Increased complement activation is a distinctive feature of severe SARS-CoV-2 infection

Author:

Ma Lina1ORCID,Sahu Sanjaya K.1ORCID,Cano Marlene1ORCID,Kuppuswamy Vasanthan2,Bajwa Jamal13,McPhatter Ja’Nia14ORCID,Pine Alexander5ORCID,Meizlish Matthew L.6ORCID,Goshua George5ORCID,Chang C. Hong7,Zhang Hanming7ORCID,Price Christina8,Bahel Parveen9,Rinder Henry9,Lei Tingting10,Day Aaron11ORCID,Reynolds Daniel1,Wu Xiaobo12,Schriefer Rebecca12ORCID,Rauseo Adriana M.13ORCID,Goss Charles W.14ORCID,O’Halloran Jane A.13ORCID,Presti Rachel M.13ORCID,Kim Alfred H.12ORCID,Gelman Andrew E.1014ORCID,Dela Cruz Charles S.15,Lee Alfred I.5ORCID,Mudd Philip A.11ORCID,Chun Hyung J.7ORCID,Atkinson John P.12,Kulkarni Hrishikesh S.1ORCID

Affiliation:

1. Division of Pulmonary and Critical Care Medicine, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

2. Division of Hospital Medicine, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

3. Marian University, Indianapolis, IN, USA.

4. University of Pittsburgh, Pittsburgh, PA, USA.

5. Section of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

6. Yale School of Medicine, New Haven, CT, USA.

7. Yale Cardiovascular Research Center, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

8. Section of Immunology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

9. Yale New Haven Health System, New Haven, CT, USA.

10. Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.

11. Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO, USA.

12. Division of Rheumatology, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

13. Division of Infectious Diseases, John T. Milliken Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

14. Division of Biostatistics, Washington University School of Medicine, St. Louis, MO, USA.

15. Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

Abstract

Increased complement activation is observed in COVID-19 compared with non-COVID respiratory illness and is a key marker of organ failure.

Funder

National Heart, Lung, and Blood Institute

National Eye Institute

National Institute of General Medical Sciences

National Institute of Allergy and Infectious Diseases

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Robert E. Leet and Clara Guthrie Patterson Trust

American Heart Association

Emergency Medicine Foundation

Foundation for Barnes-Jewish Hospital

Institute of Clinical and Translational Sciences

Children’s Discovery Institute

Publisher

American Association for the Advancement of Science (AAAS)

Subject

General Medicine,Immunology

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