Severely ill and high-risk COVID-19 patients exhibit increased peripheral circulation of CD62L+ and perforin+ T cells.

Severely ill and high-risk COVID-19 patients exhibit increased peripheral circulation of CD62L+ and perforin+ T cells.
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DOI:
10.3389/fimmu.2023.1113932
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发表时间:
2023
影响因子:
7.3
通讯作者:
Beckham, J. David
Beckham, J. David
中科院分区:
医学2区
文献类型:
--
作者:
Lesteberg, Kelsey E.;Araya, Paula;Waugh, Katherine A.;Chauhan, Lakshmi;Espinosa, Joaquin M.;Beckham, J. David

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引起 COVID-19 的 SARS-CoV-2 的出现已导致全球报告病例超过 4 亿例。 COVID-19 疾病范围从无症状感染到严重疾病,可能受到个体免疫差异的影响。我们使用多参数流式细胞术来比较重症(ICU 入住)和非重症(入住观察病房)住院 COVID-19 患者的 CD4+ 和 CD8+ T 细胞反应。我们发现,与非重症患者相比,重症 COVID-19 患者表达 CD62L 的 CD4+ T 细胞的频率更高,与康复患者相比,穿孔素+ CD8+ T 细胞的频率更高。此外,与非重症和非糖尿病患者相比,重症糖尿病患者的 CD62L+ CD4+ 和 CD8+ T 细胞频率更高,并且重症高血压患者的 CD62L+ CD4+ T 细胞也有所增加。这是第一份表明 CD62L+ T 细胞和穿孔素 + T 细胞与严重的 COVID-19 疾病相关的报告,并且在患有高风险既往疾病(包括老年和糖尿病)的患者中显着增加。这些数据为严重的 COVID-19 提供了潜在的生物标志物。
The emergence of SARS-CoV-2, which causes COVID-19, has led to over 400 million reported cases worldwide. COVID-19 disease ranges from asymptomatic infection to severe disease and may be impacted by individual immune differences. We used multiparameter flow cytometry to compare CD4+ and CD8+ T cell responses in severe (ICU admitted) and non-severe (admitted to observational unit) hospitalized COVID-19 patients. We found that patients with severe COVID- 19 had greater frequencies of CD4+ T cells expressing CD62L compared to non-severe patients and greater frequencies of perforin+ CD8+ T cells compared to recovered patients. Furthermore, greater frequencies of CD62L+ CD4+ and CD8+ T cells were seen in severely ill diabetic patients compared to non-severe and non-diabetic patients, and increased CD62L+ CD4+ T cells were also seen in severely ill patients with hypertension. This is the first report to show that CD62L+ T cells and perforin+ T cells are associated with severe COVID-19 illness and are significantly increased in patients with high-risk pre-existing conditions including older age and diabetes. These data provide a potential biological marker for severe COVID-19.
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