Severe acute respiratory syndrome coronavirus 2–induced immune activation and death of monocyte-derived human macrophages and dendritic cells

J Zheng, Y Wang, K Li, DK Meyerholz… - The Journal of …, 2021 - academic.oup.com
J Zheng, Y Wang, K Li, DK Meyerholz, C Allamargot, S Perlman
The Journal of infectious diseases, 2021academic.oup.com
Studies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)–infected
patients and experimentally infected animals indicate a critical role for augmented
expression of proinflammatory chemokines and cytokines in severe disease. Here, we
demonstrate that SARS-CoV-2 infection of human monocyte-derived macrophages (MDMs)
and monocyte-derived dendritic cells was abortive, but induced the production of multiple
antiviral and proinflammatory cytokines (interferon-α, interferon-β, tumor necrosis factor, and …
Abstract
Studies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)–infected patients and experimentally infected animals indicate a critical role for augmented expression of proinflammatory chemokines and cytokines in severe disease. Here, we demonstrate that SARS-CoV-2 infection of human monocyte-derived macrophages (MDMs) and monocyte-derived dendritic cells was abortive, but induced the production of multiple antiviral and proinflammatory cytokines (interferon-α, interferon-β, tumor necrosis factor, and interleukins 1β, 6, and 10) and a chemokine (CXCL10). Despite the lack of efficient replication in MDMs, SARS-CoV-2 induced profound interferon-mediated cell death of host cells. Macrophage activation and death were not enhanced by exposure to low levels of convalescent plasma, suggesting that antibody-dependent enhancement of infection does not contribute to cell death. Together, these results indicate that infection of macrophages and dendritic cells potentially plays a major role in coronavirus disease 2019 pathogenesis, even in the absence of productive infection.
Oxford University Press