Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Front+Immunol 2021 ; 12 (ä): 640644 Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
COVID-19 Impairs Immune Response to Candida albicans #MMPMID33717195
Moser D; Biere K; Han B; Hoerl M; Schelling G; Chouker A; Woehrle T
Front Immunol 2021[]; 12 (ä): 640644 PMID33717195show ga
Infection with SARS-CoV-2 can lead to Coronavirus disease-2019 (COVID-19) and result in severe acute respiratory distress syndrome (ARDS). Recent reports indicate an increased rate of fungal coinfections during COVID-19. With incomplete understanding of the pathogenesis and without any causative therapy available, secondary infections may be detrimental to the prognosis. We monitored 11 COVID-19 patients with ARDS for their immune phenotype, plasma cytokines, and clinical parameters on the day of ICU admission and on day 4 and day 7 of their ICU stay. Whole blood stimulation assays with lipopolysaccharide (LPS), heat-killed Listeria monocytogenes (HKLM), Aspergillus fumigatus, and Candida albicans were used to mimic secondary infections, and changes in immune phenotype and cytokine release were assessed. COVID-19 patients displayed an immune phenotype characterized by increased HLA-DR(+)CD38(+) and PD-1(+) CD4(+) and CD8(+) T cells, and elevated CD8(+)CD244(+) lymphocytes, compared to healthy controls. Monocyte activation markers and cytokines IL-6, IL-8, TNF, IL-10, and sIL2Ralpha were elevated, corresponding to monocyte activation syndrome, while IL-1beta levels were low. LPS, HKLM and Aspergillus fumigatus antigen stimulation provoked an immune response that did not differ between COVID-19 patients and healthy controls, while COVID-19 patients showed an attenuated monocyte CD80 upregulation and abrogated release of IL-6, TNF, IL-1alpha, and IL-1beta toward Candida albicans. This study adds further detail to the characterization of the immune response in critically ill COVID-19 patients and hints at an increased susceptibility for Candida albicans infection.
|Aged[MESH]
|Aspergillus fumigatus/*immunology[MESH]
|CD4-Positive T-Lymphocytes/*immunology[MESH]
|CD8-Positive T-Lymphocytes/*immunology[MESH]
|COVID-19/*immunology[MESH]
|Candida albicans/*immunology[MESH]
|Cells, Cultured[MESH]
|Cytokines/metabolism[MESH]
|Disease Susceptibility[MESH]
|Female[MESH]
|Humans[MESH]
|Immune Tolerance[MESH]
|Listeria monocytogenes/*immunology[MESH]
|Male[MESH]
|Middle Aged[MESH]
|Programmed Cell Death 1 Receptor/metabolism[MESH]