Peripheral Blood Mononuclear Cells and Serum Cytokines in Patients with Lupus Nephritis after COVID-19

Systemic lupus erythematosus (SLE) patients have an increased risk of infections and infection-related mortality. Therefore, during the global SARS-CoV-2 pandemic, SLE patients were particularly vulnerable to SARS-CoV-2 infections. Also, compared to other patients, SLE patients seem to develop more...

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Veröffentlicht in:International journal of molecular sciences 2024-08, Vol.25 (15), p.8278
Hauptverfasser: Lisowska, Katarzyna A, Ciesielska-Figlon, Klaudia, Komorniczak, Michał, Bułło-Piontecka, Barbara, Dębska-Ślizień, Alicja, Wardowska, Anna
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container_issue 15
container_start_page 8278
container_title International journal of molecular sciences
container_volume 25
creator Lisowska, Katarzyna A
Ciesielska-Figlon, Klaudia
Komorniczak, Michał
Bułło-Piontecka, Barbara
Dębska-Ślizień, Alicja
Wardowska, Anna
description Systemic lupus erythematosus (SLE) patients have an increased risk of infections and infection-related mortality. Therefore, during the global SARS-CoV-2 pandemic, SLE patients were particularly vulnerable to SARS-CoV-2 infections. Also, compared to other patients, SLE patients seem to develop more severe manifestations of coronavirus disease 2019 (COVID-19), with higher rates of hospitalization, invasive ventilation requirements, or death. This study evaluated the immune parameters after SARS-CoV-2 infection in SLE patients. We analyzed subpopulations of peripheral blood cells collected from patients with renal manifestation of SLE (lupus nephritis, LN). LN patients were divided into two subgroups: those unexposed to SARS-CoV-2 (LN CoV-2(-)) and those who had confirmed COVID-19 (LN-CoV-2(+)) six months earlier. We analyzed basic subpopulations of T cells, B cells, monocytes, dendritic cells (DCs), and serum cytokines using flow cytometry. All collected data were compared to a healthy control group without SARS-CoV-2 infection in medical history. LN patients were characterized by a decreased percentage of helper T (Th) cells and an increased percentage of cytotoxic T (Tc) cells regardless of SARS-CoV-2 infection. LN CoV-2(+) patients had a higher percentage of regulatory T cells (Tregs) and plasmablasts (PBs) and a lower percentage of non-switched memory (NSM) B cells compared to LN CoV-2(-) patients or healthy controls (HC CoV-2(-)). LN patients had a higher percentage of total monocytes compared with HC CoV-2(-). LN CoV-2(+) patients had a higher percentage of classical and intermediate monocytes than LN CoV-2(-) patients and HC CoV-2(-). LN CoV-2(+) patients had higher serum IL-6 levels than HC CoV-2(-), while LN CoV-2(-) patients had higher levels of serum IL-10. LN patients are characterized by disturbances in the blood's basic immunological parameters. However, SARS-CoV-2 infection influences B-cell and monocyte compartments.
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source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adult
Antigens
Autoimmune diseases
B cells
Care and treatment
Comparative analysis
Coronaviruses
COVID-19
COVID-19 - blood
COVID-19 - immunology
Cytokines
Cytokines - blood
Dendritic cells
Disease
Female
Health aspects
Hospitalization
Humans
Immune system
Infection
Infections
Leukocytes, Mononuclear - immunology
Leukocytes, Mononuclear - metabolism
Lupus
Lupus Nephritis - blood
Lupus Nephritis - immunology
Lymphocytes
Male
Medical equipment and supplies industry
Medical test kit industry
Microorganisms
Middle Aged
Monocytes - immunology
Mortality
Nephritis
Pathogens
SARS-CoV-2 - immunology
Severe acute respiratory syndrome coronavirus 2
Systemic lupus erythematosus
T cells
Tumor necrosis factor-TNF
United States
Viral infections
title Peripheral Blood Mononuclear Cells and Serum Cytokines in Patients with Lupus Nephritis after COVID-19
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