Korobova Zoia R, Arsentieva Natalia A, Butenko Anastasia A, Kudryavtsev Igor V, Rubinstein Artem A, Turenko Anastasia S, Ostankova Yulia V, Boeva Ekaterina V, Knizhnikova Anastasia A, Norka Anna O, Rassokhin Vadim V, Belyakov Nikolay A, Totolian Areg A
Saint Petersburg Pasteur Institute, Mira St. 14, 197101 St. Petersburg, Russia.
Faculty of Medicine, First Pavlov State Medical University of St. Petersburg, L'va Tolstogo St. 6-8, 197022 St. Petersburg, Russia.
Int J Mol Sci. 2025 Jul 27;26(15):7258. doi: 10.3390/ijms26157258.
Despite targeting mainly the respiratory tract, SARS-CoV-2 disrupts T cell homeostasis in ways that may explain both acute lethality and long-term immunological consequences. In this study, we aimed to evaluate the T-cell-mediated chain of immunity and formation of TCR via TREC assessment in COVID-19 and long COVID (LC). For this study, we collected 231 blood samples taken from patients with acute COVID-19 ( = 71), convalescents ( = 51), people diagnosed with LC ( = 63), and healthy volunteers ( = 46). With flow cytometry, we assessed levels of CD4+ and CD8+ minor T cell subpopulations (i.e., naïve, central and effector memory cells (CM and EM), Th1, Th2, Th17, Tfh, Tc1, Tc2, Tc17, Tc17.1, and subpopulations of effector cells (pE1, pE2, effector cells)). Additionally, we measured TREC levels. We found distinct changes in immune cell distribution-whilst distribution of major subpopulations of T cells was similar between cohorts, we noted that COVID-19 was associated with a decrease in naïve Th and CTLs, an increase in Th2/Tc2 lymphocyte polarization, an increase in CM cells, and a decrease in effector memory cells 1,3, and TEMRA cells. LC was associated with naïve CTL increase, polarization towards Th2 population, and a decrease in Tc1, Tc2, Em2, 3, 4 cells. We also noted TREC correlating with naïve cells subpopulations. Our findings suggest ongoing immune dysregulation, possibly driven by persistent antigen exposure or tissue migration of effector cells. The positive correlation between TREC levels and naïve T cells in LC patients points to residual thymic activity. The observed Th2/Th17 bias supports the hypothesis that LC involves autoimmune mechanisms, potentially driven by molecular mimicry or loss of immune tolerance.
尽管严重急性呼吸综合征冠状病毒2(SARS-CoV-2)主要靶向呼吸道,但它会破坏T细胞稳态,其方式可能解释急性致死率和长期免疫后果。在本研究中,我们旨在通过评估新冠病毒病(COVID-19)和新冠后综合征(LC)患者的T细胞受体切除环(TREC)来评估T细胞介导的免疫链和TCR的形成。在本研究中,我们收集了231份血液样本,这些样本来自急性COVID-19患者(n = 71)、康复者(n = 51)、被诊断为LC的人(n = 63)和健康志愿者(n = 46)。通过流式细胞术,我们评估了CD4+和CD8+次要T细胞亚群(即初始、中枢和效应记忆细胞(CM和EM)、Th1、Th2、Th17、滤泡辅助性T细胞(Tfh)、Tc1、Tc2、Tc17、Tc17.1以及效应细胞亚群(pE1、pE2、效应细胞))的水平。此外,我们测量了TREC水平。我们发现免疫细胞分布有明显变化——虽然各队列中主要T细胞亚群的分布相似,但我们注意到COVID-19与初始Th细胞和细胞毒性T淋巴细胞(CTL)减少、Th2/Tc2淋巴细胞极化增加、CM细胞增加以及效应记忆细胞1、3和终末分化记忆T细胞(TEMRA)细胞减少有关。LC与初始CTL增加、向Th2群体极化以及Tc1、Tc2、Em2、3、4细胞减少有关。我们还注意到TREC与初始细胞亚群相关。我们的研究结果表明存在持续的免疫失调,可能是由持续的抗原暴露或效应细胞的组织迁移驱动的。LC患者中TREC水平与初始T细胞之间的正相关表明胸腺仍有活性。观察到的Th2/Th17偏向支持了LC涉及自身免疫机制的假设,这可能是由分子模拟或免疫耐受丧失驱动的。