Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery

An early analysis of circulating monocytes may be critical for predicting COVID-19 course and its sequelae. In 131 untreated, acute COVID-19 patients at emergency room arrival, monocytes showed decreased surface molecule expression, including low HLA-DR, in association with an inflammatory cytokine...

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Main Authors: Alberto Utrero-Rico, Cecilia González-Cuadrado, Marta Chivite-Lacaba, Oscar Cabrera-Marante, Rocío Laguna-Goya, Patricia Almendro-Vazquez, Carmen Díaz-Pedroche, María Ruiz-Ruigómez, Antonio Lalueza, María Dolores Folgueira, Enrique Vázquez, Ana Quintas, Marcos J. Berges-Buxeda, Moisés Martín-Rodriguez, Ana Dopazo, Antonio Serrano-Hernández, José María Aguado, Estela Paz-Artal
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/9/1253
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author Alberto Utrero-Rico
Cecilia González-Cuadrado
Marta Chivite-Lacaba
Oscar Cabrera-Marante
Rocío Laguna-Goya
Patricia Almendro-Vazquez
Carmen Díaz-Pedroche
María Ruiz-Ruigómez
Antonio Lalueza
María Dolores Folgueira
Enrique Vázquez
Ana Quintas
Marcos J. Berges-Buxeda
Moisés Martín-Rodriguez
Ana Dopazo
Antonio Serrano-Hernández
José María Aguado
Estela Paz-Artal
author_facet Alberto Utrero-Rico
Cecilia González-Cuadrado
Marta Chivite-Lacaba
Oscar Cabrera-Marante
Rocío Laguna-Goya
Patricia Almendro-Vazquez
Carmen Díaz-Pedroche
María Ruiz-Ruigómez
Antonio Lalueza
María Dolores Folgueira
Enrique Vázquez
Ana Quintas
Marcos J. Berges-Buxeda
Moisés Martín-Rodriguez
Ana Dopazo
Antonio Serrano-Hernández
José María Aguado
Estela Paz-Artal
author_sort Alberto Utrero-Rico
collection DOAJ
description An early analysis of circulating monocytes may be critical for predicting COVID-19 course and its sequelae. In 131 untreated, acute COVID-19 patients at emergency room arrival, monocytes showed decreased surface molecule expression, including low HLA-DR, in association with an inflammatory cytokine status and limited anti-SARS-CoV-2-specific T cell response. Most of these alterations had normalized in post-COVID-19 patients 6 months after discharge. Acute COVID-19 monocytes transcriptome showed upregulation of anti-inflammatory tissue repair genes such as <i>BCL6</i>, <i>AREG</i> and <i>IL-10</i> and increased accessibility of chromatin. Some of these transcriptomic and epigenetic features still remained in post-COVID-19 monocytes. Importantly, a poorer expression of surface molecules and low <i>IRF1</i> gene transcription in circulating monocytes at admission defined a COVID-19 patient group with impaired SARS-CoV-2-specific T cell response and increased risk of requiring intensive care or dying. An early analysis of monocytes may be useful for COVID-19 patient stratification and for designing innate immunity-focused therapies.
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spelling doaj.art-4a29462cbe8f4503bb6ef3f6b95b80a82023-11-22T12:09:20ZengMDPI AGBiomedicines2227-90592021-09-0199125310.3390/biomedicines9091253Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after RecoveryAlberto Utrero-Rico0Cecilia González-Cuadrado1Marta Chivite-Lacaba2Oscar Cabrera-Marante3Rocío Laguna-Goya4Patricia Almendro-Vazquez5Carmen Díaz-Pedroche6María Ruiz-Ruigómez7Antonio Lalueza8María Dolores Folgueira9Enrique Vázquez10Ana Quintas11Marcos J. Berges-Buxeda12Moisés Martín-Rodriguez13Ana Dopazo14Antonio Serrano-Hernández15José María Aguado16Estela Paz-Artal17Instituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainGenomics Unit, Centro Nacional de Investigaciones Cardiovasculares (CNIC), 28029 Madrid, SpainGenomics Unit, Centro Nacional de Investigaciones Cardiovasculares (CNIC), 28029 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainGenomics Unit, Centro Nacional de Investigaciones Cardiovasculares (CNIC), 28029 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainInstituto de Investigación Sanitaria 12 de Octubre (imas12), 28041 Madrid, SpainAn early analysis of circulating monocytes may be critical for predicting COVID-19 course and its sequelae. In 131 untreated, acute COVID-19 patients at emergency room arrival, monocytes showed decreased surface molecule expression, including low HLA-DR, in association with an inflammatory cytokine status and limited anti-SARS-CoV-2-specific T cell response. Most of these alterations had normalized in post-COVID-19 patients 6 months after discharge. Acute COVID-19 monocytes transcriptome showed upregulation of anti-inflammatory tissue repair genes such as <i>BCL6</i>, <i>AREG</i> and <i>IL-10</i> and increased accessibility of chromatin. Some of these transcriptomic and epigenetic features still remained in post-COVID-19 monocytes. Importantly, a poorer expression of surface molecules and low <i>IRF1</i> gene transcription in circulating monocytes at admission defined a COVID-19 patient group with impaired SARS-CoV-2-specific T cell response and increased risk of requiring intensive care or dying. An early analysis of monocytes may be useful for COVID-19 patient stratification and for designing innate immunity-focused therapies.https://www.mdpi.com/2227-9059/9/9/1253circulating monocytesCOVID-19HLA-DRtranscriptomechromatin accessibility
spellingShingle Alberto Utrero-Rico
Cecilia González-Cuadrado
Marta Chivite-Lacaba
Oscar Cabrera-Marante
Rocío Laguna-Goya
Patricia Almendro-Vazquez
Carmen Díaz-Pedroche
María Ruiz-Ruigómez
Antonio Lalueza
María Dolores Folgueira
Enrique Vázquez
Ana Quintas
Marcos J. Berges-Buxeda
Moisés Martín-Rodriguez
Ana Dopazo
Antonio Serrano-Hernández
José María Aguado
Estela Paz-Artal
Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery
Biomedicines
circulating monocytes
COVID-19
HLA-DR
transcriptome
chromatin accessibility
title Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery
title_full Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery
title_fullStr Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery
title_full_unstemmed Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery
title_short Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery
title_sort alterations in circulating monocytes predict covid 19 severity and include chromatin modifications still detectable six months after recovery
topic circulating monocytes
COVID-19
HLA-DR
transcriptome
chromatin accessibility
url https://www.mdpi.com/2227-9059/9/9/1253
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