Macrophage Activation in Follicular Conjunctivitis During the COVID-19 Pandemic
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Among the symptoms of SARS-CoV-2, follicular conjunctivitis has become relevant. The conjunctiva acts as an open lymph node, reacting to the viral antigen that binds the epithelial cells, forming follicles of B cells with activated T cells and NK cells on its surface, which, in turn, talk to monocyte-derived inflammatory infected macrophages. Here, the NLRP3 inflammasome is a major driver in releasing pro-inflammatory factors such as IL-6 and caspase-1, leading to follicular conjunctivitis and bulbar congestion, even as isolated signs in the 'asymptomatic' patient.
NLRP3 Inflammasomes: Dual Function in Infectious Diseases.
Li Y, Qiang R, Cao Z, Wu Q, Wang J, Lyu W J Immunol. 2024; 213(4):407-417.
PMID: 39102612 PMC: 11299487. DOI: 10.4049/jimmunol.2300745.