[HTML][HTML] Immune cell profiling of COVID-19 patients in the recovery stage by single-cell sequencing

W Wen, W Su, H Tang, W Le, X Zhang, Y Zheng, X Liu… - Cell discovery, 2020 - nature.com
W Wen, W Su, H Tang, W Le, X Zhang, Y Zheng, X Liu, L Xie, J Li, J Ye, L Dong, X Cui…
Cell discovery, 2020nature.com
Abstract COVID-19, caused by SARS-CoV-2, has recently affected over 1,200,000 people
and killed more than 60,000. The key immune cell subsets change and their states during
the course of COVID-19 remain unclear. We sought to comprehensively characterize the
transcriptional changes in peripheral blood mononuclear cells during the recovery stage of
COVID-19 by single-cell RNA sequencing technique. It was found that T cells decreased
remarkably, whereas monocytes increased in patients in the early recovery stage (ERS) of …
Abstract
COVID-19, caused by SARS-CoV-2, has recently affected over 1,200,000 people and killed more than 60,000. The key immune cell subsets change and their states during the course of COVID-19 remain unclear. We sought to comprehensively characterize the transcriptional changes in peripheral blood mononuclear cells during the recovery stage of COVID-19 by single-cell RNA sequencing technique. It was found that T cells decreased remarkably, whereas monocytes increased in patients in the early recovery stage (ERS) of COVID-19. There was an increased ratio of classical CD14++ monocytes with high inflammatory gene expression as well as a greater abundance of CD14++IL1β+ monocytes in the ERS. CD4+ T cells and CD8+ T cells decreased significantly and expressed high levels of inflammatory genes in the ERS. Among the B cells, the plasma cells increased remarkably, whereas the naïve B cells decreased. Several novel B cell-receptor (BCR) changes were identified, such as IGHV3-23 and IGHV3-7, and isotypes (IGHV3-15, IGHV3-30, and IGKV3-11) previously used for virus vaccine development were confirmed. The strongest pairing frequencies, IGHV3-23-IGHJ4, indicated a monoclonal state associated with SARS-CoV-2 specificity, which had not been reported yet. Furthermore, integrated analysis predicted that IL-1β and M-CSF may be novel candidate target genes for inflammatory storm and that TNFSF13, IL-18, IL-2, and IL-4 may be beneficial for the recovery of COVID-19 patients. Our study provides the first evidence of an inflammatory immune signature in the ERS, suggesting COVID-19 patients are still vulnerable after hospital discharge. Identification of novel BCR signaling may lead to the development of vaccines and antibodies for the treatment of COVID-19.
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