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Integrated plasma proteomic and single-cell immune signaling network signatures demarcate mild, moderate, and severe COVID-19.


ABSTRACT: The biological determinants of the wide spectrum of COVID-19 clinical manifestations are not fully understood. Here, over 1400 plasma proteins and 2600 single-cell immune features comprising cell phenotype, basal signaling activity, and signaling responses to inflammatory ligands were assessed in peripheral blood from patients with mild, moderate, and severe COVID-19, at the time of diagnosis. Using an integrated computational approach to analyze the combined plasma and single-cell proteomic data, we identified and independently validated a multivariate model classifying COVID-19 severity (multi-class AUCtraining = 0.799, p-value = 4.2e-6; multi-class AUCvalidation = 0.773, p-value = 7.7e-6). Features of this high-dimensional model recapitulated recent COVID-19 related observations of immune perturbations, and revealed novel biological signatures of severity, including the mobilization of elements of the renin-angiotensin system and primary hemostasis, as well as dysregulation of JAK/STAT, MAPK/mTOR, and NF-?B immune signaling networks. These results provide a set of early determinants of COVID-19 severity that may point to therapeutic targets for the prevention of COVID-19 progression.

SUBMITTER: Feyaerts D 

PROVIDER: S-EPMC7885914 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Integrated plasma proteomic and single-cell immune signaling network signatures demarcate mild, moderate, and severe COVID-19.

Feyaerts Dorien D   Hédou Julien J   Gillard Joshua J   Chen Han H   Tsai Eileen S ES   Peterson Laura S LS   Ando Kazuo K   Manohar Monali M   Do Evan E   Dhondalay Gopal K R GKR   Fitzpatrick Jessica J   Artandi Maja M   Chang Iris I   Snow Theo T TT   Chinthrajah R Sharon RS   Warren Christopher M CM   Wittman Rich R   Meyerowitz Justin G JG   Ganio Edward A EA   Stelzer Ina A IA   Han Xiaoyuan X   Verdonk Franck F   Gaudillière Dyani K DK   Mukherjee Nilanjan N   Tsai Amy S AS   Rumer Kristen K KK   Jiang Sizun S   Valdés Ferrer Sergio Iván SI   Kelly J Daniel JD   Furman David D   Aghaeepour Nima N   Angst Martin S MS   Boyd Scott D SD   Pinsky Benjamin A BA   Nolan Garry P GP   Nadeau Kari C KC   Gaudillière Brice B   McIlwain David R DR  

bioRxiv : the preprint server for biology 20210210


The biological determinants of the wide spectrum of COVID-19 clinical manifestations are not fully understood. Here, over 1400 plasma proteins and 2600 single-cell immune features comprising cell phenotype, basal signaling activity, and signaling responses to inflammatory ligands were assessed in peripheral blood from patients with mild, moderate, and severe COVID-19, at the time of diagnosis. Using an integrated computational approach to analyze the combined plasma and single-cell proteomic dat  ...[more]

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