Characterization of low-density granulocytes in COVID-19.

Severe COVID-19 is characterized by extensive pulmonary complications, to which host immune responses are believed to play a role. As the major arm of innate immunity, neutrophils are one of the first cells recruited to the site of infection where their excessive activation can contribute to lung pa...

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Main Authors: Luz E Cabrera, Pirkka T Pekkarinen, Maria Alander, Kirsten H A Nowlan, Ngoc Anh Nguyen, Suvi Jokiranta, Suvi Kuivanen, Anu Patjas, Sointu Mero, Sari H Pakkanen, Santtu Heinonen, Anu Kantele, Olli Vapalahti, Eliisa Kekäläinen, Tomas Strandin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-07-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1009721
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author Luz E Cabrera
Pirkka T Pekkarinen
Maria Alander
Kirsten H A Nowlan
Ngoc Anh Nguyen
Suvi Jokiranta
Suvi Kuivanen
Anu Patjas
Sointu Mero
Sari H Pakkanen
Santtu Heinonen
Anu Kantele
Olli Vapalahti
Eliisa Kekäläinen
Tomas Strandin
author_facet Luz E Cabrera
Pirkka T Pekkarinen
Maria Alander
Kirsten H A Nowlan
Ngoc Anh Nguyen
Suvi Jokiranta
Suvi Kuivanen
Anu Patjas
Sointu Mero
Sari H Pakkanen
Santtu Heinonen
Anu Kantele
Olli Vapalahti
Eliisa Kekäläinen
Tomas Strandin
author_sort Luz E Cabrera
collection DOAJ
description Severe COVID-19 is characterized by extensive pulmonary complications, to which host immune responses are believed to play a role. As the major arm of innate immunity, neutrophils are one of the first cells recruited to the site of infection where their excessive activation can contribute to lung pathology. Low-density granulocytes (LDGs) are circulating neutrophils, whose numbers increase in some autoimmune diseases and cancer, but are poorly characterized in acute viral infections. Using flow cytometry, we detected a significant increase of LDGs in the blood of acute COVID-19 patients, compared to healthy controls. Based on their surface marker expression, COVID-19-related LDGs exhibit four different populations, which display distinctive stages of granulocytic development and most likely reflect emergency myelopoiesis. Moreover, COVID-19 LDGs show a link with an elevated recruitment and activation of neutrophils. Functional assays demonstrated the immunosuppressive capacities of these cells, which might contribute to impaired lymphocyte responses during acute disease. Taken together, our data confirms a significant granulocyte activation during COVID-19 and suggests that granulocytes of lower density play a role in disease progression.
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spelling doaj.art-7ca21f621ae944f98c160bcd62477a022022-12-21T21:35:28ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742021-07-01177e100972110.1371/journal.ppat.1009721Characterization of low-density granulocytes in COVID-19.Luz E CabreraPirkka T PekkarinenMaria AlanderKirsten H A NowlanNgoc Anh NguyenSuvi JokirantaSuvi KuivanenAnu PatjasSointu MeroSari H PakkanenSanttu HeinonenAnu KanteleOlli VapalahtiEliisa KekäläinenTomas StrandinSevere COVID-19 is characterized by extensive pulmonary complications, to which host immune responses are believed to play a role. As the major arm of innate immunity, neutrophils are one of the first cells recruited to the site of infection where their excessive activation can contribute to lung pathology. Low-density granulocytes (LDGs) are circulating neutrophils, whose numbers increase in some autoimmune diseases and cancer, but are poorly characterized in acute viral infections. Using flow cytometry, we detected a significant increase of LDGs in the blood of acute COVID-19 patients, compared to healthy controls. Based on their surface marker expression, COVID-19-related LDGs exhibit four different populations, which display distinctive stages of granulocytic development and most likely reflect emergency myelopoiesis. Moreover, COVID-19 LDGs show a link with an elevated recruitment and activation of neutrophils. Functional assays demonstrated the immunosuppressive capacities of these cells, which might contribute to impaired lymphocyte responses during acute disease. Taken together, our data confirms a significant granulocyte activation during COVID-19 and suggests that granulocytes of lower density play a role in disease progression.https://doi.org/10.1371/journal.ppat.1009721
spellingShingle Luz E Cabrera
Pirkka T Pekkarinen
Maria Alander
Kirsten H A Nowlan
Ngoc Anh Nguyen
Suvi Jokiranta
Suvi Kuivanen
Anu Patjas
Sointu Mero
Sari H Pakkanen
Santtu Heinonen
Anu Kantele
Olli Vapalahti
Eliisa Kekäläinen
Tomas Strandin
Characterization of low-density granulocytes in COVID-19.
PLoS Pathogens
title Characterization of low-density granulocytes in COVID-19.
title_full Characterization of low-density granulocytes in COVID-19.
title_fullStr Characterization of low-density granulocytes in COVID-19.
title_full_unstemmed Characterization of low-density granulocytes in COVID-19.
title_short Characterization of low-density granulocytes in COVID-19.
title_sort characterization of low density granulocytes in covid 19
url https://doi.org/10.1371/journal.ppat.1009721
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