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10.3389/fimmu.2021.614599

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suck abstract from ncbi


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pmid33692788      Front+Immunol 2021 ; 12 (ä): 614599
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  • Reduced Expression of Autophagy Markers and Expansion of Myeloid-Derived Suppressor Cells Correlate With Poor T Cell Response in Severe COVID-19 Patients #MMPMID33692788
  • Tomic S; Dokic J; Stevanovic D; Ilic N; Gruden-Movsesijan A; Dinic M; Radojevic D; Bekic M; Mitrovic N; Tomasevic R; Mikic D; Stojanovic D; Colic M
  • Front Immunol 2021[]; 12 (ä): 614599 PMID33692788show ga
  • Widespread coronavirus disease (COVID)-19 is causing pneumonia, respiratory and multiorgan failure in susceptible individuals. Dysregulated immune response marks severe COVID-19, but the immunological mechanisms driving COVID-19 pathogenesis are still largely unknown, which is hampering the development of efficient treatments. Here we analyzed ~140 parameters of cellular and humoral immune response in peripheral blood of 41 COVID-19 patients and 16 age/gender-matched healthy donors by flow-cytometry, quantitative PCR, western blot and ELISA, followed by integrated correlation analyses with ~30 common clinical and laboratory parameters. We found that lymphocytopenia in severe COVID-19 patients (n=20) strongly affects T, NK and NKT cells, but not B cells and antibody production. Unlike increased activation of ICOS-1+ CD4+ T cells in mild COVID-19 patients (n=21), T cells in severe patients showed impaired activation, low IFN-gamma production and high functional exhaustion, which correlated with significantly down-regulated HLA-DR expression in monocytes, dendritic cells and B cells. The latter phenomenon was followed by lower interferon responsive factor (IRF)-8 and autophagy-related genes expressions, and the expansion of myeloid derived suppressor cells (MDSC). Intriguingly, PD-L1-, ILT-3-, and IDO-1-expressing monocytic MDSC were the dominant producers of IL-6 and IL-10, which correlated with the increased inflammation and accumulation of regulatory B and T cell subsets in severe COVID-19 patients. Overall, down-regulated IRF-8 and autophagy-related genes expression, and the expansion of MDSC subsets could play critical roles in dysregulating T cell response in COVID-19, which could have large implications in diagnostics and design of novel therapeutics for this disease.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Autophagy-Related Proteins/*biosynthesis/immunology/metabolism[MESH]
  • |Autophagy/immunology[MESH]
  • |COVID-19/*immunology/metabolism/pathology/virology[MESH]
  • |Case-Control Studies[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunity[MESH]
  • |Lymphocyte Activation[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Monocytes/immunology[MESH]
  • |Myeloid-Derived Suppressor Cells/*immunology/pathology[MESH]
  • |SARS-CoV-2/*immunology[MESH]
  • |T-Lymphocyte Subsets/*immunology/pathology[MESH]


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