Immunologic and Predictive Features of MIS-C
Full Description
The novel SARS coronavirus (SARS-CoV-2) causes the severe pneumonia-like coronavirus
disease (COVID-19). SARS-CoV-2 infected over 170 million individuals and has claimed over
3.5 million lives worldwide to date. If otherwise healthy, children were thought to be largely
spared from SARS-CoV-2 disease. However, in areas of high SARS-CoV-2 infection rates,
some children started presenting to pediatric critical care units 4-6 weeks following SARS-CoV-
2 infection with Kawasaki-like disease. Clinically, we now know that this is a distinct disease,
which was recently termed - multisystem inflammatory syndrome in children (MIS-C). While the
characteristic clinical features of MIS-C are becoming clear, the pathophysiology remains
unknown. Here we propose to evaluate three independent cohorts of MIS-C during acute and
convalescent phases of disease at clinical, genetic and immunologic levels using the latest
technology. We will not only perform systemic immunological mapping of MIS-C as compared to
controls, but also utilize machine learning algorithms to delineate how best to predict, diagnose
and outcome stratify MIS-C. We anticipate discovering immunologic and genetic features which
can aid us in assessing risks of MIS-C development, diagnosis and prognosis. In summary, our
systematic analysis and computational modeling of the clinical and immune features of MIS-C
will not only help illuminate the pathogenesis of this syndrome, but will also provide us with
actionable biomarkers for disease risk, diagnosis and progression.
Grant Number: 5R01HD108467-05
NIH Institute/Center: NIH
Principal Investigator: Dusan Bogunovic
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