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Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Front+Immunol 2021 ; 12 (ä): 639329 Nephropedia Template TP
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Circulating Adaptive Immune Cells Expressing the Gut Homing Marker alpha4beta7 Integrin Are Decreased in COVID-19 #MMPMID33959123
Muller TM; Becker E; Wiendl M; Schulze LL; Voskens C; Volkl S; Kremer AE; Neurath MF; Zundler S
Front Immunol 2021[]; 12 (ä): 639329 PMID33959123show ga
BACKGROUND: Infection with the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes a wide range of symptoms including gastrointestinal manifestations, and intestinal epithelial cells are a target of the virus. However, it is unknown how the intestinal immune system contributes to systemic immune responses in coronavirus disease 2019 (COVID-19). METHODS: We characterized peripheral blood lymphocytes from patients with active COVID-19 and convalescent patients as well as healthy controls by flow cytometry. RESULTS: The frequency and absolute number of circulating memory T and B cells expressing the gut homing integrin alpha4beta7 integrin was reduced during COVID-19, whether gastrointestinal symptoms were present or not. While total IgA-expressing B cells were increased, gut-imprinted B cells with IgA expression were stable. CONCLUSION: COVID-19 is associated with a decrease in circulating adaptive immune cells expressing the key gut homing marker alpha4beta7 suggesting that these cells are preferentially recruited to extra-intestinal tissues independently of alpha4beta7 or that the systemic immune response against SARS-CoV-2 is at least numerically dominated by extraintestinal, particularly pulmonary, immune cell priming.