Single-cell analysis reveals T cell dysfunction driven by macrophages and differential expression of transposable elements in severe COVID-19 patients
The vastly spreading COVID-19 pneumonia is caused by SARS-CoV-2. Lymphopenia and cytokine levels are tightly associated with disease severity. However, virus-induced immune dysregulation at cellular and molecular levels remains largely undefined. Here, the leukocytes in the pleural effusion, sputum, and peripheral blood biopsies from severe and mild patients were analyzed at single-cell resolution. Drastic T cell hyperactivation accompanying elevated T cell exhaustion was observed, predominantly in pleural effusion. The mechanistic investigation identified a group of CD14<sup>+</sup> monocytes and macrophages highly expressing <i>CD163</i> and <i>MRC1</i> in the biopsies from severe patients, suggesting M2 macrophage polarization. These M2-like cells exhibited up-regulated <i>IL10, CCL18, APOE, CSF1</i> (M-CSF), and <i>CCL2</i> signaling pathways. Further, cell type specific dysregulation of transposable elements was observed in Severe COVID-19 patients. Together, our results suggest that severe SARS-CoV-2 infection causes immune dysregulation by inducing M2 polarization and subsequent T cell exhaustion. This study improves our understanding of COVID-19 pathogenesis.
Authors
- Jincun Zhao (ORCID: https://orcid.org/0000-0003-2515-5589)
- Jiekai Chen (ORCID: https://orcid.org/0000-0001-5168-7074)
- Huijian Feng (ORCID: https://orcid.org/0000-0002-0359-7397)
- Chen Zhao (ORCID: https://orcid.org/0000-0001-6253-7522)
- Baomei Cai
- Jiangping He (ORCID: https://orcid.org/0000-0002-1425-3530)
- Jingxian Zhao (ORCID: https://orcid.org/0000-0002-2615-3182)
- Airu Zhu (ORCID: https://orcid.org/0000-0002-6374-4467)
- Xinwen Chen (ORCID: https://orcid.org/0000-0002-4052-8155)
- Dongdong Liu (ORCID: https://orcid.org/0009-0002-6796-2784)
- Liang Zhou (ORCID: https://orcid.org/0000-0003-4369-5001)
- Manshu Li (ORCID: https://orcid.org/0000-0003-0323-0672)
Institutions
- Guangzhou Institutes of Biomedicine and Health (CN)
- First Affiliated Hospital of Guangzhou Medical University (CN)
- Guangzhou Regenerative Medicine and Health Guangdong Laboratory (CN)
- State Key Laboratory of Respiratory Disease (CN)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Heliyon
- Published
- 2024-09-27
- DOI
- https://doi.org/10.1016/j.heliyon.2024.e38688
- Citations
- 2
- Primary Topic
- COVID-19 Clinical Research Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.78
Funders
- National Natural Science Foundation of China
- Guangzhou Regenerative Medicine and Health Guangdong Laboratory
- National Key Research and Development Program of China
- Science and Technology Planning Project of Guangdong Province
- National Key Research and Development Program of China Stem Cell and Translational Research