Single-cell analysis of severe COVID-19 patients reveals a monocyte-driven inflammatory storm attenuated by Tocilizumab

ABSTRACT Despite the current devastation of the COVID-19 pandemic, several recent studies have suggested that the immunosuppressive drug Tocilizumab can powerfully treating inflammatory responses that occur in this disease. Here, by employing single-cell analysis of the immune cell composition of severe-stage COVID-19 patients and these same patients in post Tocilizumab-treatment remission, we have identified a monocyte subpopulation specific to severe disease that contributes to inflammatory storms in COVID-19 patients. Although Tocilizumab treatment attenuated the strong inflammatory immune response, we found that immune cells including plasma B cells and CD8+ T cells still exhibited an intense humoral and cell-mediated anti-virus immune response in COVID-19 patients after Tocilizumab treatment. Thus, in addition to providing a rich, very high-resolution data resource about the immune cell distribution at multiple stages of the COVID-19 disease, our work both helps explain Tocilizumab’s powerful therapeutic effects and defines a large number of potential new drug targets related to inflammatory storms..

Medienart:

Preprint

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

bioRxiv.org - (2020) vom: 01. Dez. Zur Gesamtaufnahme - year:2020

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:

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doi:

10.1101/2020.04.08.029769

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

XBI014896796