Id |
Subject |
Object |
Predicate |
Lexical cue |
T1036 |
0-19 |
Sentence |
denotes |
Future Perspectives |
T1037 |
20-191 |
Sentence |
denotes |
Over the last several months, a large number of clinical and histological studies have illustrated the underlying pathophysiological changes and tissue damage in COVID-19. |
T1038 |
192-326 |
Sentence |
denotes |
However, we are just beginning to understand the fundamental molecular and signaling pathways implicated in this disease pathogenesis. |
T1039 |
327-579 |
Sentence |
denotes |
Close sequence similarity with SARS-CoV does help us understand some co-existing pathological features but owing to reasonable genomic and structural variations, and it is essential to decoding the molecular mechanisms specific to SARS-CoV-2 infection. |
T1040 |
580-726 |
Sentence |
denotes |
Differences in S protein, ORF3b, ORF6 and ORF8 between SARS-CoV and SARS-CoV-2 are functionally relevant (Chan et al., 2020; Mantlo et al., 2020). |
T1041 |
727-953 |
Sentence |
denotes |
Similarly, the differential immune responses generated by the two viruses needs to be delineated well to develop targeted therapies to modulate these specific molecular networks (Moreno-Eutimio et al., 2020; Yao et al., 2020). |
T1042 |
954-1167 |
Sentence |
denotes |
Importantly, heterogeneous T cell response in COVID-19 patients has remained an enigma, with lymphocytopenia and activated T cell state in some patients versus an increased presence of exhausted T cells in others. |
T1043 |
1168-1424 |
Sentence |
denotes |
Further, the increased activation status of these cells at the site of infection (lungs) in severe cases adds more complexity to the T cell immune response in COVID-19 patients and hence may pose difficulty in devising a universal therapeutic intervention. |
T1044 |
1425-1583 |
Sentence |
denotes |
Similarly, the presence of reactive T cells in healthy individuals is another area that needs a comprehensive understanding, mainly while designing a vaccine. |
T1045 |
1584-1920 |
Sentence |
denotes |
Keeping these challenges in mind and till the time an effective vaccine becomes available, existing immunomodulatory approaches like mesenchymal stem cell-based therapies (currently under clinical trials), anti-IL6 and anti-GMCSF drugs to counter cytokine storm, as well as antiviral drugs remain the standard therapeutic interventions. |
T1046 |
1921-2065 |
Sentence |
denotes |
While the antiviral drug remdesivir has shown promise in some patients, severe side effects were also reported in others (Wang Y. et al., 2020). |
T1047 |
2066-2256 |
Sentence |
denotes |
Considering the number of factors that affect the complexity of immune response during COVID-19, it is crucial to understand that a single type of intervention may not work for all patients. |
T1048 |
2257-2345 |
Sentence |
denotes |
Thus, it appears that exploring a combination therapy may be more compelling at present. |
T1049 |
2346-2454 |
Sentence |
denotes |
However, determination of the optimal combination, dose, and time of treatment needs thorough investigation. |
T1050 |
2455-2535 |
Sentence |
denotes |
These targeted therapies become critical, considering the chance of reinfection. |
T1051 |
2536-2751 |
Sentence |
denotes |
A recent study on ten healthy individuals throughout 35-years revealed short-lasting immunity against four common seasonal coronaviruses, with chances of reinfection in a year after infection (Edridge et al., 2020). |
T1052 |
2752-2882 |
Sentence |
denotes |
It is plausible that SARS-CoV-2 may exhibit the same tendency of reinfection, which may be a growing concern for vaccine research. |
T1053 |
2883-3010 |
Sentence |
denotes |
Thus, a more comprehensive understanding of the immunopathological changes and sustainability of protective immunity is needed. |
T1054 |
3011-3149 |
Sentence |
denotes |
In this review, we highlight some of these immunological responses, which are central to the progression and outcome of COVID-19 patients. |
T1055 |
3150-3274 |
Sentence |
denotes |
Ongoing research in this direction should lead to effective therapies sooner rather than later, alongside with the vaccines. |