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10.1016/j.cell.2020.10.001

http://scihub22266oqcxt.onion/10.1016/j.cell.2020.10.001
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suck abstract from ncbi


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pmid33096020      Cell 2020 ; 183 (5): 1340-1353.e16
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  • Imbalance of Regulatory and Cytotoxic SARS-CoV-2-Reactive CD4(+) T Cells in COVID-19 #MMPMID33096020
  • Meckiff BJ; Ramirez-Suastegui C; Fajardo V; Chee SJ; Kusnadi A; Simon H; Eschweiler S; Grifoni A; Pelosi E; Weiskopf D; Sette A; Ay F; Seumois G; Ottensmeier CH; Vijayanand P
  • Cell 2020[Nov]; 183 (5): 1340-1353.e16 PMID33096020show ga
  • The contribution of CD4(+) T cells to protective or pathogenic immune responses to SARS-CoV-2 infection remains unknown. Here, we present single-cell transcriptomic analysis of >100,000 viral antigen-reactive CD4(+) T cells from 40 COVID-19 patients. In hospitalized patients compared to non-hospitalized patients, we found increased proportions of cytotoxic follicular helper cells and cytotoxic T helper (T(H)) cells (CD4-CTLs) responding to SARS-CoV-2 and reduced proportion of SARS-CoV-2-reactive regulatory T cells (T(REG)). Importantly, in hospitalized COVID-19 patients, a strong cytotoxic T(FH) response was observed early in the illness, which correlated negatively with antibody levels to SARS-CoV-2 spike protein. Polyfunctional T(H)1 and T(H)17 cell subsets were underrepresented in the repertoire of SARS-CoV-2-reactive CD4(+) T cells compared to influenza-reactive CD4(+) T cells. Together, our analyses provide insights into the gene expression patterns of SARS-CoV-2-reactive CD4(+) T cells in distinct disease severities.
  • |*Transcriptome[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antibodies, Viral/blood/immunology[MESH]
  • |CD4 Lymphocyte Count[MESH]
  • |COVID-19/epidemiology/*immunology/virology[MESH]
  • |Cohort Studies[MESH]
  • |England/epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |SARS-CoV-2/*genetics[MESH]
  • |Severity of Illness Index[MESH]
  • |Single-Cell Analysis/methods[MESH]
  • |Spike Glycoprotein, Coronavirus/immunology[MESH]
  • |T Follicular Helper Cells/*immunology[MESH]
  • |T-Lymphocytes, Cytotoxic/*immunology[MESH]


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