Macrophage expression and prognostic significance of the long pentraxin PTX3 in COVID-19

Long pentraxin 3 (PTX3) is an essential component of humoral innate immunity, involved in resistance to selected pathogens and in the regulation of inflammation1-3. The present study was designed to assess the presence and significance of PTX3 in Coronavirus Disease 2019 (COVID-19)4-7. RNA-sequencing analysis of peripheral blood mononuclear cells, single-cell bioinformatics analysis and immunohistochemistry of lung autopsy samples revealed that myelomonocytic cells and endothelial cells express high levels of PTX3 in patients with COVID-19. Increased plasma concentrations of PTX3 were detected in 96 patients with COVID-19. PTX3 emerged as a strong independent predictor of 28-d mortality in multivariable analysis, better than conventional markers of inflammation, in hospitalized patients with COVID-19. The prognostic significance of PTX3 abundance for mortality was confirmed in a second independent cohort (54 patients). Thus, circulating and lung myelomonocytic cells and endothelial cells are a major source of PTX3, and PTX3 plasma concentration can serve as an independent strong prognostic indicator of short-term mortality in COVID-19.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Nature immunology - 22(2021), 1 vom: 18. Jan., Seite 19-24

Sprache:

Englisch

Beteiligte Personen:

Brunetta, Enrico [VerfasserIn]
Folci, Marco [VerfasserIn]
Bottazzi, Barbara [VerfasserIn]
De Santis, Maria [VerfasserIn]
Gritti, Giuseppe [VerfasserIn]
Protti, Alessandro [VerfasserIn]
Mapelli, Sarah N [VerfasserIn]
Bonovas, Stefanos [VerfasserIn]
Piovani, Daniele [VerfasserIn]
Leone, Roberto [VerfasserIn]
My, Ilaria [VerfasserIn]
Zanon, Veronica [VerfasserIn]
Spata, Gianmarco [VerfasserIn]
Bacci, Monica [VerfasserIn]
Supino, Domenico [VerfasserIn]
Carnevale, Silvia [VerfasserIn]
Sironi, Marina [VerfasserIn]
Davoudian, Sadaf [VerfasserIn]
Peano, Clelia [VerfasserIn]
Landi, Francesco [VerfasserIn]
Di Marco, Fabiano [VerfasserIn]
Raimondi, Federico [VerfasserIn]
Gianatti, Andrea [VerfasserIn]
Angelini, Claudio [VerfasserIn]
Rambaldi, Alessandro [VerfasserIn]
Garlanda, Cecilia [VerfasserIn]
Ciccarelli, Michele [VerfasserIn]
Cecconi, Maurizio [VerfasserIn]
Mantovani, Alberto [VerfasserIn]

Links:

Volltext

Themen:

148591-49-5
9007-41-4
C-Reactive Protein
Journal Article
PTX3 protein
Research Support, Non-U.S. Gov't
Serum Amyloid P-Component

Anmerkungen:

Date Completed 25.01.2021

Date Revised 22.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41590-020-00832-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317760955