High throughput spatial immune mapping reveals an innate immune scar in post-COVID-19 brains.

COVID-19 Imaging mass cytometry Long-COVID Microglia Neuro-long-COVID-19 PACS PCC Post-COVID condition Post-acute COVID syndrome SARS-CoV-2

Journal

Acta neuropathologica
ISSN: 1432-0533
Titre abrégé: Acta Neuropathol
Pays: Germany
ID NLM: 0412041

Informations de publication

Date de publication:
25 Jul 2024
Historique:
received: 24 04 2024
accepted: 15 07 2024
revised: 15 07 2024
medline: 27 7 2024
pubmed: 27 7 2024
entrez: 26 7 2024
Statut: epublish

Résumé

The underlying pathogenesis of neurological sequelae in post-COVID-19 patients remains unclear. Here, we used multidimensional spatial immune phenotyping and machine learning methods on brains from initial COVID-19 survivors to identify the biological correlate associated with previous SARS-CoV-2 challenge. Compared to healthy controls, individuals with post-COVID-19 revealed a high percentage of TMEM119

Identifiants

pubmed: 39060438
doi: 10.1007/s00401-024-02770-6
pii: 10.1007/s00401-024-02770-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

11

Informations de copyright

© 2024. The Author(s).

Références

Boettler T, Csernalabics B, Salie H, Luxenburger H, Wischer L, Salimi Alizei E et al (2022) SARS-CoV-2 vaccination can elicit a CD8 T-cell dominant hepatitis. J Hepatol 77:653–659. https://doi.org/10.1016/j.jhep.2022.03.040
doi: 10.1016/j.jhep.2022.03.040 pubmed: 35461912 pmcid: 9021033
Bowe B, Xie Y, Al-Aly Z (2023) Postacute sequelae of COVID-19 at 2 years. Nat Med 29:2347–2357. https://doi.org/10.1038/s41591-023-02521-2
doi: 10.1038/s41591-023-02521-2 pubmed: 37605079 pmcid: 10504070
Cervia-Hasler C, Bruningk SC, Hoch T, Fan B, Muzio G, Thompson RC et al (2024) Persistent complement dysregulation with signs of thromboinflammation in active Long Covid. Science 383:eadg7942. https://doi.org/10.1126/science.adg7942
doi: 10.1126/science.adg7942 pubmed: 38236961
Davis HE, Assaf GS, McCorkell L, Wei H, Low RJ, Re’em Y et al (2021) Characterizing long COVID in an international cohort: 7 months of symptoms and their impact. EClinicalMedicine 38:101019. https://doi.org/10.1016/j.eclinm.2021.101019
doi: 10.1016/j.eclinm.2021.101019 pubmed: 34308300 pmcid: 8280690
Douaud G, Lee S, Alfaro-Almagro F, Arthofer C, Wang C, McCarthy P et al (2022) SARS-CoV-2 is associated with changes in brain structure in UK Biobank. Nature 604:697–707. https://doi.org/10.1038/s41586-022-04569-5
doi: 10.1038/s41586-022-04569-5 pubmed: 35255491 pmcid: 9046077
Eilertz D, Mitterer M, Buescher JM (2022) automRm: an R package for fully automatic LC-QQQ-MS data preprocessing powered by machine learning. Anal Chem 94:6163–6171. https://doi.org/10.1021/acs.analchem.1c05224
doi: 10.1021/acs.analchem.1c05224 pubmed: 35412809 pmcid: 9047440
Erny D, Dokalis N, Mezo C, Castoldi A, Mossad O, Staszewski O et al (2021) Microbiota-derived acetate enables the metabolic fitness of the brain innate immune system during health and disease. Cell Metab 33(2260–2276):e2267. https://doi.org/10.1016/j.cmet.2021.10.010
doi: 10.1016/j.cmet.2021.10.010
Floro S, Carandini T, Pietroboni AM, De Riz MA, Scarpini E, Galimberti D (2022) Role of chitinase 3-like 1 as a biomarker in multiple sclerosis: a systematic review and meta-analysis. Neurol Neuroimmunol Neuroinflamm. https://doi.org/10.1212/NXI.0000000000001164
doi: 10.1212/NXI.0000000000001164 pubmed: 35534236 pmcid: 9128043
Hosp JA, Dressing A, Blazhenets G, Bormann T, Rau A, Schwabenland M et al (2021) Cognitive impairment and altered cerebral glucose metabolism in the subacute stage of COVID-19. Brain 144:1263–1276. https://doi.org/10.1093/brain/awab009
doi: 10.1093/brain/awab009 pubmed: 33822001
Klein J, Wood J, Jaycox JR, Dhodapkar RM, Lu P, Gehlhausen JR et al (2023) Distinguishing features of long COVID identified through immune profiling. Nature 623:139–148. https://doi.org/10.1038/s41586-023-06651-y
doi: 10.1038/s41586-023-06651-y pubmed: 37748514 pmcid: 10620090
Love S, Perry A, Ironside J, Budka H (2018) Greenfield’s neuropathology—two volume set. CRC Press, Boca Raton
doi: 10.1201/9781315382715
Matschke J, Lutgehetmann M, Hagel C, Sperhake JP, Schroder AS, Edler C et al (2020) Neuropathology of patients with COVID-19 in Germany: a post-mortem case series. Lancet Neurol 19:919–929. https://doi.org/10.1016/S1474-4422(20)30308-2
doi: 10.1016/S1474-4422(20)30308-2 pubmed: 33031735 pmcid: 7535629
Mizrahi B, Sudry T, Flaks-Manov N, Yehezkelli Y, Kalkstein N, Akiva P et al (2023) Long covid outcomes at one year after mild SARS-CoV-2 infection: nationwide cohort study. BMJ 380:e072529. https://doi.org/10.1136/bmj-2022-072529
doi: 10.1136/bmj-2022-072529 pubmed: 36631153
Morenas-Rodriguez E, Li Y, Nuscher B, Franzmeier N, Xiong C, Suarez-Calvet M et al (2022) Soluble TREM2 in CSF and its association with other biomarkers and cognition in autosomal-dominant Alzheimer’s disease: a longitudinal observational study. Lancet Neurol 21:329–341. https://doi.org/10.1016/S1474-4422(22)00027-8
doi: 10.1016/S1474-4422(22)00027-8 pubmed: 35305339 pmcid: 8926925
Mossad O, Nent E, Woltemate S, Folschweiller S, Buescher JM, Schnepf D et al (2021) Microbiota-dependent increase in delta-valerobetaine alters neuronal function and is responsible for age-related cognitive decline. Nat Aging 1:1127–1136. https://doi.org/10.1038/s43587-021-00141-4
doi: 10.1038/s43587-021-00141-4 pubmed: 37117525
Nockher WA, Wick M, Pfister HW (1999) Cerebrospinal fluid levels of soluble CD14 in inflammatory and non-inflammatory diseases of the CNS: upregulation during bacterial infections and viral meningitis. J Neuroimmunol 101:161–169. https://doi.org/10.1016/s0165-5728(99)00141-1
doi: 10.1016/s0165-5728(99)00141-1 pubmed: 10580799
Phetsouphanh C, Darley DR, Wilson DB, Howe A, Munier CML, Patel SK et al (2022) Immunological dysfunction persists for 8 months following initial mild-to-moderate SARS-CoV-2 infection. Nat Immunol 23:210–216. https://doi.org/10.1038/s41590-021-01113-x
doi: 10.1038/s41590-021-01113-x pubmed: 35027728
Radke J, Meinhardt J, Aschman T, Chua RL, Farztdinov V, Lukassen S et al (2024) Proteomic and transcriptomic profiling of brainstem, cerebellum and olfactory tissues in early- and late-phase COVID-19. Nat Neurosci. https://doi.org/10.1038/s41593-024-01573-y
doi: 10.1038/s41593-024-01573-y pubmed: 38366144
Schonberger K, Mitterer M, Glaser K, Stecher M, Hobitz S, Schain-Zota D et al (2023) LC-MS-based targeted metabolomics for FACS-purified rare cells. Anal Chem 95:4325–4334. https://doi.org/10.1021/acs.analchem.2c04396
doi: 10.1021/acs.analchem.2c04396 pubmed: 36812587 pmcid: 9996616
Schwabenland M, Bruck W, Priller J, Stadelmann C, Lassmann H, Prinz M (2021) Analyzing microglial phenotypes across neuropathologies: a practical guide. Acta Neuropathol 142:923–936. https://doi.org/10.1007/s00401-021-02370-8
doi: 10.1007/s00401-021-02370-8 pubmed: 34623511 pmcid: 8498770
Schwabenland M, Mossad O, Sievert A, Peres AG, Ringel E, Baasch S et al (2023) Neonatal immune challenge poses a sex-specific risk for epigenetic microglial reprogramming and behavioral impairment. Nat Commun 14:2721. https://doi.org/10.1038/s41467-023-38373-0
doi: 10.1038/s41467-023-38373-0 pubmed: 37169749 pmcid: 10175500
Schwabenland M, Salie H, Tanevski J, Killmer S, Lago MS, Schlaak AE et al (2021) Deep spatial profiling of human COVID-19 brains reveals neuroinflammation with distinct microanatomical microglia-T-cell interactions. Immunity 54(1594–1610):e1511. https://doi.org/10.1016/j.immuni.2021.06.002
doi: 10.1016/j.immuni.2021.06.002
Soriano JB, Murthy S, Marshall JC, Relan P, Diaz JV, Condition WHOCCDWGoP-C- (2022) A clinical case definition of post-COVID-19 condition by a Delphi consensus. Lancet Infect Dis 22:e102–e107. https://doi.org/10.1016/S1473-3099(21)00703-9
doi: 10.1016/S1473-3099(21)00703-9 pubmed: 34951953
Sudre CH, Murray B, Varsavsky T, Graham MS, Penfold RS, Bowyer RC et al (2021) Attributes and predictors of long COVID. Nat Med 27:626–631. https://doi.org/10.1038/s41591-021-01292-y
doi: 10.1038/s41591-021-01292-y pubmed: 33692530 pmcid: 7611399
Taquet M, Geddes JR, Husain M, Luciano S, Harrison PJ (2021) 6-month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records. Lancet Psychiatry 8:416–427. https://doi.org/10.1016/S2215-0366(21)00084-5
doi: 10.1016/S2215-0366(21)00084-5 pubmed: 33836148 pmcid: 8023694
Taquet M, Skorniewska Z, Hampshire A, Chalmers JD, Ho LP, Horsley A et al (2023) Acute blood biomarker profiles predict cognitive deficits 6 and 12 months after COVID-19 hospitalization. Nat Med 29:2498–2508. https://doi.org/10.1038/s41591-023-02525-y
doi: 10.1038/s41591-023-02525-y pubmed: 37653345 pmcid: 10579097
Windhager J, Zanotelli VRT, Schulz D, Meyer L, Daniel M, Bodenmiller B et al (2023) An end-to-end workflow for multiplexed image processing and analysis. Nat Protoc 18:3565–3613. https://doi.org/10.1038/s41596-023-00881-0
doi: 10.1038/s41596-023-00881-0 pubmed: 37816904
Yang AC, Kern F, Losada PM, Agam MR, Maat CA, Schmartz GP et al (2021) Dysregulation of brain and choroid plexus cell types in severe COVID-19. Nature 595:565–571. https://doi.org/10.1038/s41586-021-03710-0
doi: 10.1038/s41586-021-03710-0 pubmed: 34153974 pmcid: 8400927
Yin K, Peluso MJ, Luo X, Thomas R, Shin MG, Neidleman J et al (2024) Long COVID manifests with T cell dysregulation, inflammation and an uncoordinated adaptive immune response to SARS-CoV-2. Nat Immunol. https://doi.org/10.1038/s41590-023-01724-6
doi: 10.1038/s41590-023-01724-6 pubmed: 38802511 pmcid: 10834368
Zhang H, Zang C, Xu Z, Zhang Y, Xu J, Bian J et al (2023) Data-driven identification of post-acute SARS-CoV-2 infection subphenotypes. Nat Med 29:226–235. https://doi.org/10.1038/s41591-022-02116-3
doi: 10.1038/s41591-022-02116-3 pubmed: 36456834

Auteurs

Marius Schwabenland (M)

Institute of Neuropathology, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany.

Dilara Hasavci (D)

Institute of Neuropathology, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany.

Sibylle Frase (S)

Department of Neurology and Neuroscience, University Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Katharina Wolf (K)

Department of Neurology and Neuroscience, University Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Department of Neurosurgery, University Medical Center Freiburg, Freiburg, Germany.

Nikolaus Deigendesch (N)

Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.

Joerg M Buescher (JM)

Max Planck Institute for Immunobiology and Epigenetics, 79108, Freiburg, Germany.

Kirsten D Mertz (KD)

Institute of Pathology, Cantonal Hospital Baselland, Liestal, Switzerland.
University of Basel, Basel, Switzerland.

Benjamin Ondruschka (B)

Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Hermann Altmeppen (H)

Institute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Jakob Matschke (J)

Institute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Markus Glatzel (M)

Institute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Stephan Frank (S)

Division of Neuropathology, Institute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, Basel, Switzerland.

Robert Thimme (R)

Clinic for Internal Medicine II, Gastroenterology, Hepatology, Endocrinology, and Infectious Disease, Faculty of Medicine, University Medical Center Freiburg, Freiburg, Germany.

Juergen Beck (J)

Department of Neurosurgery, University Medical Center Freiburg, Freiburg, Germany.

Jonas A Hosp (JA)

Department of Neurology and Neuroscience, University Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Thomas Blank (T)

Institute of Neuropathology, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany.

Bertram Bengsch (B)

Clinic for Internal Medicine II, Gastroenterology, Hepatology, Endocrinology, and Infectious Disease, Faculty of Medicine, University Medical Center Freiburg, Freiburg, Germany.
Signalling Research Centres BIOSS and CIBSS, University of Freiburg, Freiburg, Germany.

Marco Prinz (M)

Institute of Neuropathology, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, 79106, Freiburg, Germany. marco.prinz@uniklinik-freiburg.de.
Signalling Research Centres BIOSS and CIBSS, University of Freiburg, Freiburg, Germany. marco.prinz@uniklinik-freiburg.de.

Classifications MeSH