Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines

Abstract Background COVID-19 manifests with a wide spectrum of clinical phenotypes, ranging from asymptomatic and mild to severe and critical. Severe and critical COVID-19 patients are characterized by marked changes in the myeloid compartment, especially monocytes. However, little is known about th...

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Main Authors: Gerard Godoy-Tena, Anis Barmada, Octavio Morante-Palacios, Carlos de la Calle-Fabregat, Ricardo Martins-Ferreira, Anna G. Ferreté-Bonastre, Laura Ciudad, Adolfo Ruiz-Sanmartín, Mónica Martínez-Gallo, Ricard Ferrer, Juan Carlos Ruiz-Rodriguez, Javier Rodríguez-Ubreva, Roser Vento-Tormo, Esteban Ballestar
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Genome Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13073-022-01137-4
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author Gerard Godoy-Tena
Anis Barmada
Octavio Morante-Palacios
Carlos de la Calle-Fabregat
Ricardo Martins-Ferreira
Anna G. Ferreté-Bonastre
Laura Ciudad
Adolfo Ruiz-Sanmartín
Mónica Martínez-Gallo
Ricard Ferrer
Juan Carlos Ruiz-Rodriguez
Javier Rodríguez-Ubreva
Roser Vento-Tormo
Esteban Ballestar
author_facet Gerard Godoy-Tena
Anis Barmada
Octavio Morante-Palacios
Carlos de la Calle-Fabregat
Ricardo Martins-Ferreira
Anna G. Ferreté-Bonastre
Laura Ciudad
Adolfo Ruiz-Sanmartín
Mónica Martínez-Gallo
Ricard Ferrer
Juan Carlos Ruiz-Rodriguez
Javier Rodríguez-Ubreva
Roser Vento-Tormo
Esteban Ballestar
author_sort Gerard Godoy-Tena
collection DOAJ
description Abstract Background COVID-19 manifests with a wide spectrum of clinical phenotypes, ranging from asymptomatic and mild to severe and critical. Severe and critical COVID-19 patients are characterized by marked changes in the myeloid compartment, especially monocytes. However, little is known about the epigenetic alterations that occur in these cells during hyperinflammatory responses in severe COVID-19 patients. Methods In this study, we obtained the DNA methylome and transcriptome of peripheral blood monocytes from severe COVID-19 patients. DNA samples extracted from CD14 + CD15- monocytes of 48 severe COVID-19 patients and 11 healthy controls were hybridized on MethylationEPIC BeadChip arrays. In parallel, single-cell transcriptomics of 10 severe COVID-19 patients were generated. CellPhoneDB was used to infer changes in the crosstalk between monocytes and other immune cell types. Results We observed DNA methylation changes in CpG sites associated with interferon-related genes and genes associated with antigen presentation, concordant with gene expression changes. These changes significantly overlapped with those occurring in bacterial sepsis, although specific DNA methylation alterations in genes specific to viral infection were also identified. We also found these alterations to comprise some of the DNA methylation changes occurring during myeloid differentiation and under the influence of inflammatory cytokines. A progression of DNA methylation alterations in relation to the Sequential Organ Failure Assessment (SOFA) score was found to be related to interferon-related genes and T-helper 1 cell cytokine production. CellPhoneDB analysis of the single-cell transcriptomes of other immune cell types suggested the existence of altered crosstalk between monocytes and other cell types like NK cells and regulatory T cells. Conclusion Our findings show the occurrence of an epigenetic and transcriptional reprogramming of peripheral blood monocytes, which could be associated with the release of aberrant immature monocytes, increased systemic levels of pro-inflammatory cytokines, and changes in immune cell crosstalk in these patients.
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spelling doaj.art-3b4819c3d77f43b3ba8de2a54e094d112022-12-22T02:48:39ZengBMCGenome Medicine1756-994X2022-11-0114112210.1186/s13073-022-01137-4Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokinesGerard Godoy-Tena0Anis Barmada1Octavio Morante-Palacios2Carlos de la Calle-Fabregat3Ricardo Martins-Ferreira4Anna G. Ferreté-Bonastre5Laura Ciudad6Adolfo Ruiz-Sanmartín7Mónica Martínez-Gallo8Ricard Ferrer9Juan Carlos Ruiz-Rodriguez10Javier Rodríguez-Ubreva11Roser Vento-Tormo12Esteban Ballestar13Epigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Wellcome Sanger Institute, Wellcome Genome CampusEpigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Epigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Epigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Epigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Epigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Intensive Care Department, Vall d’Hebron University Hospital, Shock, Organ Dysfunction and Resuscitation (SODIR) Research Group, Vall d’Hebron Research Institute (VHIR), Universitat Autònoma de BarcelonaImmunology Division, Vall d’Hebron University Hospital and Diagnostic Immunology Research Group, Vall d’Hebron Research Institute (VHIR)Intensive Care Department, Vall d’Hebron University Hospital, Shock, Organ Dysfunction and Resuscitation (SODIR) Research Group, Vall d’Hebron Research Institute (VHIR), Universitat Autònoma de BarcelonaIntensive Care Department, Vall d’Hebron University Hospital, Shock, Organ Dysfunction and Resuscitation (SODIR) Research Group, Vall d’Hebron Research Institute (VHIR), Universitat Autònoma de BarcelonaEpigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Wellcome Sanger Institute, Wellcome Genome CampusEpigenetics and Immune Disease Group, Josep Carreras Research Institute (IJC)Abstract Background COVID-19 manifests with a wide spectrum of clinical phenotypes, ranging from asymptomatic and mild to severe and critical. Severe and critical COVID-19 patients are characterized by marked changes in the myeloid compartment, especially monocytes. However, little is known about the epigenetic alterations that occur in these cells during hyperinflammatory responses in severe COVID-19 patients. Methods In this study, we obtained the DNA methylome and transcriptome of peripheral blood monocytes from severe COVID-19 patients. DNA samples extracted from CD14 + CD15- monocytes of 48 severe COVID-19 patients and 11 healthy controls were hybridized on MethylationEPIC BeadChip arrays. In parallel, single-cell transcriptomics of 10 severe COVID-19 patients were generated. CellPhoneDB was used to infer changes in the crosstalk between monocytes and other immune cell types. Results We observed DNA methylation changes in CpG sites associated with interferon-related genes and genes associated with antigen presentation, concordant with gene expression changes. These changes significantly overlapped with those occurring in bacterial sepsis, although specific DNA methylation alterations in genes specific to viral infection were also identified. We also found these alterations to comprise some of the DNA methylation changes occurring during myeloid differentiation and under the influence of inflammatory cytokines. A progression of DNA methylation alterations in relation to the Sequential Organ Failure Assessment (SOFA) score was found to be related to interferon-related genes and T-helper 1 cell cytokine production. CellPhoneDB analysis of the single-cell transcriptomes of other immune cell types suggested the existence of altered crosstalk between monocytes and other cell types like NK cells and regulatory T cells. Conclusion Our findings show the occurrence of an epigenetic and transcriptional reprogramming of peripheral blood monocytes, which could be associated with the release of aberrant immature monocytes, increased systemic levels of pro-inflammatory cytokines, and changes in immune cell crosstalk in these patients.https://doi.org/10.1186/s13073-022-01137-4COVID-19MonocytesEpigenomicsDNA methylationSingle-cell transcriptomicsImmune cell crosstalk
spellingShingle Gerard Godoy-Tena
Anis Barmada
Octavio Morante-Palacios
Carlos de la Calle-Fabregat
Ricardo Martins-Ferreira
Anna G. Ferreté-Bonastre
Laura Ciudad
Adolfo Ruiz-Sanmartín
Mónica Martínez-Gallo
Ricard Ferrer
Juan Carlos Ruiz-Rodriguez
Javier Rodríguez-Ubreva
Roser Vento-Tormo
Esteban Ballestar
Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines
Genome Medicine
COVID-19
Monocytes
Epigenomics
DNA methylation
Single-cell transcriptomics
Immune cell crosstalk
title Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines
title_full Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines
title_fullStr Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines
title_full_unstemmed Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines
title_short Epigenetic and transcriptomic reprogramming in monocytes of severe COVID-19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines
title_sort epigenetic and transcriptomic reprogramming in monocytes of severe covid 19 patients reflects alterations in myeloid differentiation and the influence of inflammatory cytokines
topic COVID-19
Monocytes
Epigenomics
DNA methylation
Single-cell transcriptomics
Immune cell crosstalk
url https://doi.org/10.1186/s13073-022-01137-4
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