Early IFN-α signatures and persistent dysfunction are distinguishing features of NK cells in severe COVID-19

被引:149
作者
Kraemer, Benjamin [1 ]
Knoll, Rainer [2 ,3 ]
Bonaguro, Lorenzo [2 ,3 ]
ToVinh, Michael [1 ]
Raabe, Jan [1 ]
Astaburuaga-Garcia, Rosario [4 ,5 ,6 ,7 ,8 ]
Schulte-Schrepping, Jonas [2 ,3 ]
Kaiser, Kim Melanie [1 ]
Rieke, Gereon J. [1 ]
Bischoff, Jenny [1 ]
Monin, Malte B. [1 ]
Hoffmeister, Christoph [1 ]
Schlabe, Stefan [1 ,9 ]
De Domenico, Elena [2 ,10 ,11 ]
Reusch, Nico [2 ,3 ]
Haendler, Kristian [2 ,10 ,11 ]
Reynolds, Gary [12 ]
Bluethgen, Nils [4 ,5 ,6 ,7 ,8 ]
Hack, Gudrun [1 ]
Finnemann, Claudia [1 ]
Nischalke, Hans D. [1 ]
Strassburg, Christian P. [1 ]
Stephenson, Emily [12 ]
Su, Yapeng [13 ]
Gardner, Louis [12 ]
Yuan, Dan [13 ]
Chen, Daniel [13 ]
Goldman, Jason [13 ,15 ,16 ,17 ]
Rosenstiel, Philipp [18 ,19 ]
Schmidt, Susanne, V [20 ]
Latz, Eicke [20 ]
Hrusovsky, Kevin [21 ]
Ball, Andrew J. [21 ]
Johnson, Joe M. [21 ]
Koenig, Paul-Albert [20 ,22 ]
Schmidt, Florian, I [20 ,22 ]
Haniffa, Muzlifah [12 ,23 ,24 ,25 ]
Heath, James R. [13 ,14 ,26 ,27 ]
Kuemmerer, Beate M. [9 ,28 ]
Keitel, Verena [29 ]
Jensen, Bjoern [29 ]
Stubbemann, Paula [30 ]
Kurth, Florian [30 ,31 ]
Sander, Leif E. [30 ,31 ]
Sawitzki, Birgit [32 ]
Aschenbrenner, Anna C. [2 ,3 ,10 ,11 ,33 ,34 ]
Schultze, Joachim L. [2 ,3 ,10 ,11 ]
Nattermann, Jacob [1 ,9 ]
机构
[1] Univ Hosp Bonn, Dept Internal Med 1, Bonn, Germany
[2] Deutsch Zentrum Neurodegenerat Erkrankungen, Syst Med, Bonn, Germany
[3] Univ Bonn, Life & Med Sci LIMES Inst, Bonn, Germany
[4] Charite Univ Med Berlin, Berlin, Germany
[5] Free Univ Berlin, Berlin, Germany
[6] Humboldt Univ, Inst Pathol, Berlin, Germany
[7] Humboldt Univ, IRI Life Sci, Berlin, Germany
[8] Humboldt Univ, Inst Theoret Biol, Berlin, Germany
[9] German Ctr Infect Res DZIF, Heidelberg, Germany
[10] Deutsch Zentrum Neurodegenerat Erkrankungen DZNE, PRECISE Platform Genom & Epigen DZNE, Bonn, Germany
[11] Univ Bonn, Bonn, Germany
[12] Newcastle Univ, Biosci Inst, Newcastle Upon Tyne, Tyne & Wear, England
[13] Inst Syst Biol, Seattle, WA 98109 USA
[14] Board Directors Isoplexis, Branford, CT 06405 USA
[15] Swedish Med Ctr, Swedish Ctr Res & Innovat, Seattle, WA 98109 USA
[16] Providence St Joseph Hlth, Renton, WA 98057 USA
[17] Univ Washington, Div Allergy & Infect Dis, Seattle, WA 98109 USA
[18] Univ Kiel, Inst Clin Mol Biol, Kiel, Germany
[19] Univ Med Ctr Schleswig Holstein, Kiel, Germany
[20] Univ Bonn, Inst Innate Immun, Med Fac, Bonn, Germany
[21] Quanterix Corp, Billerica, MA USA
[22] Univ Bonn, Med Fac, Core Facil Nanobodies, Bonn, Germany
[23] Wellcome Sanger Inst, Wellcome Genome Campus, Cambridge, England
[24] Newcastle Hosp NHS Fdn Trust, NIHR Newcastle Biomed Res Ctr, Newcastle Upon Tyne, Tyne & Wear, England
[25] Newcastle Hosp NHS Fdn Trust, Dept Dermatol, Newcastle Upon Tyne, Tyne & Wear, England
[26] Univ Washington, Dept Bioengn, Seattle, WA 98105 USA
[27] Board Directors PACT Pharma, San Francisco, CA 94080 USA
[28] Univ Bonn, Inst Virol, Med Fac, Bonn, Germany
[29] Heinrich Heine Univ Dusseldorf, Univ Hosp Dusseldorf, Dept Gastroenterol Hepatol & Infect Dis, Dusseldorf, Germany
[30] Charite Univ Med Berlin, Dept Infect Dis & Resp Med, Berlin, Germany
[31] German Ctr Lung Res DZL, Marburg, Germany
[32] Charite Univ Med Berlin, Inst Med Immunol, Berlin, Germany
[33] Radboud Univ Nijmegen Med Ctr, Dept Internal Med, Nijmegen, Netherlands
[34] Radboud Univ Nijmegen Med Ctr, Radboud Ctr Infect Dis RCI, Nijmegen, Netherlands
关键词
NATURAL-KILLER-CELLS; INTERFERON-GAMMA; LIVER FIBROSIS; CYTOMETRY DATA; R PACKAGE; THERAPY; CONTRIBUTE; INDUCTION; INFECTION; INFERENCE;
D O I
10.1016/j.immuni.2021.09.002
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Longitudinal analyses of the innate immune system, including the earliest time points, are essential to understand the immunopathogenesis and clinical course of coronavirus disease (COVID-19). Here, we performed a detailed characterization of natural killer (NK) cells in 205 patients (403 samples; days 2 to 41 after symptom onset) from four independent cohorts using single-cell transcriptomics and proteomics together with functional studies. We found elevated interferon (IFN)-a plasma levels in early severe COVD-19 alongside increased NK cell expression of IFN-stimulated genes (ISGs) and genes involved in IFN-a signaling, while up regulation of tumor necrosis factor (TNF)-induced genes was observed in moderate diseases. NK cells exert anti-SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) activity but are functionally impaired in severe COVID-19. Further, NK cell dysfunction may be relevant for the development of fibrotic lung disease in severe COVID-19, as NK cells exhibited impaired anti-fibrotic activity. Our study indicates preferential IFN-a and TNF responses in severe and moderate COVID-19, respectively, and associates a prolonged IFNa-induced NK cell response with poorer disease outcome.
引用
收藏
页码:2650 / +
页数:35
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