Serveur d'exploration sur la COVID en France

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Uncontrolled Innate and Impaired Adaptive Immune Responses in Patients with COVID-19 ARDS.

Identifieur interne : 000313 ( Main/Exploration ); précédent : 000312; suivant : 000314

Uncontrolled Innate and Impaired Adaptive Immune Responses in Patients with COVID-19 ARDS.

Auteurs : Sophie Hue [France] ; Asma Beldi-Ferchiou [France] ; Inès Bendib [France] ; Mathieu Surenaud [France] ; Slim Fourati [France] ; Thomas Frapard [France] ; Simon Rivoal [France] ; Keyvan Razazi [France] ; Guillaume Carteaux [France] ; Marie-Hélène Delfau-Larue [France] ; Armand Mekontso Dessap [France] ; Etienne Audureau [France] ; Nicolas De Prost [France]

Source :

RBID : pubmed:32866033

Abstract

RATIONALE

Uncontrolled inflammatory innate response and impaired adaptive immune response are associated with clinical severity in patients with Coronavirus disease 2019 (COVID-19).

OBJECTIVES

To compare the immunopathology of COVID-19 acute respiratory distress syndrome (ARDS) to that of non-COVID-19 ARDS, and to identify biomarkers associated with mortality in patients with COVID-19 ARDS.

METHODS

Prospective observational monocenter study. Immunocompetent patients diagnosed with RT-PCR-confirmed SARS-CoV-2 infection and ARDS admitted between March 8 and March 30, 2020 were included and compared with patients with non-COVID-19 ARDS. The primary clinical endpoint of the study was mortality at day 28. Flow cytometry analyses and serum cytokines measurements were performed at days 1-2 and 4-6 of ICU admission.

MEASUREMENTS AND MAIN RESULTS

As compared with patients with non-COVID-19 ARDS (n=36), those with COVID-19 (n=38) were not significantly different regarding age, gender, and SOFA and SAPS II scores but exhibited a higher day-28 mortality (34% vs 11%, p=0.030). COVID-19 patients showed profound and sustained T CD4+ (p=0.002), CD8+ (p<0.0001) and B (p<0.0001) lymphopenia, higher HLA-DR expression on monocytes (p<0.001) and higher serum concentrations of EGF, GM-CSF, IL-10, CCL2/MCP-1, CCL3/MIP-1a, CXCL10/IP-10, CCL5/RANTES, and CCL20/MIP-3a. After adjusting on age and SOFA, serum CXCL10/IP-10 (p=0.047) and GM-CSF (p=0.050) were higher and naso-pharyngeal RT-PCR cycle threshold values lower (p=0.010) in COVID-19 patients who were dead at day-28.

CONCLUSIONS

Profound global lymphopenia and a "chemokine signature" were observed in COVID-19 ARDS. Increased serum concentrations of CXCL10/IP-10 and GM-CSF, together with higher naso-pharyngeal SARS-CoV-2 viral load, were associated with day-28 mortality. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).


DOI: 10.1164/rccm.202005-1885OC
PubMed: 32866033


Affiliations:


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<name sortKey="Carteaux, Guillaume" sort="Carteaux, Guillaume" uniqKey="Carteaux G" first="Guillaume" last="Carteaux">Guillaume Carteaux</name>
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<name sortKey="Mekontso Dessap, Armand" sort="Mekontso Dessap, Armand" uniqKey="Mekontso Dessap A" first="Armand" last="Mekontso Dessap">Armand Mekontso Dessap</name>
<affiliation wicri:level="3">
<nlm:affiliation>Hopital Henri Mondor, Service de Réanimation Médicale, Creteil, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Hopital Henri Mondor, Service de Réanimation Médicale, Creteil</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Créteil</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:affiliation>UPEC, Groupe de recherche clinique CARMAS, IMRB, Faculté de médecine de Créteil, Creteil, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>UPEC, Groupe de recherche clinique CARMAS, IMRB, Faculté de médecine de Créteil, Creteil</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Créteil</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Audureau, Etienne" sort="Audureau, Etienne" uniqKey="Audureau E" first="Etienne" last="Audureau">Etienne Audureau</name>
<affiliation wicri:level="3">
<nlm:affiliation>APHP Hôpital Henri Mondor, Santé Publique, Créteil, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>APHP Hôpital Henri Mondor, Santé Publique, Créteil</wicri:regionArea>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Créteil</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="De Prost, Nicolas" sort="De Prost, Nicolas" uniqKey="De Prost N" first="Nicolas" last="De Prost">Nicolas De Prost</name>
<affiliation wicri:level="3">
<nlm:affiliation>Hopital Henri Mondor, 55471, DHU A-TVB, Service de Réanimation Médicale, Creteil, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Hopital Henri Mondor, 55471, DHU A-TVB, Service de Réanimation Médicale, Creteil</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Créteil</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Universite Paris-Est Creteil Val de Marne, 27010, Groupe de Recherche CARMAS, Creteil, France; nicolas.de-prost@aphp.fr.</nlm:affiliation>
<country wicri:rule="url">France</country>
<wicri:regionArea>Universite Paris-Est Creteil Val de Marne, 27010, Groupe de Recherche CARMAS, Creteil</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Créteil</settlement>
</placeName>
<orgName type="university">Université Paris-Est Créteil Val-de-Marne</orgName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">American journal of respiratory and critical care medicine</title>
<idno type="eISSN">1535-4970</idno>
<imprint>
<date when="2020" type="published">2020</date>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>RATIONALE</b>
</p>
<p>Uncontrolled inflammatory innate response and impaired adaptive immune response are associated with clinical severity in patients with Coronavirus disease 2019 (COVID-19).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To compare the immunopathology of COVID-19 acute respiratory distress syndrome (ARDS) to that of non-COVID-19 ARDS, and to identify biomarkers associated with mortality in patients with COVID-19 ARDS.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Prospective observational monocenter study. Immunocompetent patients diagnosed with RT-PCR-confirmed SARS-CoV-2 infection and ARDS admitted between March 8 and March 30, 2020 were included and compared with patients with non-COVID-19 ARDS. The primary clinical endpoint of the study was mortality at day 28. Flow cytometry analyses and serum cytokines measurements were performed at days 1-2 and 4-6 of ICU admission.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MEASUREMENTS AND MAIN RESULTS</b>
</p>
<p>As compared with patients with non-COVID-19 ARDS (n=36), those with COVID-19 (n=38) were not significantly different regarding age, gender, and SOFA and SAPS II scores but exhibited a higher day-28 mortality (34% vs 11%, p=0.030). COVID-19 patients showed profound and sustained T CD4+ (p=0.002), CD8+ (p<0.0001) and B (p<0.0001) lymphopenia, higher HLA-DR expression on monocytes (p<0.001) and higher serum concentrations of EGF, GM-CSF, IL-10, CCL2/MCP-1, CCL3/MIP-1a, CXCL10/IP-10, CCL5/RANTES, and CCL20/MIP-3a. After adjusting on age and SOFA, serum CXCL10/IP-10 (p=0.047) and GM-CSF (p=0.050) were higher and naso-pharyngeal RT-PCR cycle threshold values lower (p=0.010) in COVID-19 patients who were dead at day-28.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Profound global lymphopenia and a "chemokine signature" were observed in COVID-19 ARDS. Increased serum concentrations of CXCL10/IP-10 and GM-CSF, together with higher naso-pharyngeal SARS-CoV-2 viral load, were associated with day-28 mortality. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).</p>
</div>
</front>
</TEI>
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<DateRevised>
<Year>2020</Year>
<Month>08</Month>
<Day>31</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1535-4970</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2020</Year>
<Month>Aug</Month>
<Day>31</Day>
</PubDate>
</JournalIssue>
<Title>American journal of respiratory and critical care medicine</Title>
<ISOAbbreviation>Am. J. Respir. Crit. Care Med.</ISOAbbreviation>
</Journal>
<ArticleTitle>Uncontrolled Innate and Impaired Adaptive Immune Responses in Patients with COVID-19 ARDS.</ArticleTitle>
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<Abstract>
<AbstractText Label="RATIONALE" NlmCategory="BACKGROUND">Uncontrolled inflammatory innate response and impaired adaptive immune response are associated with clinical severity in patients with Coronavirus disease 2019 (COVID-19).</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To compare the immunopathology of COVID-19 acute respiratory distress syndrome (ARDS) to that of non-COVID-19 ARDS, and to identify biomarkers associated with mortality in patients with COVID-19 ARDS.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Prospective observational monocenter study. Immunocompetent patients diagnosed with RT-PCR-confirmed SARS-CoV-2 infection and ARDS admitted between March 8 and March 30, 2020 were included and compared with patients with non-COVID-19 ARDS. The primary clinical endpoint of the study was mortality at day 28. Flow cytometry analyses and serum cytokines measurements were performed at days 1-2 and 4-6 of ICU admission.</AbstractText>
<AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">As compared with patients with non-COVID-19 ARDS (n=36), those with COVID-19 (n=38) were not significantly different regarding age, gender, and SOFA and SAPS II scores but exhibited a higher day-28 mortality (34% vs 11%, p=0.030). COVID-19 patients showed profound and sustained T CD4+ (p=0.002), CD8+ (p<0.0001) and B (p<0.0001) lymphopenia, higher HLA-DR expression on monocytes (p<0.001) and higher serum concentrations of EGF, GM-CSF, IL-10, CCL2/MCP-1, CCL3/MIP-1a, CXCL10/IP-10, CCL5/RANTES, and CCL20/MIP-3a. After adjusting on age and SOFA, serum CXCL10/IP-10 (p=0.047) and GM-CSF (p=0.050) were higher and naso-pharyngeal RT-PCR cycle threshold values lower (p=0.010) in COVID-19 patients who were dead at day-28.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Profound global lymphopenia and a "chemokine signature" were observed in COVID-19 ARDS. Increased serum concentrations of CXCL10/IP-10 and GM-CSF, together with higher naso-pharyngeal SARS-CoV-2 viral load, were associated with day-28 mortality. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).</AbstractText>
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<ForeName>Sophie</ForeName>
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<AffiliationInfo>
<Affiliation>Hopitaux Universitaires Henri Mondor, 378967, Service d'immunologie, Creteil, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Université Paris Est Créteil, Faculté de Médecine, IMRB, team 16, Créteil, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Beldi-Ferchiou</LastName>
<ForeName>Asma</ForeName>
<Initials>A</Initials>
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</Author>
<Author ValidYN="Y">
<LastName>Bendib</LastName>
<ForeName>Inès</ForeName>
<Initials>I</Initials>
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<Affiliation>Henri Mondor Hospital, Créteil, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Surenaud</LastName>
<ForeName>Mathieu</ForeName>
<Initials>M</Initials>
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<Affiliation>Universite Paris-Est Creteil Val de Marne Faculte de medecine, 60967, INSERM U955, team 16, Creteil, France.</Affiliation>
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</Author>
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<LastName>Fourati</LastName>
<ForeName>Slim</ForeName>
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<LastName>Frapard</LastName>
<ForeName>Thomas</ForeName>
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<LastName>Rivoal</LastName>
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<AffiliationInfo>
<Affiliation>Universite Paris-Est Creteil Val de Marne, 27010, Groupe de Recherche Clinique CARMAS, Creteil, France.</Affiliation>
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<LastName>Carteaux</LastName>
<ForeName>Guillaume</ForeName>
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<AffiliationInfo>
<Affiliation>Assistance Publique-Hôpitaux de Paris, CHU Henri Mondor, Service de réanimation médicale, Créteil, France.</Affiliation>
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<AffiliationInfo>
<Affiliation>Université Paris Est Créteil, Faculté de Médecine de Créteil, Groupe de recherche clinique CARMAS, Créteil, France.</Affiliation>
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<LastName>Delfau-Larue</LastName>
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<Affiliation>Henri Mondor Hospital, Créteil, France.</Affiliation>
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<LastName>Mekontso Dessap</LastName>
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<Affiliation>Hopital Henri Mondor, Service de Réanimation Médicale, Creteil, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>UPEC, Groupe de recherche clinique CARMAS, IMRB, Faculté de médecine de Créteil, Creteil, France.</Affiliation>
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<Author ValidYN="Y">
<LastName>Audureau</LastName>
<ForeName>Etienne</ForeName>
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<AffiliationInfo>
<Affiliation>APHP Hôpital Henri Mondor, Santé Publique, Créteil, France.</Affiliation>
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<LastName>de Prost</LastName>
<ForeName>Nicolas</ForeName>
<Initials>N</Initials>
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<Affiliation>Hopital Henri Mondor, 55471, DHU A-TVB, Service de Réanimation Médicale, Creteil, France.</Affiliation>
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<AffiliationInfo>
<Affiliation>Universite Paris-Est Creteil Val de Marne, 27010, Groupe de Recherche CARMAS, Creteil, France; nicolas.de-prost@aphp.fr.</Affiliation>
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<country>
<li>France</li>
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<li>Île-de-France</li>
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<name sortKey="Hue, Sophie" sort="Hue, Sophie" uniqKey="Hue S" first="Sophie" last="Hue">Sophie Hue</name>
</region>
<name sortKey="Audureau, Etienne" sort="Audureau, Etienne" uniqKey="Audureau E" first="Etienne" last="Audureau">Etienne Audureau</name>
<name sortKey="Beldi Ferchiou, Asma" sort="Beldi Ferchiou, Asma" uniqKey="Beldi Ferchiou A" first="Asma" last="Beldi-Ferchiou">Asma Beldi-Ferchiou</name>
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<name sortKey="Carteaux, Guillaume" sort="Carteaux, Guillaume" uniqKey="Carteaux G" first="Guillaume" last="Carteaux">Guillaume Carteaux</name>
<name sortKey="Carteaux, Guillaume" sort="Carteaux, Guillaume" uniqKey="Carteaux G" first="Guillaume" last="Carteaux">Guillaume Carteaux</name>
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<name sortKey="De Prost, Nicolas" sort="De Prost, Nicolas" uniqKey="De Prost N" first="Nicolas" last="De Prost">Nicolas De Prost</name>
<name sortKey="Delfau Larue, Marie Helene" sort="Delfau Larue, Marie Helene" uniqKey="Delfau Larue M" first="Marie-Hélène" last="Delfau-Larue">Marie-Hélène Delfau-Larue</name>
<name sortKey="Fourati, Slim" sort="Fourati, Slim" uniqKey="Fourati S" first="Slim" last="Fourati">Slim Fourati</name>
<name sortKey="Frapard, Thomas" sort="Frapard, Thomas" uniqKey="Frapard T" first="Thomas" last="Frapard">Thomas Frapard</name>
<name sortKey="Hue, Sophie" sort="Hue, Sophie" uniqKey="Hue S" first="Sophie" last="Hue">Sophie Hue</name>
<name sortKey="Mekontso Dessap, Armand" sort="Mekontso Dessap, Armand" uniqKey="Mekontso Dessap A" first="Armand" last="Mekontso Dessap">Armand Mekontso Dessap</name>
<name sortKey="Mekontso Dessap, Armand" sort="Mekontso Dessap, Armand" uniqKey="Mekontso Dessap A" first="Armand" last="Mekontso Dessap">Armand Mekontso Dessap</name>
<name sortKey="Razazi, Keyvan" sort="Razazi, Keyvan" uniqKey="Razazi K" first="Keyvan" last="Razazi">Keyvan Razazi</name>
<name sortKey="Razazi, Keyvan" sort="Razazi, Keyvan" uniqKey="Razazi K" first="Keyvan" last="Razazi">Keyvan Razazi</name>
<name sortKey="Rivoal, Simon" sort="Rivoal, Simon" uniqKey="Rivoal S" first="Simon" last="Rivoal">Simon Rivoal</name>
<name sortKey="Surenaud, Mathieu" sort="Surenaud, Mathieu" uniqKey="Surenaud M" first="Mathieu" last="Surenaud">Mathieu Surenaud</name>
</country>
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