Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.
Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.
J Cell Mol Med. 2020 Dec;24(24):14270-14279. doi: 10.1111/jcmm.16044. Epub 2020 Nov 3.
Recent studies have demonstrated a marked decrease in peripheral lymphocyte levels in patients with coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Few studies have focused on the changes of NK, T- and B-cell subsets, inflammatory cytokines and virus-specific antibodies in patients with moderate COVID-19. A total of 11 RT-PCR-confirmed convalescent patients with COVID-19 and 11 patients with non-SARS-CoV-2 pneumonia (control patients) were enrolled in this study. NK, CD8 T, CD4 T, Tfh-like and B-cell subsets were analysed using flow cytometry. Cytokines and SARS-CoV-2-specific antibodies were analysed using an electrochemiluminescence immunoassay. NK cell counts were significantly higher in patients with COVID-19 than in control patients (P = 0.017). Effector memory CD8 T-cell counts significantly increased in patients with COVID-19 during a convalescent period of 1 week (P = 0.041). TIM-3 Tfh-like cell and CD226 Tfh-like cell counts significantly increased (P = 0.027) and decreased (P = 0.022), respectively, during the same period. Moreover, ICOS Tfh-like cell counts tended to decrease (P = 0.074). No abnormal increase in cytokine levels was observed. The high expression of NK cells is important in innate immune response against SARS-CoV-2. The increase in effector memory CD8 T-cell counts, the up-regulation of inhibitory molecules and the down-regulation of active molecules on CD4 T cells and Tfh-like cells in patients with COVID-19 would benefit the maintenance of balanced cellular and humoural immune responses, may prevent the development of severe cases and contribute to the recovery of patients with COVID-19.
最近的研究表明,严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)患者外周血淋巴细胞水平明显下降。很少有研究关注中度 COVID-19 患者 NK、T 和 B 细胞亚群、炎症细胞因子和病毒特异性抗体的变化。本研究共纳入 11 例经 RT-PCR 确诊的 COVID-19 恢复期患者和 11 例非 SARS-CoV-2 肺炎患者(对照组)。采用流式细胞术分析 NK、CD8 T、CD4 T、滤泡辅助 T 样(Tfh-like)和 B 细胞亚群。采用电化学发光免疫分析法分析细胞因子和 SARS-CoV-2 特异性抗体。COVID-19 患者的 NK 细胞计数明显高于对照组(P = 0.017)。COVID-19 患者在恢复期 1 周内效应记忆 CD8 T 细胞计数明显增加(P = 0.041)。同期 TIM-3 Tfh-like 细胞和 CD226 Tfh-like 细胞计数明显增加(P = 0.027)和减少(P = 0.022),而 ICOS Tfh-like 细胞计数呈下降趋势(P = 0.074)。未观察到细胞因子水平异常升高。NK 细胞的高表达对 SARS-CoV-2 的固有免疫反应很重要。COVID-19 患者效应记忆 CD8 T 细胞计数增加,CD4 T 细胞和 Tfh-like 细胞上抑制性分子上调和活性分子下调,有利于维持细胞和体液免疫反应平衡,可能预防重症病例发生,并有助于 COVID-19 患者康复。
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