Convalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities

COVID-19, the disease caused by SARS-CoV-2 infection, can assume a highly variable disease course, ranging from asymptomatic infection, which constitutes the majority of cases, to severe respiratory failure. This implies a diverse host immune response to SARS-CoV-2. However, the immunological underp...

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Autores principales: Chang-Feng Chu, Florian Sabath, Silvia Fibi-Smetana, Shan Sun, Rupert Öllinger, Elfriede Noeßner, Ying-Yin Chao, Linus Rinke, Elena Winheim, Roland Rad, Anne B. Krug, Leila Taher, Christina E. Zielinski
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/a4a5a8a224bb40909430cdabe11e9302
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spelling oai:doaj.org-article:a4a5a8a224bb40909430cdabe11e93022021-11-22T12:44:56ZConvalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities1664-322410.3389/fimmu.2021.601080https://doaj.org/article/a4a5a8a224bb40909430cdabe11e93022021-08-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.601080/fullhttps://doaj.org/toc/1664-3224COVID-19, the disease caused by SARS-CoV-2 infection, can assume a highly variable disease course, ranging from asymptomatic infection, which constitutes the majority of cases, to severe respiratory failure. This implies a diverse host immune response to SARS-CoV-2. However, the immunological underpinnings underlying these divergent disease courses remain elusive. We therefore set out to longitudinally characterize immune signatures of convalescent COVID-19 patients stratified according to their disease severity. Our unique convalescent COVID-19 cohort consists of 74 patients not confounded by comorbidities. This is the first study of which we are aware that excludes immune abrogations associated with non-SARS-CoV-2 related risk factors of disease severity. Patients were followed up and analyzed longitudinally (2, 4 and 6 weeks after infection) by high-dimensional flow cytometric profiling of peripheral blood mononuclear cells (PBMCs), in-depth serum analytics, and transcriptomics. Immune phenotypes were correlated to disease severity. Convalescence was overall associated with uniform immune signatures, but distinct immune signatures for mildly versus severely affected patients were detectable within a 2-week time window after infection.Chang-Feng ChuChang-Feng ChuChang-Feng ChuFlorian SabathSilvia Fibi-SmetanaShan SunShan SunRupert ÖllingerElfriede NoeßnerYing-Yin ChaoYing-Yin ChaoLinus RinkeElena WinheimRoland RadAnne B. KrugLeila TaherChristina E. ZielinskiChristina E. ZielinskiChristina E. ZielinskiFrontiers Media S.A.articleCOVID-19T cellsSARS-CoV-2immunomonitoringdisease severity assessmentImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
T cells
SARS-CoV-2
immunomonitoring
disease severity assessment
Immunologic diseases. Allergy
RC581-607
spellingShingle COVID-19
T cells
SARS-CoV-2
immunomonitoring
disease severity assessment
Immunologic diseases. Allergy
RC581-607
Chang-Feng Chu
Chang-Feng Chu
Chang-Feng Chu
Florian Sabath
Silvia Fibi-Smetana
Shan Sun
Shan Sun
Rupert Öllinger
Elfriede Noeßner
Ying-Yin Chao
Ying-Yin Chao
Linus Rinke
Elena Winheim
Roland Rad
Anne B. Krug
Leila Taher
Christina E. Zielinski
Christina E. Zielinski
Christina E. Zielinski
Convalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities
description COVID-19, the disease caused by SARS-CoV-2 infection, can assume a highly variable disease course, ranging from asymptomatic infection, which constitutes the majority of cases, to severe respiratory failure. This implies a diverse host immune response to SARS-CoV-2. However, the immunological underpinnings underlying these divergent disease courses remain elusive. We therefore set out to longitudinally characterize immune signatures of convalescent COVID-19 patients stratified according to their disease severity. Our unique convalescent COVID-19 cohort consists of 74 patients not confounded by comorbidities. This is the first study of which we are aware that excludes immune abrogations associated with non-SARS-CoV-2 related risk factors of disease severity. Patients were followed up and analyzed longitudinally (2, 4 and 6 weeks after infection) by high-dimensional flow cytometric profiling of peripheral blood mononuclear cells (PBMCs), in-depth serum analytics, and transcriptomics. Immune phenotypes were correlated to disease severity. Convalescence was overall associated with uniform immune signatures, but distinct immune signatures for mildly versus severely affected patients were detectable within a 2-week time window after infection.
format article
author Chang-Feng Chu
Chang-Feng Chu
Chang-Feng Chu
Florian Sabath
Silvia Fibi-Smetana
Shan Sun
Shan Sun
Rupert Öllinger
Elfriede Noeßner
Ying-Yin Chao
Ying-Yin Chao
Linus Rinke
Elena Winheim
Roland Rad
Anne B. Krug
Leila Taher
Christina E. Zielinski
Christina E. Zielinski
Christina E. Zielinski
author_facet Chang-Feng Chu
Chang-Feng Chu
Chang-Feng Chu
Florian Sabath
Silvia Fibi-Smetana
Shan Sun
Shan Sun
Rupert Öllinger
Elfriede Noeßner
Ying-Yin Chao
Ying-Yin Chao
Linus Rinke
Elena Winheim
Roland Rad
Anne B. Krug
Leila Taher
Christina E. Zielinski
Christina E. Zielinski
Christina E. Zielinski
author_sort Chang-Feng Chu
title Convalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities
title_short Convalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities
title_full Convalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities
title_fullStr Convalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities
title_full_unstemmed Convalescent COVID-19 Patients Without Comorbidities Display Similar Immunophenotypes Over Time Despite Divergent Disease Severities
title_sort convalescent covid-19 patients without comorbidities display similar immunophenotypes over time despite divergent disease severities
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/a4a5a8a224bb40909430cdabe11e9302
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