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COVID-19-Induced ARDS Is Associated with Decreased Frequency of Activated Memory/Effector T Cells Expressing CD11a+.


ABSTRACT: Preventing the progression to acute respiratory distress syndrome (ARDS) in COVID-19 is an unsolved challenge. The involvement of T cell immunity in this exacerbation remains unclear. To identify predictive markers of COVID-19 progress and outcome, we analyzed peripheral blood of 10 COVID-19-associated ARDS patients and 35 mild/moderate COVID-19 patients, not requiring intensive care. Using multi-parametric flow cytometry, we compared quantitative, phenotypic, and functional characteristics of circulating bulk immune cells, as well as SARS-CoV-2 S-protein-reactive T cells between the two groups. ARDS patients demonstrated significantly higher S-protein-reactive CD4+ and CD8+ T cells compared to non-ARDS patients. Of interest, comparison of circulating bulk T cells in ARDS patients to non-ARDS patients demonstrated decreased frequencies of CD4+ and CD8+ T cell subsets, with activated memory/effector T cells expressing tissue migration molecule CD11a++. Importantly, survival from ARDS (4/10) was accompanied by a recovery of the CD11a++ T cell subsets in peripheral blood. Conclusively, data on S-protein-reactive polyfunctional T cells indicate the ability of ARDS patients to generate antiviral protection. Furthermore, decreased frequencies of activated memory/effector T cells expressing tissue migratory molecule CD11a++ observed in circulation of ARDS patients might suggest their involvement in ARDS development and propose the CD11a-based immune signature as a possible prognostic marker.

SUBMITTER: Anft M 

PROVIDER: S-EPMC7543694 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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COVID-19-Induced ARDS Is Associated with Decreased Frequency of Activated Memory/Effector T Cells Expressing CD11a<sup>+</sup>.

Anft Moritz M   Paniskaki Krystallenia K   Blazquez-Navarro Arturo A   Doevelaar Adrian A   Seibert Felix S FS   Hölzer Bodo B   Skrzypczyk Sarah S   Kohut Eva E   Kurek Julia J   Zapka Jan J   Wehler Patrizia P   Kaliszczyk Sviatlana S   Bajda Sharon S   Thieme Constantin J CJ   Roch Toralf T   Konik Margarethe Justine MJ   Berger Marc Moritz MM   Brenner Thorsten T   Kölsch Uwe U   Meister Toni L TL   Pfaender Stephanie S   Steinmann Eike E   Tempfer Clemens C   Watzl Carsten C   Dolff Sebastian S   Dittmer Ulf U   Abou-El-Enein Mohamed M   Westhoff Timm H TH   Witzke Oliver O   Stervbo Ulrik U   Babel Nina N  

Molecular therapy : the journal of the American Society of Gene Therapy 20201008 12


Preventing the progression to acute respiratory distress syndrome (ARDS) in COVID-19 is an unsolved challenge. The involvement of T cell immunity in this exacerbation remains unclear. To identify predictive markers of COVID-19 progress and outcome, we analyzed peripheral blood of 10 COVID-19-associated ARDS patients and 35 mild/moderate COVID-19 patients, not requiring intensive care. Using multi-parametric flow cytometry, we compared quantitative, phenotypic, and functional characteristics of c  ...[more]

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