Age-dependent NK cell dysfunctions in severe COVID-19 patients

Natural Killer (NK) cells are key innate effectors of antiviral immune response, and their activity changes in ageing and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Here, we investigated the age-related changes of NK cell phenotype and function during SARS-CoV-2 infectio...

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Main Authors: Cinzia Fionda, Silvia Ruggeri, Giuseppe Sciumè, Mattia Laffranchi, Isabella Quinti, Cinzia Milito, Paolo Palange, Ilaria Menichini, Silvano Sozzani, Luigi Frati, Angela Gismondi, Angela Santoni, Helena Stabile
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.1039120/full
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author Cinzia Fionda
Cinzia Fionda
Silvia Ruggeri
Silvia Ruggeri
Giuseppe Sciumè
Giuseppe Sciumè
Mattia Laffranchi
Mattia Laffranchi
Isabella Quinti
Cinzia Milito
Paolo Palange
Ilaria Menichini
Silvano Sozzani
Silvano Sozzani
Silvano Sozzani
Luigi Frati
Luigi Frati
Luigi Frati
Angela Gismondi
Angela Gismondi
Angela Santoni
Angela Santoni
Angela Santoni
Helena Stabile
Helena Stabile
author_facet Cinzia Fionda
Cinzia Fionda
Silvia Ruggeri
Silvia Ruggeri
Giuseppe Sciumè
Giuseppe Sciumè
Mattia Laffranchi
Mattia Laffranchi
Isabella Quinti
Cinzia Milito
Paolo Palange
Ilaria Menichini
Silvano Sozzani
Silvano Sozzani
Silvano Sozzani
Luigi Frati
Luigi Frati
Luigi Frati
Angela Gismondi
Angela Gismondi
Angela Santoni
Angela Santoni
Angela Santoni
Helena Stabile
Helena Stabile
author_sort Cinzia Fionda
collection DOAJ
description Natural Killer (NK) cells are key innate effectors of antiviral immune response, and their activity changes in ageing and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Here, we investigated the age-related changes of NK cell phenotype and function during SARS-CoV-2 infection, by comparing adult and elderly patients both requiring mechanical ventilation. Adult patients had a reduced number of total NK cells, while elderly showed a peculiar skewing of NK cell subsets towards the CD56lowCD16high and CD56neg phenotypes, expressing activation markers and check-point inhibitory receptors. Although NK cell degranulation ability is significantly compromised in both cohorts, IFN-γ production is impaired only in adult patients in a TGF-β−dependent manner. This inhibitory effect was associated with a shorter hospitalization time of adult patients suggesting a role for TGF-β in preventing an excessive NK cell activation and systemic inflammation. Our data highlight an age-dependent role of NK cells in shaping SARS-CoV-2 infection toward a pathophysiological evolution.
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spelling doaj.art-dd4ab049a2bf4e2a95d219e4f52c73fd2022-12-22T03:39:36ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-11-011310.3389/fimmu.2022.10391201039120Age-dependent NK cell dysfunctions in severe COVID-19 patientsCinzia Fionda0Cinzia Fionda1Silvia Ruggeri2Silvia Ruggeri3Giuseppe Sciumè4Giuseppe Sciumè5Mattia Laffranchi6Mattia Laffranchi7Isabella Quinti8Cinzia Milito9Paolo Palange10Ilaria Menichini11Silvano Sozzani12Silvano Sozzani13Silvano Sozzani14Luigi Frati15Luigi Frati16Luigi Frati17Angela Gismondi18Angela Gismondi19Angela Santoni20Angela Santoni21Angela Santoni22Helena Stabile23Helena Stabile24Department of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, ItalyDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Neuromed, Pozzilli, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Neuromed, Pozzilli, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Neuromed, Pozzilli, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, Rome, ItalyIstituto Pasteur-Fondazione Cenci Bolognetti, Rome, ItalyNatural Killer (NK) cells are key innate effectors of antiviral immune response, and their activity changes in ageing and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Here, we investigated the age-related changes of NK cell phenotype and function during SARS-CoV-2 infection, by comparing adult and elderly patients both requiring mechanical ventilation. Adult patients had a reduced number of total NK cells, while elderly showed a peculiar skewing of NK cell subsets towards the CD56lowCD16high and CD56neg phenotypes, expressing activation markers and check-point inhibitory receptors. Although NK cell degranulation ability is significantly compromised in both cohorts, IFN-γ production is impaired only in adult patients in a TGF-β−dependent manner. This inhibitory effect was associated with a shorter hospitalization time of adult patients suggesting a role for TGF-β in preventing an excessive NK cell activation and systemic inflammation. Our data highlight an age-dependent role of NK cells in shaping SARS-CoV-2 infection toward a pathophysiological evolution.https://www.frontiersin.org/articles/10.3389/fimmu.2022.1039120/fullNatural Killer cellsNK cell subsetsCOVID-19ageinginflammationT-BET
spellingShingle Cinzia Fionda
Cinzia Fionda
Silvia Ruggeri
Silvia Ruggeri
Giuseppe Sciumè
Giuseppe Sciumè
Mattia Laffranchi
Mattia Laffranchi
Isabella Quinti
Cinzia Milito
Paolo Palange
Ilaria Menichini
Silvano Sozzani
Silvano Sozzani
Silvano Sozzani
Luigi Frati
Luigi Frati
Luigi Frati
Angela Gismondi
Angela Gismondi
Angela Santoni
Angela Santoni
Angela Santoni
Helena Stabile
Helena Stabile
Age-dependent NK cell dysfunctions in severe COVID-19 patients
Frontiers in Immunology
Natural Killer cells
NK cell subsets
COVID-19
ageing
inflammation
T-BET
title Age-dependent NK cell dysfunctions in severe COVID-19 patients
title_full Age-dependent NK cell dysfunctions in severe COVID-19 patients
title_fullStr Age-dependent NK cell dysfunctions in severe COVID-19 patients
title_full_unstemmed Age-dependent NK cell dysfunctions in severe COVID-19 patients
title_short Age-dependent NK cell dysfunctions in severe COVID-19 patients
title_sort age dependent nk cell dysfunctions in severe covid 19 patients
topic Natural Killer cells
NK cell subsets
COVID-19
ageing
inflammation
T-BET
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.1039120/full
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