Role of T Helper 1 in COVID-19 Pathogenesis: Foe or Friend

Author:

Yolmeh Mehdi1ORCID,Ahmadi Reza2ORCID,Yolmeh Asyeh3ORCID,Negahban Ahmad4ORCID,Sadeghinasab Javad5ORCID,Siyadatpanah Abolghasem1,Norouzi Roghayeh6ORCID,Amponsah Fordjour Fatima7ORCID,Kyaakyile Kuutiero Eunice8ORCID,Taghipour Zahra9,Maleki Chegeni Ardalan10,Aghcheli Bahman3ORCID,Ghorbani Saied11ORCID

Affiliation:

1. Department of Gastroenterology, Golestan University of Medical Sciences, Gorgan, Iran

2. Infectious Diseases Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

3. Department of Microbiology, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran

4. Department of Health Information Technology, Ferdows Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran

5. School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran

6. Department of Pathobiology, Faculty of Veterinary Medicine, University of Tabriz, Tabriz, Iran

7. Department of Microbiology, University for Development Studies, Tamale, Ghana

8. Kumasi Centre for Collaborative Research into Tropical Medicine (KCCR), Tamale, Ghana

9. Department of Medicine, Faculty of Medicine, Saint Petersburg International University, Saint Petersburg, Russia

10. Department of Virology, Faculty of Medicine, Lorestan University of Medical Sciences, Lorestan, Iran

11. Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Cytokines produced by T helper cells (Th cells) have essential roles in the body’s defense against viruses. Inadequate and high levels of specific cytokines can have side effects. This literature review article discusses the mechanisms of Th1 responses in SARS-CoV-2 and sheds light on the pivotal role of various inflammatory markers in COVID-19-related complications. The latest literary works relevant to this study were carefully chosen and evaluated. Extensive searches were conducted across multiple databases, such as Scopus, PubMed, Google Scholar, and ScienceDirect. After evaluating the existing literature, it has been observed that unregulated immune responses result in heightened inflammation. Recent studies have provided proof that the occurrence of cytokine storms can significantly contribute to the severity of COVID-19, ultimately resulting in multi-organ failure and loss of life. Factors that influence the Th1 cell response and its impact on COVID-19 severity include the timing of the immune response, pre-existing immune conditions, viral load, and genetic susceptibility. Ultimately, by effectively managing the cytokine storm, we have the potential to greatly reduce the number of deaths caused by this virus.

Publisher

Maad Rayan Publishing Company

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