Arquivos de Asma, Alergia e Imunologia
https://aaai-asbai.org.br/article/doi/10.5935/2526-5393.20220037
Arquivos de Asma, Alergia e Imunologia
Review Article

Aspectos evolutivos dos fenômenos imunopatológicos com ênfase na COVID-19

Evolutionary aspects of immunopathological phenomena with emphasis on COVID-19

Selma Giorgio; Pedro Henrique Gallo-Francisco

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Resumo

A seleção natural é o principal mecanismo da evolução das espécies, e favorece fenótipos com defesas imunes efetivas contra patógenos. Entretanto, há uma grande variação das respostas imunes entre os indivíduos da espécie humana e a ocorrência de fenômenos imunopatológicos. A infecção com o vírus da família Coronaviridae, SARS-CoV-2, responsável pela doença conhecida como COVID-19, induz a respostas imunes inflamatórias exacerbadas e à tempestade de citocinas, nos casos graves. Nesta revisão discutiremos, à luz da Evolução, esse aparente paradoxo entre as respostas imunes, e os três principais fatores que contribuem para a manutenção dos fenótipos hiperativos: o custo-benefício das respostas imunes, a coevolução e a história de vida da espécie.

Palavras-chave

SARS-CoV-2, citocinas, evolução biológica.

Abstract

Natural selection is the main mechanism by which species evolve, and it favors phenotypes associated with an effective immune defense against pathogens. However, human immune responses and the occurrence of immunopathological phenomena vary considerably from individual to individual. Infection with SARSCoV-2, a virus of the Coronaviridae family causing the disease known as COVID-19, induces exacerbated inflammatory immune responses and cytokine storm in severe cases. In this review, we discuss, in the light of Evolution, this apparent paradox between the immune responses and the 3 main factors contributing to the maintenance of hyperactive phenotypes: the cost-effectiveness of immune responses, coevolution, and the life history of the species.

Keywords

SARS-CoV-2, cytokines, biological evolution.

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Submitted date:
03/23/2022

Accepted date:
07/15/2022

6a0b2751a953956626349719 aaai Articles
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