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Immunologic timeline of Ebola virus disease and recovery in humans
Anita K. McElroy, … , Stuart T. Nichol, Christina F. Spiropoulou
Anita K. McElroy, … , Stuart T. Nichol, Christina F. Spiropoulou
Published May 21, 2020
Citation Information: JCI Insight. 2020;5(10):e137260. https://doi.org/10.1172/jci.insight.137260.
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Research Article Immunology Virology

Immunologic timeline of Ebola virus disease and recovery in humans

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Abstract

A complete understanding of human immune responses to Ebola virus infection is limited by the availability of specimens and the requirement for biosafety level 4 (BSL-4) containment. In an effort to bridge this gap, we evaluated cryopreserved PBMCs from 4 patients who survived Ebola virus disease (EVD) using an established mass cytometry antibody panel to characterize various cell populations during both the acute and convalescent phases. Acute loss of nonclassical monocytes and myeloid DCs, especially CD1c+ DCs, was noted. Classical monocyte proliferation and CD38 upregulation on plasmacytoid DCs coincided with declining viral load. Unsupervised analysis of cell abundance demonstrated acute declines in monocytic, NK, and T cell populations, but some populations, many of myeloid origin, increased in abundance during the acute phase, suggesting emergency hematopoiesis. Despite cell losses during the acute phase, upregulation of Ki-67 correlated with recovery of cell populations over time. These data provide insights into the human immune response during EVD.

Authors

Anita K. McElroy, Rama S. Akondy, David R. Mcllwain, Han Chen, Zach Bjornson-Hooper, Nilanjan Mukherjee, Aneesh K. Mehta, Garry Nolan, Stuart T. Nichol, Christina F. Spiropoulou

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Figure 5

SCAFFoLD maps of cell abundance at acute phase versus convalescent phase.

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SCAFFoLD maps of cell abundance at acute phase versus convalescent phase...
Fold change in cell abundance (A) and differences in median Ki-67 signal (B) at an acute versus a convalescent time point for each patient. Most cell populations, including monocytes, NK cells, and T cells, decrease in abundance during the acute phase but show active proliferation.

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