Proteomic analysis of circulating immune cells identifies cellular phenotypes associated with COVID-19 severity.

Proteomic analysis of circulating immune cells identifies cellular phenotypes associated with COVID-19 severity.
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DOI:
10.1016/j.celrep.2023.112613
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发表时间:
2023-06-27
期刊:
影响因子:
8.8
通讯作者:
--
中科院分区:
生物学1区
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--
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某些血清蛋白,包括C-反应蛋白(CRP)和D-二聚体,在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)患者中具有预后价值。尽管如此,这些因素是非特异性的,对驱动严重COVID-19发病机制的外周血单核细胞(PBMC)群体提供了有限的机制见解。为了确定与疾病相关的细胞表型,我们对40名未接种SARS-CoV-2疫苗的个体的总PBMC蛋白质组和质膜PBMC蛋白质组进行了全面、无偏的分析,这些个体跨越了整个疾病谱。结合来自相同供体的RNA测序(RNA-seq)和流式细胞术,我们为每个严重程度水平定义了一个全面的多组学特征,揭示了免疫细胞失调随着疾病的增加而进展。细胞表面蛋白CEACAM 1、6和8、CD 177、CD 63和CD 89与严重COVID-19密切相关,对应于非典型CD 3 + CD 4 + CEACAM 1/6/8+ CD 177 + CD 63 + CD 89+和CD 16 + CEACAM 1/6/8+单核细胞的出现。利用这些标志物可以通过流式细胞术促进实时患者评估,并鉴定可以靶向改善免疫病理学的免疫群体。Potts等人描述了对从COVID-19患者中获得的免疫细胞进行的多重蛋白质组学分析,将CEACAM 1/6/8、CD 177、CD 63和CD 89鉴定为在严重疾病中上调的细胞表面标志物。表型鉴定在严重疾病中表达这些标志物的不寻常的CD 4 + T细胞和CD 16+单核细胞群体的出现。
Certain serum proteins, including C-reactive protein (CRP) and D-dimer, have prognostic value in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Nonetheless, these factors are non-specific, providing limited mechanistic insight into the peripheral blood mononuclear cell (PBMC) populations that drive the pathogenesis of severe COVID-19. To identify cellular phenotypes associated with disease, we performed a comprehensive, unbiased analysis of total and plasma-membrane PBMC proteomes from 40 unvaccinated individuals with SARS-CoV-2, spanning the whole disease spectrum. Combined with RNA sequencing (RNA-seq) and flow cytometry from the same donors, we define a comprehensive multi-omic profile for each severity level, revealing that immune-cell dysregulation progresses with increasing disease. The cell-surface proteins CEACAMs1, 6, and 8, CD177, CD63, and CD89 are strongly associated with severe COVID-19, corresponding to the emergence of atypical CD3+CD4+CEACAM1/6/8+CD177+CD63+CD89+ and CD16+CEACAM1/6/8+ mononuclear cells. Utilization of these markers may facilitate real-time patient assessment by flow cytometry and identify immune populations that could be targeted to ameliorate immunopathology. Potts et al. describe a multiplexed proteomic analysis of immune cells obtained from individuals with COVID-19, identifying CEACAMs 1/6/8, CD177, CD63, and CD89 as cell-surface markers upregulated in severe disease. Phenotyping identifies emergence of unusual CD4+ T cell and CD16+ monocyte populations expressing these markers in severe disease.
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