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Am J Respir Crit Care Med ; 2022.
Article in English | PubMed | ID: covidwho-1973995


RATIONALE: Coronavirus disease 2019 (COVID-19) can lead to acute respiratory distress syndrome with fatal outcomes. Evidence suggests that dysregulated immune responses, including autoimmunity, are key pathogenic factors. OBJECTIVES: To assess whether IgA autoantibodies target lung-specific proteins and contribute to disease severity. METHODS: We collected 147 blood, 9 lung tissue, and 36 bronchoalveolar lavage fluid samples from three tertiary hospitals in Switzerland and one in Germany. Severe COVID-19 was defined by the need to administer oxygen. We investigated the presence of IgA autoantibodies and their effects on pulmonary surfactant in COVID-19 using the following methods: immunofluorescence on tissue samples, immunoprecipitations followed by mass spectrometry on bronchoalveolar lavage fluid samples, enzyme-linked immunosorbent assays on blood samples, and surface tension measurements with medical surfactant. MEASUREMENTS AND MAIN RESULTS: IgA autoantibodies targeting pulmonary surfactant proteins B and C were elevated in patients with severe COVID-19, but not in patients with influenza or bacterial pneumonia. Notably, pulmonary surfactant failed to reduce surface tension after incubation with either plasma or purified IgA from patients with severe COVID-19. CONCLUSIONS: Our data suggest that patients with severe COVID-19 harbor IgA against pulmonary surfactant proteins B and C and that these antibodies block the function of lung surfactant, potentially contributing to alveolar collapse and poor oxygenation. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (

24th International Conference on Business Information Systems, BIS 2021 ; 444 LNBIP:79-85, 2022.
Article in English | Scopus | ID: covidwho-1826263


COVID-19 pandemic has taught us how to continue with the day-to-day activities interacting and working from remote locations. In this paper, we have highlighted the positive approach necessary to complete a project with success under this constraint by interacting regularly with the relevant stakeholders keeping focus on the final project deliverables. The salient points with supporting references are chalked out which might be helpful for others to follow if faced with stressful situations that COVID-19 pandemic taught us. © 2022, Springer Nature Switzerland AG.