Cutting Edge: Distinct B Cell Repertoires Characterize Patients with Mild and Severe COVID-19.

Cutting Edge: Distinct B Cell Repertoires Characterize Patients with Mild and Severe COVID-19.
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DOI:
10.4049/jimmunol.2100135
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发表时间:
2021-06-15
期刊:
Journal of immunology (Baltimore, Md. : 1950)
影响因子:
--
通讯作者:
Kleinstein SH
Kleinstein SH
中科院分区:
其他
文献类型:
--
作者:
Hoehn KB;Ramanathan P;Unterman A;Sumida TS;Asashima H;Hafler DA;Kaminski N;Dela Cruz CS;Sealfon SC;Bukreyev A;Kleinstein SH

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针对 COVID-19 的保护性免疫力可能取决于感染或接种疫苗后 SARS-CoV-2 特异性浆细胞和记忆 B 细胞的产生。先前的研究发现,严重的 COVID-19 中生发中心反应受到干扰。这可能会对针对再次感染的长期免疫力产生不利影响。与滤泡外 B 细胞反应一致,重症 COVID-19 患者的克隆扩增、类别转换、未突变浆母细胞的频率升高。然而,尚不清楚轻度 COVID-19 个体的 B 细胞群是否也存在类似的偏差。在这里,我们使用 B 细胞的单细胞 RNA 测序来表明,与重症 COVID-19 患者相比,症状轻微的 COVID-19 受试者在症状出现约 30 天后,其 B 细胞库富含克隆多样性、体细胞高度突变的记忆 B 细胞。这提供了证据,表明 B 细胞反应在轻度 COVID-19 中较少受到干扰,并导致记忆 B 细胞的产生。
Protective immunity against COVID-19 likely depends on the production of SARS-CoV-2 specific plasma cells and memory B cells after infection or vaccination. Previous work has found that germinal center reactions are disrupted in severe COVID-19. This may adversely affect long-term immunity against re-infection. Consistent with an extrafollicular B cell response, patients with severe COVID-19 have elevated frequencies of clonally expanded, class switched, unmutated plasmablasts. However, it is unclear whether B cell populations in individuals with mild COVID-19 are similarly skewed. Here, we use single cell RNA sequencing of B cells to show that, in contrast to patients with severe COVID-19, subjects with mildly symptomatic COVID-19 have B cell repertoires enriched for clonally diverse, somatically-hypermutated memory B cells approximately 30 days after the onset of symptoms. This provides evidence that B cell responses are less disrupted in mild COVID-19, and result in the production of memory B cells.
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