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血清钙卫蛋白和异常髓系细胞亚群可区分 COVID-19 重症与轻症。

Elevated Calprotectin and Abnormal Myeloid Cell Subsets Discriminate Severe from Mild COVID-19.

机构信息

INSERM U1015, Gustave Roussy Cancer Campus, Villejuif 94800, France.

Université de Paris, Institut Cochin, CNRS UMR8104, INSERM U1016, Paris 75006, France; Service d'Hématologie Biologique, AP-HP, Hôpital Cochin, Paris 75014, France.

出版信息

Cell. 2020 Sep 17;182(6):1401-1418.e18. doi: 10.1016/j.cell.2020.08.002. Epub 2020 Aug 5.

Abstract

Blood myeloid cells are known to be dysregulated in coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2. It is unknown whether the innate myeloid response differs with disease severity and whether markers of innate immunity discriminate high-risk patients. Thus, we performed high-dimensional flow cytometry and single-cell RNA sequencing of COVID-19 patient peripheral blood cells and detected disappearance of non-classical CD14CD16 monocytes, accumulation of HLA-DR classical monocytes (Human Leukocyte Antigen - DR isotype), and release of massive amounts of calprotectin (S100A8/S100A9) in severe cases. Immature CD10CD101CXCR4 neutrophils with an immunosuppressive profile accumulated in the blood and lungs, suggesting emergency myelopoiesis. Finally, we show that calprotectin plasma level and a routine flow cytometry assay detecting decreased frequencies of non-classical monocytes could discriminate patients who develop a severe form of COVID-19, suggesting a predictive value that deserves prospective evaluation.

摘要

血液髓系细胞在由 SARS-CoV-2 引起的 2019 年冠状病毒病(COVID-19)中被认为失调。目前尚不清楚先天髓系反应是否因疾病严重程度而不同,以及先天免疫标志物是否能区分高危患者。因此,我们对 COVID-19 患者的外周血细胞进行了高维流式细胞术和单细胞 RNA 测序,并在严重病例中检测到非经典 CD14CD16 单核细胞的消失、HLA-DR 经典单核细胞(人类白细胞抗原-DR 同种型)的积累以及大量钙卫蛋白(S100A8/S100A9)的释放。具有免疫抑制特征的不成熟 CD10CD101CXCR4 中性粒细胞在血液和肺部积聚,表明紧急髓样发生。最后,我们表明,血浆钙卫蛋白水平和检测非经典单核细胞频率降低的常规流式细胞术检测可以区分发生严重 COVID-19 形式的患者,表明具有前瞻性评估价值的预测值。

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