Protective immune trajectories in early viral containment of non-pneumonic SARS-CoV-2 infection. Nature Communications (2022)

DZHK authors: Kami Pekayvaz, Alexander Leunig, Rainer Kaiser, Clemens Scherer, Kathrin Saar, Lukas Tomas, Christian Schulz, Norbert Hubner, Steffen Massberg, Konstantin Stark, Leo Nicolai

Together with two DZHK partner sites, involving clinician scientists, biologists, and bioinformaticians, we used multi-omic techniques involving single-cell transcriptomics and plasma proteomics to dissect the immune response in patients with non-pneumonic SARS-CoV2 infection. Our interdisciplinary approach allowed us to uncover protective immune trajectories in COVID-19 by fully exploiting this complex multi-omic dataset through longitudinal and correlative analyses.

So far, conflicting data on systemic IFN signalling in COVID-19 exist. This is mainly based on heterogeneous patient populations and diverging sampling time points. Focusing on early disease time points in oligo- and asymptomatic SARS-CoV2 infected patients, we now provide a valuable resource for better understanding the physiological immune response associated with successful upper airway containment of SARS-CoV2.

We identify a distinct systemic immune state correlating with viral containment, characterized by an upregulation of interferon stimulated genes across circulating immune cell subsets. Further, we identify a reduced cytotoxic state of Natural Killer cells and T cells and an immune-modulatory phenotype of monocytes in patients with non-pneumonic SARS-CoV2 infection. In summary, we reveal, that a systemic rather than local immune state associates with a successful antiviral response in SARS-CoV-2 infection.


Link to the publication:
Protective immune trajectories in early viral containment of non-pneumonic SARS-CoV-2 infection (Pekayvaz et al., 2022)