Journal Article DZNE-2022-00698

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Complement activation induces excessive T cell cytotoxicity in severe COVID-19.

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2022
Elsevier New York, NY

Cell 185(3), 493 - 512.e25 () [10.1016/j.cell.2021.12.040]

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Abstract: Severe COVID-19 is linked to both dysfunctional immune response and unrestrained immunopathology, and it remains unclear whether T cells contribute to disease pathology. Here, we combined single-cell transcriptomics and single-cell proteomics with mechanistic studies to assess pathogenic T cell functions and inducing signals. We identified highly activated CD16+ T cells with increased cytotoxic functions in severe COVID-19. CD16 expression enabled immune-complex-mediated, T cell receptor-independent degranulation and cytotoxicity not found in other diseases. CD16+ T cells from COVID-19 patients promoted microvascular endothelial cell injury and release of neutrophil and monocyte chemoattractants. CD16+ T cell clones persisted beyond acute disease maintaining their cytotoxic phenotype. Increased generation of C3a in severe COVID-19 induced activated CD16+ cytotoxic T cells. Proportions of activated CD16+ T cells and plasma levels of complement proteins upstream of C3a were associated with fatal outcome of COVID-19, supporting a pathological role of exacerbated cytotoxicity and complement activation in COVID-19.

Keyword(s): Adult (MeSH) ; Aged (MeSH) ; Aged, 80 and over (MeSH) ; COVID-19: immunology (MeSH) ; COVID-19: pathology (MeSH) ; COVID-19: virology (MeSH) ; Chemotactic Factors: metabolism (MeSH) ; Complement Activation (MeSH) ; Cytotoxicity, Immunologic (MeSH) ; Endothelial Cells: virology (MeSH) ; Female (MeSH) ; Humans (MeSH) ; Lymphocyte Activation (MeSH) ; Male (MeSH) ; Microvessels: virology (MeSH) ; Middle Aged (MeSH) ; Monocytes: metabolism (MeSH) ; Neutrophils: metabolism (MeSH) ; Proteome (MeSH) ; Receptors, IgG: metabolism (MeSH) ; SARS-CoV-2: immunology (MeSH) ; Single-Cell Analysis (MeSH) ; T-Lymphocytes, Cytotoxic: immunology (MeSH) ; Transcriptome (MeSH) ; Young Adult (MeSH) ; COVID-19 ; T cells ; complement ; cytotoxicity ; immunopathology ; Chemotactic Factors ; Proteome ; Receptors, IgG

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Contributing Institute(s):
  1. Platform for Single Cell Genomics and Epigenomics (Schultze - PRECISE)
  2. Platform for Single Cell Genomics and Epigenomics at DZNE & University of Bonn (R&D PRECISE)
Research Program(s):
  1. 354 - Disease Prevention and Healthy Aging (POF4-354) (POF4-354)

Appears in the scientific report 2022
Database coverage:
Medline ; Creative Commons Attribution CC BY 4.0 ; OpenAccess ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Life Sciences ; Ebsco Academic Search ; Essential Science Indicators ; IF >= 60 ; JCR ; NationallizenzNationallizenz ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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Institute Collections > BN DZNE > BN DZNE-R&D PRECISE
Document types > Articles > Journal Article
Institute Collections > BN DZNE > BN DZNE-PRECISE
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 Record created 2022-05-23, last modified 2024-02-22


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