COVID-19 recurrence is related to disease-early profile T cells while detection of anti-S1 IgG is related to multifunctional T cells.

IF 5.5 3区 医学 Q1 IMMUNOLOGY Medical Microbiology and Immunology Pub Date : 2023-10-01 Epub Date: 2023-07-25 DOI:10.1007/s00430-023-00776-7
Camilla Natália O Santos, Gustavo C Caldas, Fabricia A de Oliveira, Angela Maria da Silva, João S da Silva, Ricardo Luís L da Silva, Amélia R de Jesus, Lucas S Magalhães, Roque P de Almeida
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Abstract

COVID-19 is caused by SARS-CoV-2 infection and leads from asymptomatic to severe outcomes. The recurrence of the COVID-19 has been described, however, mechanisms involved remains unclear. Thus, the work aimed to investigate the role of multifunctional T cells in patients with recurrent COVID-19. We evaluated clinical characteristics, presence of anti-S1 and anti-Nucleocapsid IgG in patients' sera, and multifunctional T cells (for IFN-γ, IL-2, and TNF-α) in patients with multiple episodes of COVID-19 and controls. Data demonstrate that patients with recurrent COVID-19 have a T cell pattern predominantly related to IFN-γ production. Also, patients with COVID-19 history and absence of anti-S1 IgG had lower levels of CD4+ IFN + IL-2 + TNF + T cells independently of number of disease episodes. Complementary, vaccination changed the patterns of T cells phenotypes and induced IgG seroconversion, despite not induce higher levels of multifunctional T cells in all patients. In conclusion, the data suggest that recurrent disease is related to early-disease T cell profile and absence of anti-S1 IgG is related to lower multifunctional CD4 T cell response, what suggests possibility of new episodes of COVID-19 in these patients.

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新冠肺炎复发与疾病早期特征T细胞有关,而抗S1 IgG的检测与多功能T细胞有关。
新冠肺炎是由SARS-CoV-2感染引起的,并导致从无症状到严重后果。新冠肺炎的复发已有描述,但相关机制尚不清楚。因此,这项工作旨在研究多功能T细胞在复发性新冠肺炎患者中的作用。我们评估了多发新冠肺炎患者和对照组的临床特征、患者血清中抗S1和抗核衣壳IgG的存在以及多功能T细胞(针对IFN-γ、IL-2和TNF-α)。数据表明,复发性新冠肺炎患者的T细胞模式主要与IFN-γ的产生有关。此外,有新冠肺炎病史且缺乏抗-S1 IgG的患者CD4水平较低+ 干扰素 + 白细胞介素2 + TNF + T细胞与疾病发作次数无关。补充的是,疫苗接种改变了T细胞表型模式,并诱导了IgG血清转化,尽管并没有在所有患者中诱导更高水平的多功能T细胞。总之,数据表明,复发性疾病与早发性T细胞特征有关,抗-S1 IgG的缺乏与多功能CD4 T细胞反应降低有关,这表明这些患者可能出现新的新冠肺炎发作。
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来源期刊
CiteScore
10.60
自引率
0.00%
发文量
29
审稿时长
1 months
期刊介绍: Medical Microbiology and Immunology (MMIM) publishes key findings on all aspects of the interrelationship between infectious agents and the immune system of their hosts. The journal´s main focus is original research work on intrinsic, innate or adaptive immune responses to viral, bacterial, fungal and parasitic (protozoan and helminthic) infections and on the virulence of the respective infectious pathogens. MMIM covers basic, translational as well as clinical research in infectious diseases and infectious disease immunology. Basic research using cell cultures, organoid, and animal models are welcome, provided that the models have a clinical correlate and address a relevant medical question. The journal also considers manuscripts on the epidemiology of infectious diseases, including the emergence and epidemic spreading of pathogens and the development of resistance to anti-infective therapies, and on novel vaccines and other innovative measurements of prevention. The following categories of manuscripts will not be considered for publication in MMIM: submissions of preliminary work, of merely descriptive data sets without investigation of mechanisms or of limited global interest, manuscripts on existing or novel anti-infective compounds, which focus on pharmaceutical or pharmacological aspects of the drugs, manuscripts on existing or modified vaccines, unless they report on experimental or clinical efficacy studies or provide new immunological information on their mode of action, manuscripts on the diagnostics of infectious diseases, unless they offer a novel concept to solve a pending diagnostic problem, case reports or case series, unless they are embedded in a study that focuses on the anti-infectious immune response and/or on the virulence of a pathogen.
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