Interleukin-3 is a predictive marker for severity and outcome during SARS-CoV-2 infections.

Interleukin-3 is a predictive marker for severity and outcome during SARS-CoV-2 infections.
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DOI:
10.1038/s41467-021-21310-4
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发表时间:
2021-02-18
影响因子:
16.6
通讯作者:
Weber GF
Weber GF
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Bénard A;Jacobsen A;Brunner M;Krautz C;Klösch B;Swierzy I;Naschberger E;Podolska MJ;Kouhestani D;David P;Birkholz T;Castellanos I;Trufa D;Sirbu H;Vetter M;Kremer AE;Hildner K;Hecker A;Edinger F;Tenbusch M;Mühl-Zürbes P;Steinkasserer A;Richter E;Streeck H;Berger MM;Brenner T;Weigand MA;Swirski FK;Schett G;Grützmann R;Weber GF

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严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)是一种全球性的健康威胁。在一项前瞻性多中心研究中,我们确定IL-3是SARS-CoV-2感染期间预后的独立预后标志物。具体而言,低血浆IL-3水平与SARS-CoV-2感染期间严重程度、病毒载量和死亡率增加有关。与非严重COVID-19患者相比,严重COVID-19患者还表现出循环浆细胞样树突状细胞(pDCs)减少,血浆IFNα和IFNλ水平较低。在肺部HSV-1感染的小鼠模型中,用重组IL-3治疗可降低病毒载量和死亡率。在机制上,IL-3通过刺激肺部CD123+上皮细胞分泌CXCL12,促进循环pDCs向气道募集,从而增强先天抗病毒免疫,这在小鼠和肺部疾病的COVID-19阴性患者中都是如此。本研究确定IL-3是SARS-CoV-2感染的预测性疾病标志物,也是肺部病毒感染的潜在治疗靶点。在这里,作者在一项多中心前瞻性研究中确定白细胞介素-3作为SARS-CoV-2感染严重程度和结果的预测标志物,并发现与非严重COVID-19患者相比,严重COVID-19患者的循环浆细胞样树突状细胞水平降低。
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a worldwide health threat. In a prospective multicentric study, we identify IL-3 as an independent prognostic marker for the outcome during SARS-CoV-2 infections. Specifically, low plasma IL-3 levels is associated with increased severity, viral load, and mortality during SARS-CoV-2 infections. Patients with severe COVID-19 exhibit also reduced circulating plasmacytoid dendritic cells (pDCs) and low plasma IFNα and IFNλ levels when compared to non-severe COVID-19 patients. In a mouse model of pulmonary HSV-1 infection, treatment with recombinant IL-3 reduces viral load and mortality. Mechanistically, IL-3 increases innate antiviral immunity by promoting the recruitment of circulating pDCs into the airways by stimulating CXCL12 secretion from pulmonary CD123+ epithelial cells, both, in mice and in COVID-19 negative patients exhibiting pulmonary diseases. This study identifies IL-3 as a predictive disease marker for SARS-CoV-2 infections and as a potential therapeutic target for pulmunory viral infections. Here, the authors identify interleukin-3 as a predictive marker for severity and outcome of SARS-CoV-2 infection in a multi-center, prospective study and find that patients with severe COVID-19 have reduced circulating plasmacytoid dendritic cell levels compared to non-severe COVID-19 patients.
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