Kajihara Kimberly, Yan Donghong, Seim Gretchen L, Little-Hooy Hannah, Kang Jing, Chen Cynthia, De Simone Marco, Delemarre Tim, Darmanis Spyros, Shivram Haridha, Bauer Rebecca N, Rosenberger Carrie M, Kapadia Sharookh B, Xu Min, Reyes Miguel
Department of Infectious Diseases, Genentech, South San Francisco, CA, USA.
Department of Translational Immunology, Genentech, South San Francisco, CA, USA.
Commun Biol. 2025 Jul 23;8(1):1096. doi: 10.1038/s42003-025-08407-y.
Both bacterial and viral infections can trigger an overwhelming host response, leading to immunopathology and organ dysfunction. Multiple studies have reported dysregulated myeloid cell states in patients with bacterial sepsis or severe SARS-CoV-2 infection. However, their relevance to viral infections other than COVID-19, the factors driving their induction, and their role in tissue injury remain poorly understood. Here, we performed a multi-cohort analysis of single cell and bulk transcriptomic data from 1845 patients across 25 studies. Our meta-analysis revealed a conserved severity-associated gene signature pointing to emergency myelopoiesis (EM) and increased IL1R2 expression in monocytes and neutrophils from patients with bacterial sepsis, COVID-19, and influenza. Analysis of tocilizumab-treated COVID-19 patients showed that IL-6 signaling blockade partially reduces this signature and results in a compensatory increase in G-CSF. To validate the role of these cytokines in vivo, we used a mouse model of influenza infection that recapitulates severity-associated increases in IL1R2+ monocytes and IL1R2 neutrophils, and demonstrate that combined IL-6 and G-CSF blockade inhibits their production. Our study demonstrates the cooperative role of G-CSF and IL-6 in driving the production of severity-associated IL1R2+ myeloid cells and highlights the link between myeloid dysregulation and tissue injury during severe infection.
细菌和病毒感染均可引发机体过度的免疫反应,导致免疫病理损伤和器官功能障碍。多项研究报告称,在患有细菌性败血症或严重SARS-CoV-2感染的患者中,髓系细胞状态失调。然而,它们与除COVID-19之外的其他病毒感染的相关性、诱导它们的驱动因素以及它们在组织损伤中的作用仍知之甚少。在此,我们对来自25项研究的1845名患者的单细胞和批量转录组数据进行了多队列分析。我们的荟萃分析揭示了一个与严重程度相关的保守基因特征,表明在患有细菌性败血症、COVID-19和流感的患者中,单核细胞和中性粒细胞存在应急髓系造血(EM)和IL1R2表达增加。对接受托珠单抗治疗的COVID-19患者的分析表明,IL-6信号通路阻断可部分降低这一特征,并导致G-CSF代偿性增加。为了在体内验证这些细胞因子的作用,我们使用了一种流感感染小鼠模型,该模型重现了与严重程度相关的IL1R2+单核细胞和IL1R2+中性粒细胞增加的情况,并证明联合阻断IL-6和G-CSF可抑制它们的产生。我们的研究证明了G-CSF和IL-6在驱动与严重程度相关的IL1R2+髓系细胞产生中的协同作用,并突出了严重感染期间髓系失调与组织损伤之间的联系。
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