Differential immune responses in pregnant patients recovered from COVID-19

Autor: Ge Chen, Yiming Zhang, Yaoyao Zhang, Jihui Ai, Bin Yang, Mengge Cui, Qiuyue Liao, Hanxiao Chen, Hualin Bai, Dashing Shang, Jing Chen, ChaoYang Sun, Haiyi Liu, Fengyuan Liu, Bin Mao, Guoqiang Sun, Lu Chen, Jing-wen Lin, Kezhen Li
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Signal Transduction and Targeted Therapy, Vol 6, Iss 1, Pp 1-15 (2021)
Druh dokumentu: article
ISSN: 2059-3635
DOI: 10.1038/s41392-021-00703-3
Popis: Abstract Pregnant women are generally more susceptible to viral infection. Although the impact of SARS-CoV-2 in pregnancy remains to be determined, evidence indicates that the risk factors for severe COVID-19 are similar in pregnancy to the general population. Here we systemically analyzed the clinical characteristics of pregnant and non-pregnant female COVID-19 patients who were hospitalized during the same period and found that pregnant patients developed marked lymphopenia and higher inflammation evident by higher C-reactive protein and IL-6. To elucidate the pathways that might contribute to immunopathology or protective immunity against COVID-19 during pregnancy, we applied single-cell mRNA sequencing to profile peripheral blood mononuclear cells from four pregnant and six non-pregnant female patients after recovery along with four pregnant and three non-pregnant healthy donors. We found normal clonal expansion of T cells in the pregnant patients, heightened activation and chemotaxis in NK, NKT, and MAIT cells, and differential interferon responses in the monocyte compartment. Our data present a unique feature in both innate and adaptive immune responses in pregnant patients recovered from COVID-19.
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