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Open Access | 10.1172/jci.insight.184975
1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Delmonte, O.
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Zhang, Y.
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Su, H.
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Notarangelo, L.
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Zemans, R.
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Kaplan, M.
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Knight, J.
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1Division of Rheumatology, Department of Internal Medicine and Clinical Auto, University of Michigan, Ann Arbor, United States of America
2Division of Rheumatology, Department of Internal Medicine, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
3Systemic Autoimmunity Branch, National Institute of Arthritis and Musculosk, NIH, Bethesda, United States of America
4Department of Pediatrics, Weill Cornell Medical College, New York, United States of America
5Department of Pathology, Louisiana State University, Health Sciences Center, New Orleans, United States of America
6Department of Anesthesiology, University of Michigan, Ann Arbor, United States of America
7Section of Microbiology, University of Brescia, Brescia, Italy
8Clinical Chemistry Laboratory, ASST Spedali Civili of Brescia, Brescia, Italy
9Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, United States of America
10Division of Intramural Research, National Institute of Allergy and Infectio, NIH, Bethesda, United States of America
11Division of Pulmonary, Department of Internal Medicine; Program in Cellular, University of Michigan, Ann Arbor, United States of America
12Multiple Sclerosis Center of Excellence, Arthritis and Clinical Immunology , Oklahoma Medical Research Foundation, Oklahoma City, United States of America
13Joan and Sanford I. Weill Department of Medicine and Department of Populati, Weill Cornell Medical College, New York, United States of America
14Division of Intramural Research, National Heart, Lung and Blood Institute, NIH, Bethesda, United States of America
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Fox, D.
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Published April 1, 2025 - More info
The soluble variant of the ectopeptidase CD13 (sCD13), released from the cell surface by matrix metalloproteinase 14 (MMP14), is a potent pro-inflammatory mediator, displaying chemotactic, angiogenic, and arthritogenic properties through bradykinin receptor B1 (B1R). We reveal a link between sCD13 and amplified neutrophil-mediated inflammatory responses in SARS-CoV-2 infection. sCD13 was markedly elevated in COVID-19 patients and correlated with disease severity, variants, ethnicity, inflammation markers, and NETosis. Neutrophils treated with sCD13 showed heightened NETosis and chemotaxis which were inhibited by sCD13 receptor blockade. Meanwhile sCD13 did not induce platelet aggregation. Single-cell analysis of COVID-19 lungs revealed co-expression of CD13 and MMP14 by various cell types, and higher CD13 expression compared to controls. Neutrophils with high CD13 mRNA were enriched for genes associated with immaturity, though CD13 protein expression was lower. Histological examination of COVID-19 lungs revealed CD13-positive leukocytes trapped in vessels with fibrin thrombi. Flow cytometry confirmed the presence of B1R and a second sCD13 receptor, protease-activated receptor 4, on monocytes and neutrophils. These findings identify sCD13 as a potential instigator of COVID-19-associated NETosis, potentiating vascular stress and thromboembolic complications. The potent pro-inflammatory effects of sCD13 may contribute to severe COVID-19, suggesting that sCD13 and its receptors might be therapeutic targets.