A persistent neutrophil-associated immune signature characterizes post-COVID-19 pulmonary sequelae

Interstitial lung disease and associated fibrosis occur in a proportion of individuals who have recovered from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection through unknown mechanisms. We studied individuals with severe coronavirus disease 2019 (COVID-19) after recovery from acute illness. Individuals with evidence of interstitial lung changes at 3 to 6 months after recovery had an up-regulated neutrophil-associated immune signature including increased chemokines, proteases, and markers of neutrophil extracellular traps that were detectable in the blood. Similar pathways were enriched in the upper airway with a concomitant increase in antiviral type I interferon signaling. Interaction analysis of the peripheral phosphoproteome identified enriched kinases critical for neutrophil inflammatory pathways. Evaluation of these individuals at 12 months after recovery indicated that a subset of the individuals had not yet achieved full normalization of radiological and functional changes. These data provide insight into mechanisms driving development of pulmonary sequelae during and after COVID-19 and provide a rational basis for development of targeted approaches to prevent long-term complications.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Science translational medicine - 14(2022), 671 vom: 16. Nov., Seite eabo5795

Sprache:

Englisch

Beteiligte Personen:

George, Peter M [VerfasserIn]
Reed, Anna [VerfasserIn]
Desai, Sujal R [VerfasserIn]
Devaraj, Anand [VerfasserIn]
Faiez, Tasnim Shahridan [VerfasserIn]
Laverty, Sarah [VerfasserIn]
Kanwal, Amama [VerfasserIn]
Esneau, Camille [VerfasserIn]
Liu, Michael K C [VerfasserIn]
Kamal, Faisal [VerfasserIn]
Man, William D-C [VerfasserIn]
Kaul, Sundeep [VerfasserIn]
Singh, Suveer [VerfasserIn]
Lamb, Georgia [VerfasserIn]
Faizi, Fatima K [VerfasserIn]
Schuliga, Michael [VerfasserIn]
Read, Jane [VerfasserIn]
Burgoyne, Thomas [VerfasserIn]
Pinto, Andreia L [VerfasserIn]
Micallef, Jake [VerfasserIn]
Bauwens, Emilie [VerfasserIn]
Candiracci, Julie [VerfasserIn]
Bougoussa, Mhammed [VerfasserIn]
Herzog, Marielle [VerfasserIn]
Raman, Lavanya [VerfasserIn]
Ahmetaj-Shala, Blerina [VerfasserIn]
Turville, Stuart [VerfasserIn]
Aggarwal, Anupriya [VerfasserIn]
Farne, Hugo A [VerfasserIn]
Dalla Pria, Alessia [VerfasserIn]
Aswani, Andrew D [VerfasserIn]
Patella, Francesca [VerfasserIn]
Borek, Weronika E [VerfasserIn]
Mitchell, Jane A [VerfasserIn]
Bartlett, Nathan W [VerfasserIn]
Dokal, Arran [VerfasserIn]
Xu, Xiao-Ning [VerfasserIn]
Kelleher, Peter [VerfasserIn]
Shah, Anand [VerfasserIn]
Singanayagam, Aran [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 18.11.2022

Date Revised 14.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1126/scitranslmed.abo5795

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM348970838