.1038/541591-020-0869-5, DOI 10.1038/541591-020-0869-5]
[13]   Human Coronavirus in Hospitalized Children With Respiratory Tract Infections: A 9-Year Population-Based Study From Norway [J].
Heimdal, Inger ;
Moe, Nina ;
Krokstad, Sidsel ;
Christensen, Andreas ;
Skanke, Lars Hosoien ;
Nordbo, Svein Arne ;
Dollner, Henrik .
JOURNAL OF INFECTIOUS DISEASES, 2019, 219 (08) :1198-1206
[14]   PULMONARY ANGIOTENSIN-CONVERTING ENZYME 2 (ACE2) AND INFLAMMATORY LUNG DISEASE [J].
Jia, Hongpeng .
SHOCK, 2016, 46 (03) :239-248
[15]   Innate Immune Evasion by Human Respiratory RNA Viruses [J].
Kikkert, Marjolein .
JOURNAL OF INNATE IMMUNITY, 2020, 12 (01) :4-20
[16]   Innate Immunity to Respiratory Infection in Early Life [J].
Lambert, Laura ;
Culley, Fiona J. .
FRONTIERS IN IMMUNOLOGY, 2017, 8
[17]   Are children less susceptible to COVID-19? [J].
Lee, Ping-Ing ;
Hu, Ya-Li ;
Chen, Po-Yen ;
Huang, Yhu-Chering ;
Hsueh, Po-Ren .
JOURNAL OF MICROBIOLOGY IMMUNOLOGY AND INFECTION, 2020, 53 (03) :371-372
[18]   Coronavirus infections and immune responses [J].
Li, Geng ;
Fan, Yaohua ;
Lai, Yanni ;
Han, Tiantian ;
Li, Zonghui ;
Zhou, Peiwen ;
Pan, Pan ;
Wang, Wenbiao ;
Hu, Dingwen ;
Liu, Xiaohong ;
Zhang, Qiwei ;
Wu, Jianguo .
JOURNAL OF MEDICAL VIROLOGY, 2020, 92 (04) :424-432
[19]   Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults [J].
Ludvigsson, Jonas F. .
ACTA PAEDIATRICA, 2020, 109 (06) :1088-1095
[20]   A role for Streptococcus pneumoniae in virus-associated pneumonia [J].
Madhi, SA ;
Klugman, KP .
NATURE MEDICINE, 2004, 10 (08) :811-813