Persistence of SARS CoV-2 S1 protein in CD16+ monocytes in post-Aacute sequelae of COVID-19 (PASC) up to 15 months post-infection
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| Autori: | , , , , , , , , , , , , , , , , |
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| Format: | artículo |
| Datum izdanja: | 2022 |
| Opis: | The recent COVID-19 pandemic is a treatment challenge in the acute infection stage but the recognition of chronic COVID-19 symptoms termed post-acute sequelae SARS-CoV-2 infection (PASC) may affect up to 30% of all infected individuals. The underlying mechanism and source of this distinct immunologic condition three months or more after initial infection remains elusive. Here, we investigated the presence of SARS-CoV-2 S1 protein in 46 individuals. We analyzed T-cell, B-cell, and monocytic subsets in both severe COVID-19 patients and in patients with post-acute sequelae of COVID-19 (PASC). The levels of both intermediate (CD14+, CD16+) and non-classical monocyte (CD14Lo, CD16+) were significantly elevated in PASC patients up to 15 months post-acute infection compared to healthy controls (P=0.002 and P=0.01, respectively). A statistically significant number of non-classical monocytes contained SARS-CoV-2 S1 protein in both severe (P=0.004) and PASC patients (P=0.02) out to 15 months post-infection. Non-classical monocytes were sorted from PASC patients using flow cytometric sorting and the SARS-CoV-2 S1 protein was confirmed by mass spectrometry. Cells from 4 out of 11 severe COVID-19 patients and 1 out of 26 PASC patients contained ddPCR+ peripheral blood mononuclear cells, however, only fragmented SARS-CoV-2 RNA was found in PASC patients. No full length sequences were identified, and no sequences that could account for the observed S1 protein were identified in any patient. That non-classical monocytes may be a source of inflammation in PASC warrants further study. |
| Zemlja: | Kérwá |
| Institucija: | Universidad de Costa Rica |
| Repositorio: | Kérwá |
| Jezik: | Inglés |
| OAI Identifier: | oai:kerwa.ucr.ac.cr:10669/103934 |
| Online pristup: | https://hdl.handle.net/10669/103934 https://doi.org/10.3389/fimmu.2021.746021 |
| Ključna riječ: | COVID-19 SARS CoV-2 S1 protein non-classical monocytes CCR5 fractalkin |