Analysis of type I IFN response and T cell activation in severe COVID-19/HIV-1 coinfection: A case report.
Identifieur interne : 000C64 ( Main/Corpus ); précédent : 000C63; suivant : 000C65Analysis of type I IFN response and T cell activation in severe COVID-19/HIV-1 coinfection: A case report.
Auteurs : Gabriella D'Ettorre ; Gregorio Recchia ; Marco Ridolfi ; Guido Siccardi ; Claudia Pinacchio ; Giuseppe Pietro Innocenti ; Letizia Santinelli ; Federica Frasca ; Camilla Bitossi ; Giancarlo Ceccarelli ; Cristian Borrazzo ; Guido Antonelli ; Carolina Scagnolari ; Claudio Maria MastroianniSource :
- Medicine [ 1536-5964 ] ; 2020.
English descriptors
- KwdEn :
- Anti-Retroviral Agents (therapeutic use), Betacoronavirus (MeSH), CD4-Positive T-Lymphocytes (metabolism), CD8-Positive T-Lymphocytes (metabolism), COVID-19 (MeSH), Case-Control Studies (MeSH), Coronavirus Infections (complications), Coronavirus Infections (drug therapy), Enzyme Inhibitors (therapeutic use), Female (MeSH), HIV Infections (complications), HIV Infections (drug therapy), Humans (MeSH), Hydroxychloroquine (therapeutic use), Interferons (blood), Lymphocyte Activation (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (drug therapy), RNA, Messenger (MeSH), Real-Time Polymerase Chain Reaction (MeSH), SARS-CoV-2 (MeSH), Severe Acute Respiratory Syndrome (complications), Severe Acute Respiratory Syndrome (drug therapy), Severe Acute Respiratory Syndrome (virology).
- MESH :
- chemical , blood : Interferons.
- chemical , therapeutic use : Anti-Retroviral Agents, Enzyme Inhibitors, Hydroxychloroquine.
- complications : Coronavirus Infections, HIV Infections, Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- drug therapy : Coronavirus Infections, HIV Infections, Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- metabolism : CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes.
- virology : Severe Acute Respiratory Syndrome.
- Betacoronavirus, COVID-19, Case-Control Studies, Female, Humans, Lymphocyte Activation, Middle Aged, Pandemics, RNA, Messenger, Real-Time Polymerase Chain Reaction, SARS-CoV-2.
Abstract
RATIONALE
Complex immune dysregulation in interferon (IFN) and T cell response has been observed in human immunodeficiency virus (HIV-1)-infected patients as well as in coronavirus disease-2019 (COVID-19) patients. However, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)/HIV-1 coinfection has been described in only few cases worldwide and no data are available on immunological outcomes in HIV-1-patients infected with SARS-CoV-2. Hence, this study aims to compare type I IFN response and T cell activation levels between a SARS-CoV-2/HIV-1-coinfected female patient and age-matched HIV-1-positive or uninfected women.
PATIENT CONCERNS
A 52-year-old woman diagnosed with SARS-CoV-2/HIV-1 coinfection, ten HIV-1-positive women and five age-matched-healthy individuals were enrolled in this study.
DIAGNOSES
SARS-CoV-2 infection caused severe pneumonia in the second week of illness in HIV-1-positive patient under protease inhibitors. Chest high-resolution computed tomography images of the SARS-CoV-2/HIV-1-coinfected patient showed bilateral ground-glass opacities.
INTERVENTIONS
SARS-CoV-2/HIV-1-coinfected female patient under darunavir/cobicistat regimen received a 7-days hydroxychloroquine therapy. Analysis of IFNα/β mRNA levels and CD4 and CD8 T cell (CD38, human leukocyte antigen-DR [HLA-DR], CD38 HLA-DR) frequencies were performed by RT/real-time PCR assays and flow cytometry, respectively. Median relative difference (MRD) was calculated for each immunological variable. For values greater than reference, MRD should be a positive number and for values that are smaller, MRD should be negative.
OUTCOMES
The severe pneumonia observed in SARS-CoV-2/HIV-1-positive patient under protease inhibitors was reversed by a 7-days hydroxychloroquine therapy. At the end of treatment, on day 7, patient reported resolution of fever, normalization of respiratory rate (14 breaths/min), and improved oxygen arterial pressure with a FiO2 of 30%. MRD values for IFNα/β and CD4 and CD8 T cells expressing CD38 and/or HLA-DR found in SARS-CoV-2-/HIV-1-coinfected woman were approximatively equal to 0 when refereed respectively to HIV-1-positive female patients [MRDs IFNα/β: median -0.2545 (range: -0.5/0.1); T cells: median -0.11 (range: -0.8/1.3)] and ≥ 6 when referred to healthy individuals [MRDs IFNα/β: median 28.45 (range: 15/41.9); T cells: median 10 (range 6/22)].
LESSONS
These results indicate that SARS-CoV-2 infection in HIV-1-positive female patient was associated with increased levels of IFNα/β-mRNAs and T cell activation compared to healthy individuals.
DOI: 10.1097/MD.0000000000021803
PubMed: 32899009
PubMed Central: PMC7478511
Links to Exploration step
pubmed:32899009Le document en format XML
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<author><name sortKey="Recchia, Gregorio" sort="Recchia, Gregorio" uniqKey="Recchia G" first="Gregorio" last="Recchia">Gregorio Recchia</name>
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<author><name sortKey="Innocenti, Giuseppe Pietro" sort="Innocenti, Giuseppe Pietro" uniqKey="Innocenti G" first="Giuseppe Pietro" last="Innocenti">Giuseppe Pietro Innocenti</name>
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<author><name sortKey="Antonelli, Guido" sort="Antonelli, Guido" uniqKey="Antonelli G" first="Guido" last="Antonelli">Guido Antonelli</name>
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<affiliation><nlm:affiliation>Microbiology and Virology Unit, Hospital "Policlinico Umberto I", Sapienza University, Rome, Italy.</nlm:affiliation>
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<author><name sortKey="Scagnolari, Carolina" sort="Scagnolari, Carolina" uniqKey="Scagnolari C" first="Carolina" last="Scagnolari">Carolina Scagnolari</name>
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<author><name sortKey="Mastroianni, Claudio Maria" sort="Mastroianni, Claudio Maria" uniqKey="Mastroianni C" first="Claudio Maria" last="Mastroianni">Claudio Maria Mastroianni</name>
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<author><name sortKey="Ridolfi, Marco" sort="Ridolfi, Marco" uniqKey="Ridolfi M" first="Marco" last="Ridolfi">Marco Ridolfi</name>
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<author><name sortKey="Innocenti, Giuseppe Pietro" sort="Innocenti, Giuseppe Pietro" uniqKey="Innocenti G" first="Giuseppe Pietro" last="Innocenti">Giuseppe Pietro Innocenti</name>
<affiliation><nlm:affiliation>Department of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155.</nlm:affiliation>
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<author><name sortKey="Santinelli, Letizia" sort="Santinelli, Letizia" uniqKey="Santinelli L" first="Letizia" last="Santinelli">Letizia Santinelli</name>
<affiliation><nlm:affiliation>Department of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155.</nlm:affiliation>
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<author><name sortKey="Frasca, Federica" sort="Frasca, Federica" uniqKey="Frasca F" first="Federica" last="Frasca">Federica Frasca</name>
<affiliation><nlm:affiliation>Laboratory of Virology, Department of Molecular Medicine, affiliated to Istituto Pasteur Italia - Cenci Bolognetti Foundation, Sapienza University.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bitossi, Camilla" sort="Bitossi, Camilla" uniqKey="Bitossi C" first="Camilla" last="Bitossi">Camilla Bitossi</name>
<affiliation><nlm:affiliation>Laboratory of Virology, Department of Molecular Medicine, affiliated to Istituto Pasteur Italia - Cenci Bolognetti Foundation, Sapienza University.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ceccarelli, Giancarlo" sort="Ceccarelli, Giancarlo" uniqKey="Ceccarelli G" first="Giancarlo" last="Ceccarelli">Giancarlo Ceccarelli</name>
<affiliation><nlm:affiliation>Department of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Borrazzo, Cristian" sort="Borrazzo, Cristian" uniqKey="Borrazzo C" first="Cristian" last="Borrazzo">Cristian Borrazzo</name>
<affiliation><nlm:affiliation>Department of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Antonelli, Guido" sort="Antonelli, Guido" uniqKey="Antonelli G" first="Guido" last="Antonelli">Guido Antonelli</name>
<affiliation><nlm:affiliation>Laboratory of Virology, Department of Molecular Medicine, affiliated to Istituto Pasteur Italia - Cenci Bolognetti Foundation, Sapienza University.</nlm:affiliation>
</affiliation>
<affiliation><nlm:affiliation>Microbiology and Virology Unit, Hospital "Policlinico Umberto I", Sapienza University, Rome, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Scagnolari, Carolina" sort="Scagnolari, Carolina" uniqKey="Scagnolari C" first="Carolina" last="Scagnolari">Carolina Scagnolari</name>
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</affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anti-Retroviral Agents (therapeutic use)</term>
<term>Betacoronavirus (MeSH)</term>
<term>CD4-Positive T-Lymphocytes (metabolism)</term>
<term>CD8-Positive T-Lymphocytes (metabolism)</term>
<term>COVID-19 (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (drug therapy)</term>
<term>Enzyme Inhibitors (therapeutic use)</term>
<term>Female (MeSH)</term>
<term>HIV Infections (complications)</term>
<term>HIV Infections (drug therapy)</term>
<term>Humans (MeSH)</term>
<term>Hydroxychloroquine (therapeutic use)</term>
<term>Interferons (blood)</term>
<term>Lymphocyte Activation (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (drug therapy)</term>
<term>RNA, Messenger (MeSH)</term>
<term>Real-Time Polymerase Chain Reaction (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Severe Acute Respiratory Syndrome (complications)</term>
<term>Severe Acute Respiratory Syndrome (drug therapy)</term>
<term>Severe Acute Respiratory Syndrome (virology)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Interferons</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term>
<term>Enzyme Inhibitors</term>
<term>Hydroxychloroquine</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term>
<term>HIV Infections</term>
<term>Pneumonia, Viral</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Coronavirus Infections</term>
<term>HIV Infections</term>
<term>Pneumonia, Viral</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>CD4-Positive T-Lymphocytes</term>
<term>CD8-Positive T-Lymphocytes</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Betacoronavirus</term>
<term>COVID-19</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphocyte Activation</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>RNA, Messenger</term>
<term>Real-Time Polymerase Chain Reaction</term>
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<front><div type="abstract" xml:lang="en"><p><b>RATIONALE</b>
</p>
<p>Complex immune dysregulation in interferon (IFN) and T cell response has been observed in human immunodeficiency virus (HIV-1)-infected patients as well as in coronavirus disease-2019 (COVID-19) patients. However, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)/HIV-1 coinfection has been described in only few cases worldwide and no data are available on immunological outcomes in HIV-1-patients infected with SARS-CoV-2. Hence, this study aims to compare type I IFN response and T cell activation levels between a SARS-CoV-2/HIV-1-coinfected female patient and age-matched HIV-1-positive or uninfected women.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENT CONCERNS</b>
</p>
<p>A 52-year-old woman diagnosed with SARS-CoV-2/HIV-1 coinfection, ten HIV-1-positive women and five age-matched-healthy individuals were enrolled in this study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DIAGNOSES</b>
</p>
<p>SARS-CoV-2 infection caused severe pneumonia in the second week of illness in HIV-1-positive patient under protease inhibitors. Chest high-resolution computed tomography images of the SARS-CoV-2/HIV-1-coinfected patient showed bilateral ground-glass opacities.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b>
</p>
<p>SARS-CoV-2/HIV-1-coinfected female patient under darunavir/cobicistat regimen received a 7-days hydroxychloroquine therapy. Analysis of IFNα/β mRNA levels and CD4 and CD8 T cell (CD38, human leukocyte antigen-DR [HLA-DR], CD38 HLA-DR) frequencies were performed by RT/real-time PCR assays and flow cytometry, respectively. Median relative difference (MRD) was calculated for each immunological variable. For values greater than reference, MRD should be a positive number and for values that are smaller, MRD should be negative.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OUTCOMES</b>
</p>
<p>The severe pneumonia observed in SARS-CoV-2/HIV-1-positive patient under protease inhibitors was reversed by a 7-days hydroxychloroquine therapy. At the end of treatment, on day 7, patient reported resolution of fever, normalization of respiratory rate (14 breaths/min), and improved oxygen arterial pressure with a FiO2 of 30%. MRD values for IFNα/β and CD4 and CD8 T cells expressing CD38 and/or HLA-DR found in SARS-CoV-2-/HIV-1-coinfected woman were approximatively equal to 0 when refereed respectively to HIV-1-positive female patients [MRDs IFNα/β: median -0.2545 (range: -0.5/0.1); T cells: median -0.11 (range: -0.8/1.3)] and ≥ 6 when referred to healthy individuals [MRDs IFNα/β: median 28.45 (range: 15/41.9); T cells: median 10 (range 6/22)].</p>
</div>
<div type="abstract" xml:lang="en"><p><b>LESSONS</b>
</p>
<p>These results indicate that SARS-CoV-2 infection in HIV-1-positive female patient was associated with increased levels of IFNα/β-mRNAs and T cell activation compared to healthy individuals.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-5964</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>99</Volume>
<Issue>36</Issue>
<PubDate><Year>2020</Year>
<Month>Sep</Month>
<Day>04</Day>
</PubDate>
</JournalIssue>
<Title>Medicine</Title>
<ISOAbbreviation>Medicine (Baltimore)</ISOAbbreviation>
</Journal>
<ArticleTitle>Analysis of type I IFN response and T cell activation in severe COVID-19/HIV-1 coinfection: A case report.</ArticleTitle>
<Pagination><MedlinePgn>e21803</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/MD.0000000000021803</ELocationID>
<Abstract><AbstractText Label="RATIONALE" NlmCategory="BACKGROUND">Complex immune dysregulation in interferon (IFN) and T cell response has been observed in human immunodeficiency virus (HIV-1)-infected patients as well as in coronavirus disease-2019 (COVID-19) patients. However, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)/HIV-1 coinfection has been described in only few cases worldwide and no data are available on immunological outcomes in HIV-1-patients infected with SARS-CoV-2. Hence, this study aims to compare type I IFN response and T cell activation levels between a SARS-CoV-2/HIV-1-coinfected female patient and age-matched HIV-1-positive or uninfected women.</AbstractText>
<AbstractText Label="PATIENT CONCERNS" NlmCategory="UNASSIGNED">A 52-year-old woman diagnosed with SARS-CoV-2/HIV-1 coinfection, ten HIV-1-positive women and five age-matched-healthy individuals were enrolled in this study.</AbstractText>
<AbstractText Label="DIAGNOSES" NlmCategory="UNASSIGNED">SARS-CoV-2 infection caused severe pneumonia in the second week of illness in HIV-1-positive patient under protease inhibitors. Chest high-resolution computed tomography images of the SARS-CoV-2/HIV-1-coinfected patient showed bilateral ground-glass opacities.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">SARS-CoV-2/HIV-1-coinfected female patient under darunavir/cobicistat regimen received a 7-days hydroxychloroquine therapy. Analysis of IFNα/β mRNA levels and CD4 and CD8 T cell (CD38, human leukocyte antigen-DR [HLA-DR], CD38 HLA-DR) frequencies were performed by RT/real-time PCR assays and flow cytometry, respectively. Median relative difference (MRD) was calculated for each immunological variable. For values greater than reference, MRD should be a positive number and for values that are smaller, MRD should be negative.</AbstractText>
<AbstractText Label="OUTCOMES" NlmCategory="RESULTS">The severe pneumonia observed in SARS-CoV-2/HIV-1-positive patient under protease inhibitors was reversed by a 7-days hydroxychloroquine therapy. At the end of treatment, on day 7, patient reported resolution of fever, normalization of respiratory rate (14 breaths/min), and improved oxygen arterial pressure with a FiO2 of 30%. MRD values for IFNα/β and CD4 and CD8 T cells expressing CD38 and/or HLA-DR found in SARS-CoV-2-/HIV-1-coinfected woman were approximatively equal to 0 when refereed respectively to HIV-1-positive female patients [MRDs IFNα/β: median -0.2545 (range: -0.5/0.1); T cells: median -0.11 (range: -0.8/1.3)] and ≥ 6 when referred to healthy individuals [MRDs IFNα/β: median 28.45 (range: 15/41.9); T cells: median 10 (range 6/22)].</AbstractText>
<AbstractText Label="LESSONS" NlmCategory="CONCLUSIONS">These results indicate that SARS-CoV-2 infection in HIV-1-positive female patient was associated with increased levels of IFNα/β-mRNAs and T cell activation compared to healthy individuals.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>d'Ettorre</LastName>
<ForeName>Gabriella</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Recchia</LastName>
<ForeName>Gregorio</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Public Health and Infectious Diseases, Sapienza University of Rome, Viale del Policlinico 155.</Affiliation>
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