Single-cell analysis of two severe COVID-19 patients reveals a monocyte-associated and tocilizumab-responding cytokine storm

Several studies show that the immunosuppressive drugs targeting the interleukin-6 (IL-6) receptor, including tocilizumab, ameliorate lethal inflammatory responses in COVID-19 patients infected with SARS-CoV-2. Here, by employing single-cell analysis of the immune cell composition of two severe-stage COVID-19 patients prior to and following tocilizumab-induced remission, we identify a monocyte subpopulation that contributes to the inflammatory cytokine storms. Furthermore, although tocilizumab treatment attenuates the inflammation, immune cells, including plasma B cells and CD8+ T cells, still exhibit robust humoral and cellular antiviral immune responses. Thus, in addition to providing a high-dimensional dataset on the immune cell distribution at multiple stages of the COVID-19, our work also provides insights into the therapeutic effects of tocilizumab, and identifies potential target cell populations for treating COVID-19-related cytokine storms.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Nature communications - 11(2020), 1 vom: 06. Aug., Seite 3924

Sprache:

Englisch

Beteiligte Personen:

Guo, Chuang [VerfasserIn]
Li, Bin [VerfasserIn]
Ma, Huan [VerfasserIn]
Wang, Xiaofang [VerfasserIn]
Cai, Pengfei [VerfasserIn]
Yu, Qiaoni [VerfasserIn]
Zhu, Lin [VerfasserIn]
Jin, Liying [VerfasserIn]
Jiang, Chen [VerfasserIn]
Fang, Jingwen [VerfasserIn]
Liu, Qian [VerfasserIn]
Zong, Dandan [VerfasserIn]
Zhang, Wen [VerfasserIn]
Lu, Yichen [VerfasserIn]
Li, Kun [VerfasserIn]
Gao, Xuyuan [VerfasserIn]
Fu, Binqing [VerfasserIn]
Liu, Lianxin [VerfasserIn]
Ma, Xiaoling [VerfasserIn]
Weng, Jianping [VerfasserIn]
Wei, Haiming [VerfasserIn]
Jin, Tengchuan [VerfasserIn]
Lin, Jun [VerfasserIn]
Qu, Kun [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Monoclonal, Humanized
Cytokines
I031V2H011
IL6R protein, human
Journal Article
Receptors, Interleukin-6
Research Support, Non-U.S. Gov't
Tocilizumab

Anmerkungen:

Date Completed 25.08.2020

Date Revised 29.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1038/s41467-020-17834-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313397090