A cohort study of 192 COVID-19 patients showed that increased IL-6 and IL-10 and decreased CD4+ T cells were independent risk factors for severe liver damage.73 High levels of IL-1β, IL-2, IL-6, IL-8, IL-10, IL-17, interferon, IP10, and monocyte chemoattractant protein 1 in patients infected with SARS-CoV-2 have also been observed.74,76 Much release of inflammatory cytokines by immune cells triggers acute respiratory distress syndrome (ARDS) and SIRS. This evidence concerns the gene IL17A and acute respiratory distress syndrome.