Otten Twan, Jiang Xun, Gupta Manoj Kumar, Vadaq Nadira, Cleophas-Jacobs Maartje, Dos Santos Jéssica C, Groenendijk Albert, Vos Wilhelm, van Eekeren Louise E, Blaauw Marc J T, Meeder Elise M G, Richel Olivier, Matzaraki Vasiliki, van Lunzen Jan, Joosten Leo A B, Li Yang, Xu Cheng-Jian, van der Ven Andre, Netea Mihai G
Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.
Department of Internal Medicine and Infectious Diseases, Elizabeth-Tweesteden Ziekenhuis, Tilburg, Netherlands.
Front Immunol. 2024 Dec 18;15:1459593. doi: 10.3389/fimmu.2024.1459593. eCollection 2024.
INTRODUCTION: During the COVID-19 pandemic, major events with immune-modulating effects at population-level included COVID-19 infection, lockdowns, and mass vaccinations campaigns. As immune responses influence many immune-mediated diseases, population scale immunological changes may have broad consequences. METHODS: We investigated the impact of lockdowns, COVID-19 infection and vaccinations on immune responses in the 2000HIV study including 1895 asymptomatic virally-suppressed people living with HIV recruited between October 2019 and October 2021. Their inflammatory profile was assessed by targeted plasma proteomics, immune responsiveness by cytokine production capacity of circulating immune cells, and epigenetic profile by genome-wide DNA methylation of immune cells. RESULTS: Past mild COVID-19 infection had limited long-term immune effects. In contrast, COVID-19 vaccines and especially lockdowns significantly altered both the epigenetic profile in immune cells at DNA methylation level and immune responses. Lockdowns resulted in a strong overall exaggerated immune responsiveness, while COVID-19 vaccines moderately dampened immune responses. Lockdown-associated immune responsiveness alterations were confirmed in 30 healthy volunteers from the 200FG cohort that, like the 2000HIV study, is part of the Human Functional Genomics Project. DISCUSSION: Our data suggest that lockdowns have unforeseen immunological effects. Furthermore, COVID-19 vaccines have immunological effects beyond anti-SARS-CoV-2 activity, and studies of their impact on non-COVID-19 immune-mediated pathology are warranted.
引言:在新冠疫情期间,在人群层面具有免疫调节作用的重大事件包括新冠病毒感染、封锁措施和大规模疫苗接种运动。由于免疫反应会影响许多免疫介导的疾病,人群规模的免疫变化可能会产生广泛的后果。 方法:我们在2000HIV研究中调查了封锁措施、新冠病毒感染和疫苗接种对免疫反应的影响,该研究纳入了1895名在2019年10月至2021年10月期间招募的无症状病毒抑制的HIV感染者。通过靶向血浆蛋白质组学评估他们的炎症特征,通过循环免疫细胞的细胞因子产生能力评估免疫反应性,并通过免疫细胞的全基因组DNA甲基化评估表观遗传特征。 结果:既往轻度新冠病毒感染的长期免疫影响有限。相比之下,新冠疫苗,尤其是封锁措施,在DNA甲基化水平上显著改变了免疫细胞的表观遗传特征和免疫反应。封锁措施导致整体免疫反应性大幅增强,而新冠疫苗则适度抑制了免疫反应。在200FG队列的30名健康志愿者中证实了与封锁相关的免疫反应性改变,该队列与2000HIV研究一样,是人类功能基因组计划的一部分。 讨论:我们的数据表明,封锁措施具有不可预见的免疫影响。此外,新冠疫苗的免疫作用超出了抗SARS-CoV-2活性,有必要研究其对非新冠病毒感染的免疫介导病理的影响。
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