SARS-CoV-2 ORF7a is an immunoglobulin-like protein. ORF7a interacts with CD14+ monocytes in human peripheral blood. This interaction decreases the HLA-DR expression from cell surface and induces proinflammatory cytokines including IL-6, IL-1β, IL-8 and TNFα, which may indicate that ORF7a is a key modulator of cytokine storm.
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