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SARS-CoV-2 infection causes immunodeficiency in recovered patients by downregulating CD19 expression in B cells via enhancing B-cell metabolism

Jing, YK (author)
Luo, L (author)
Chen, Y (author)
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Westerberg, LS (author)
Karolinska Institutet
Zhou, P (author)
Xu, ZP (author)
Herrada, AA (author)
Park, CS (author)
Kubo, M (author)
Mei, H (author)
Hu, Y (author)
Lee, PPW (author)
Zheng, B (author)
Sui, ZW (author)
Xiao, W (author)
Gong, Q (author)
Lu, ZX (author)
Liu, CH (author)
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 (creator_code:org_t)
2021-09-22
2021
English.
In: Signal transduction and targeted therapy. - : Springer Science and Business Media LLC. - 2059-3635. ; 6:1, s. 345-
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The SARS-CoV-2 infection causes severe immune disruption. However, it is unclear if disrupted immune regulation still exists and pertains in recovered COVID-19 patients. In our study, we have characterized the immune phenotype of B cells from 15 recovered COVID-19 patients, and found that healthy controls and recovered patients had similar B-cell populations before and after BCR stimulation, but the frequencies of PBC in patients were significantly increased when compared to healthy controls before stimulation. However, the percentage of unswitched memory B cells was decreased in recovered patients but not changed in healthy controls upon BCR stimulation. Interestingly, we found that CD19 expression was significantly reduced in almost all the B-cell subsets in recovered patients. Moreover, the BCR signaling and early B-cell response were disrupted upon BCR stimulation. Mechanistically, we found that the reduced CD19 expression was caused by the dysregulation of cell metabolism. In conclusion, we found that SARS-CoV-2 infection causes immunodeficiency in recovered patients by downregulating CD19 expression in B cells via enhancing B-cell metabolism, which may provide a new intervention target to cure COVID-19.

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