Sustained IFN signaling is associated with delayed development of SARS-CoV-2-specific immunity.
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
16 May 2024
16 May 2024
Historique:
received:
01
06
2023
accepted:
06
05
2024
medline:
17
5
2024
pubmed:
17
5
2024
entrez:
16
5
2024
Statut:
epublish
Résumé
Plasma RNAemia, delayed antibody responses and inflammation predict COVID-19 outcomes, but the mechanisms underlying these immunovirological patterns are poorly understood. We profile 782 longitudinal plasma samples from 318 hospitalized patients with COVID-19. Integrated analysis using k-means reveals four patient clusters in a discovery cohort: mechanically ventilated critically-ill cases are subdivided into good prognosis and high-fatality clusters (reproduced in a validation cohort), while non-critical survivors segregate into high and low early antibody responders. Only the high-fatality cluster is enriched for transcriptomic signatures associated with COVID-19 severity, and each cluster has distinct RBD-specific antibody elicitation kinetics. Both critical and non-critical clusters with delayed antibody responses exhibit sustained IFN signatures, which negatively correlate with contemporaneous RBD-specific IgG levels and absolute SARS-CoV-2-specific B and CD4
Identifiants
pubmed: 38755196
doi: 10.1038/s41467-024-48556-y
pii: 10.1038/s41467-024-48556-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4177Subventions
Organisme : amfAR, The Foundation for AIDS Research (amfAR)
ID : 110068-68-RGCV
Organisme : Gouvernement du Canada | Instituts de Recherche en Santé du Canada | CIHR Skin Research Training Centre (Skin Research Training Centre)
ID : VR2-173203
Organisme : Canada Foundation for Innovation (Fondation canadienne pour l'innovation)
ID : 37521
Organisme : Canada Foundation for Innovation (Fondation canadienne pour l'innovation)
ID : 41027
Informations de copyright
© 2024. The Author(s).
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