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. 2021 Jul 15;131(14):e149633. doi: 10.1172/JCI149633

Figure 6. Overview of the proposed hypothesis that SARS-CoV-2 antigenemia drives MIS-C.

Figure 6

(i) A child is exposed to or infected with SARS-CoV-2. (ii) SARS-CoV-2 enters the GI tract. (iii) Dysbiosis leads to increased zonulin release and a resultant loss of tight junctions. (iv) SARS-CoV-2 antigens, especially the spike protein, breaches the mucosal barrier and enters the blood stream. (v) The superantigen motif of the spike protein stimulates a pathogenic hyperinflammatory response.