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This clinical complexity is exacerbated by significant immune dysregulation affecting nearly all cells of the innate and adaptive immune system. Granulocytes, including eosinophils, are affected by SARS\u2010CoV\u20102.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Eosinophil responses remain poorly understood despite early recognition of eosinopenia as a hallmark feature of COVID\u201019 severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The heterogeneous nature of eosinophil responses categorizes them as dual\u2010function cells with contradictory effects. Eosinophil activation can suppress virus\u2010induced inflammation by releasing type 2 cytokines like IL\u201013 and granular proteins with antiviral action such as eosinophil\u2010derived neurotoxins and eosinophil cationic protein, and also by acting as antigen\u2010presenting cells. In contrast, eosinophil accumulation in the lungs can induce tissue damage triggered by cytokines or hormones like IFN\u2010\u03b3 and leptin. Additionally, they can affect adaptive immune functions by interacting with T cells through direct formation of membrane complexes or soluble mediator action. Individuals with allergic disorders who have elevated levels of eosinophils in tissues and blood, such as asthma, do not appear to be at an increased risk of developing severe COVID\u201019 following SARS\u2010CoV\u20102 infection. However, the SARS\u2010CoV\u20102 vaccine appears to be associated with complications and eosinophilic infiltrate\u2010induced immunopathogenicity, which can be mitigated by corticosteroid, anti\u2010histamines and anti\u2010IL\u20105 therapy and avoided by modifying adjuvants or excipients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review highlights the importance of eosinophils in COVID\u201019 and contributes to a better understanding of their role during natural infection and vaccination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/clt2.70050","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T13:33:46Z","timestamp":1742736826000},"source":"Crossref","is-referenced-by-count":8,"title":["Eosinophils and COVID\u201019: Insights into immune complexity and vaccine safety"],"prefix":"10.1002","volume":"15","author":[{"given":"Wided","family":"Sahli","sequence":"first","affiliation":[{"name":"Aix Marseille University MEPHI  Marseille France"},{"name":"IHU\u2010M\u00e9diterran\u00e9e Infection  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3344-9408","authenticated-orcid":false,"given":"Joana","family":"Vitte","sequence":"additional","affiliation":[{"name":"Laboratory of Immunology University Hospital of Reims  Reims France"},{"name":"INSERM UMR\u2010S 1250 P3CELL University of Reims  Reims France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1422-4294","authenticated-orcid":false,"given":"Benoit","family":"Desnues","sequence":"additional","affiliation":[{"name":"Aix Marseille University MEPHI  Marseille France"},{"name":"IHU\u2010M\u00e9diterran\u00e9e Infection  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2022.988604"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591\u2010020\u20101038\u20106"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2020.01708"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa248"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiaa591"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2020.05.003"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms25126427"},{"key":"e_1_2_11_9_1","unstructured":"LourdaM DzidicM HertwigL et\u00a0al.High\u2010dimensional profiling reveals phenotypic heterogeneity and disease\u2010specific alterations of granulocytes in COVID\u201019. 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