Immunosenescence Profile Is Associated With Increased Susceptibility to Severe COVID-19

被引:0
作者
Ventura, Lucas Haniel A. [1 ]
Torres, Licia [1 ]
Camatta, Giovanna Caliman [1 ]
Zamame, Jofer [2 ]
Coelho, Monique Macedo [1 ]
Ramalho-Pinto, Cecilia Horta [1 ]
Gervazio, Joao [1 ]
Caixeta, Felipe [1 ]
Nascimento, Leandro [1 ]
Oliveira, Mariana Almeida [1 ]
Martins, Vinicius Dantas [1 ]
Oliveira, Marcos Felipe [1 ]
Costa, Murilo Soares [3 ,4 ]
Sato, Hugo Itaru [1 ]
Guimaraes, Henrique Cerqueira [5 ]
Barbuto, Rafael Calvao [5 ]
Veiga, Ana Paula Rocha [6 ]
Ataide, Najara [6 ]
Caetano, Gabriela Prandi [6 ]
Rangon, Sarah [6 ]
Junior, Mauro Lucio O. [7 ]
Fortes, Fernanda Calvo [1 ]
Zuccherato, Luciana [1 ]
Speziali, Elaine [8 ,9 ]
Martins-Filho, Olindo Assis [8 ]
Coelho, Veronica [10 ]
Avritchir, Roberto [11 ]
Souza, Rafael [6 ]
Ayupe, Marina [2 ]
Loureiro, Caio [2 ]
Passos, Maria Eduarda
Neves, Ana Clara Mota
Leite, Pauline
Teixeira, Santuza Maria Ribeiro [1 ]
Tupinambas, Unai [3 ,4 ]
Felicori, Liza Figueiredo [1 ]
Silveira-Nunes, Gabriela
Maioli, Tatiani Uceli [1 ,12 ]
Fonseca, Denise Morais [2 ]
Teixeira-Carvalho, Andrea [8 ]
Faria, Ana Maria Caetano [1 ]
机构
[1] Univ Fed Minas Gerais, Dept Bioquim & Imunol, Inst Ciencias Biol, Belo Horizonte, Brazil
[2] Univ Sao Paulo, Dept Imunol, Inst Ciencias Biomed, Sao Paulo, Brazil
[3] Univ Fed Minas Gerais, Dept Clin Med, Fac Med, Belo Horizonte, Brazil
[4] Univ Fed Minas Gerais, Posgrad Infectol & Doencas Tropicais, Belo Horizonte, Brazil
[5] Hosp Risoleta Tolentino Neves, Belo Horizonte, MG, Brazil
[6] Inst Infectol Emilio Ribas, Sao Paulo, Brazil
[7] Hosp UNIMED, Governador Valadares, Brazil
[8] Fundacao Oswaldo Cruz, Inst Rene Rachou, Belo Horizonte, Brazil
[9] Univ Edson Antonio Velano, Fundacao Ensino & Tecnol Alfenas, Belo Horizonte, Brazil
[10] Univ Sao Paulo, Inst Coracao, Sao Paulo, Brazil
[11] St Casa Misericordia Sao Paulo, Sao Paulo, Brazil
[12] Univ Fed Minas Gerais, Dept Nutr, Escola Enfermagem, Belo Horizonte, MG, Brazil
关键词
COVID-19; epigenetic clock; immunoglobulin repertoire; immunosenescence; inflammaging; T cell exhaustion; T cell senescence; CD8(+) T-CELLS; AGE; REPERTOIRE; SENESCENCE; INFLUENZA;
D O I
10.1111/acel.70077
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
In this study, we tested the hypothesis that the immunosenescence profile could account for the disproportional susceptibility of the elderly to severe forms of COVID-19. The immunological profiles of volunteers residing in endemic and non-endemic areas for chronic infectious diseases were analyzed at the early stage of SARS-CoV-2 infection. A unique signature of inflammatory plasma mediators was identified in COVID-19 volunteers when compared to individuals with other flu-like syndromes. COVID-19 severity correlated with high levels of inflammatory mediators; among them, CXCL9, a serum marker of aging. Patients who progressed to hospitalization displayed high frequencies of CD8+ and CD4+ T cells expressing exhaustion and senescence markers and showed reduced and more mature B cell repertoires, which are typical of senescence. They also had an acceleration of epigenetic age measured by DNA methylation. Therefore, severe COVID-19 correlated with phenotypic, functional, and epigenetic features of accelerated immunosenescence at the onset of infection.
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