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Deep immune profiling of COVID-19 patients reveals patient heterogeneity and distinct immunotypes with implications for therapeutic interventions.


ABSTRACT: COVID-19 has become a global pandemic. Immune dysregulation has been implicated, but immune responses remain poorly understood. We analyzed 71 COVID-19 patients compared to recovered and healthy subjects using high dimensional cytometry. Integrated analysis of ~200 immune and >30 clinical features revealed activation of T cell and B cell subsets, but only in some patients. A subgroup of patients had T cell activation characteristic of acute viral infection and plasmablast responses could reach >30% of circulating B cells. However, another subgroup had lymphocyte activation comparable to uninfected subjects. Stable versus dynamic immunological signatures were identified and linked to trajectories of disease severity change. These analyses identified three "immunotypes" associated with poor clinical trajectories versus improving health. These immunotypes may have implications for therapeutics and vaccines.

SUBMITTER: Mathew D 

PROVIDER: S-EPMC7263500 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Deep immune profiling of COVID-19 patients reveals patient heterogeneity and distinct immunotypes with implications for therapeutic interventions.

Mathew Divij D   Giles Josephine R JR   Baxter Amy E AE   Greenplate Allison R AR   Wu Jennifer E JE   Alanio Cécile C   Oldridge Derek A DA   Kuri-Cervantes Leticia L   Pampena M Betina MB   D'Andrea Kurt K   Manne Sasikanth S   Chen Zeyu Z   Huang Yinghui Jane YJ   Reilly John P JP   Weisman Ariel R AR   Ittner Caroline A G CAG   Kuthuru Oliva O   Dougherty Jeanette J   Nzingha Kito K   Han Nicholas N   Kim Justin J   Pattekar Ajinkya A   Goodwin Eileen C EC   Anderson Elizabeth M EM   Weirick Madison E ME   Gouma Sigrid S   Arevalo Claudia P CP   Bolton Marcus J MJ   Chen Fang F   Lacey Simon F SF   Hensley Scott E SE   Apostolidis Sokratis S   Huang Alexander C AC   Vella Laura A LA   Betts Michael R MR   Meyer Nuala J NJ   Wherry E John EJ  

bioRxiv : the preprint server for biology 20200523


COVID-19 has become a global pandemic. Immune dysregulation has been implicated, but immune responses remain poorly understood. We analyzed 71 COVID-19 patients compared to recovered and healthy subjects using high dimensional cytometry. Integrated analysis of ~200 immune and >30 clinical features revealed activation of T cell and B cell subsets, but only in some patients. A subgroup of patients had T cell activation characteristic of acute viral infection and plasmablast responses could reach >  ...[more]

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