[PDF][PDF] Elevated calprotectin and abnormal myeloid cell subsets discriminate severe from mild COVID-19

A Silvin, N Chapuis, G Dunsmore, AG Goubet… - Cell, 2020 - cell.com
A Silvin, N Chapuis, G Dunsmore, AG Goubet, A Dubuisson, L Derosa, C Almire, C Hénon…
Cell, 2020cell.com
Blood myeloid cells are known to be dysregulated in coronavirus disease 2019 (COVID-19),
caused by SARS-CoV-2. It is unknown whether the innate myeloid response differs with
disease severity and whether markers of innate immunity discriminate high-risk patients.
Thus, we performed high-dimensional flow cytometry and single-cell RNA sequencing of
COVID-19 patient peripheral blood cells and detected disappearance of non-classical CD14
Low CD16 High monocytes, accumulation of HLA-DR Low classical monocytes (Human …
Summary
Blood myeloid cells are known to be dysregulated in coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2. It is unknown whether the innate myeloid response differs with disease severity and whether markers of innate immunity discriminate high-risk patients. Thus, we performed high-dimensional flow cytometry and single-cell RNA sequencing of COVID-19 patient peripheral blood cells and detected disappearance of non-classical CD14LowCD16High monocytes, accumulation of HLA-DRLow classical monocytes (Human Leukocyte Antigen - DR isotype), and release of massive amounts of calprotectin (S100A8/S100A9) in severe cases. Immature CD10LowCD101CXCR4+/− neutrophils with an immunosuppressive profile accumulated in the blood and lungs, suggesting emergency myelopoiesis. Finally, we show that calprotectin plasma level and a routine flow cytometry assay detecting decreased frequencies of non-classical monocytes could discriminate patients who develop a severe form of COVID-19, suggesting a predictive value that deserves prospective evaluation.
cell.com