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Transient plasma cell dyscrasia in COVID-19 patients linked to IL-6 triggering
Authors:A. Farina  R. Labriola  C. Ialongo  M. Suppa  V. Viggiani  M. Lucarelli  E. Anastasi  A. Angeloni
Affiliation:1. Department of Experimental Medicine, University of Rome “La Sapienza”, 00161, Roma, Lazio, Italy;2. Department of Emergency Medicine, University of Rome “La Sapienza”, 00161, Roma, Lazio, Italy;3. Department of Molecular Medicine, University of Rome “La Sapienza”, 00161, Roma, Lazio, Italy
Abstract:An unusual clonal gammopathy was reported in COVID-19 patient but whether this anomaly is related or not to the disease has not yet been clarified. To this aim, we selected a cohort of 35 COVID-19 patients swab positive and investigated serological levels of IL-6, immune response to major viral antigens and electrophoretic profile. Elevated levels of IL-6 were accompanied by a significative humoral response to viral Spike protein, revealing an altered electrophoretic profile in the gamma region. We can conclude that elevated levels of IL-6 triggers humoral response inducing a transient plasma cell dyscrasia in severe COVID-19 patients.
Keywords:Sars-CoV-2  Covid-19  Cytokine storm  IL-6  Immunoglobulins  Plasma cell dyscrasia
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