Deep Immune Profiling of Whole Blood to Identify Early Immune Signatures that Correlate to Patient Outcome after Major Trauma

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
April E. Mendoza ◽  
Susan Raju Paul ◽  
Majed El Hechi ◽  
Leon Naar ◽  
Charlie Nederpelt ◽  
...  
2020 ◽  
Vol 5 (51) ◽  
pp. eabd6197 ◽  
Author(s):  
Elizabeth R. Mann ◽  
Madhvi Menon ◽  
Sean Blandin Knight ◽  
Joanne E. Konkel ◽  
Christopher Jagger ◽  
...  

COVID-19 pathogenesis is associated with an exaggerated immune response. However, the specific cellular mediators and inflammatory components driving diverse clinical disease outcomes remain poorly understood. We undertook longitudinal immune profiling on both whole blood and peripheral blood mononuclear cells (PBMCs) of hospitalized patients during the peak of the COVID-19 pandemic in the UK. Here, we report key immune signatures present shortly after hospital admission that were associated with the severity of COVID-19. Immune signatures were related to shifts in neutrophil to T cell ratio, elevated serum IL-6, MCP-1 and IP-10, and most strikingly, modulation of CD14+ monocyte phenotype and function. Modified features of CD14+ monocytes included poor induction of the prostaglandin-producing enzyme, COX-2, as well as enhanced expression of the cell cycle marker Ki-67. Longitudinal analysis revealed reversion of some immune features back to the healthy median level in patients with a good eventual outcome. These findings identify previously unappreciated alterations in the innate immune compartment of COVID-19 patients and lend support to the idea that therapeutic strategies targeting release of myeloid cells from bone marrow should be considered in this disease. Moreover, they demonstrate that features of an exaggerated immune response are present early after hospital admission suggesting immune-modulating therapies would be most beneficial at early timepoints.


2020 ◽  
Vol 14 (3) ◽  
pp. e0008112 ◽  
Author(s):  
Yujiao Zhao ◽  
Matthew Amodio ◽  
Brent Vander Wyk ◽  
Bram Gerritsen ◽  
Mahesh M. Kumar ◽  
...  

2013 ◽  
Author(s):  
Bryan A. Cotton ◽  
Charles E. Wade ◽  
Rosemary A. Kozar

2020 ◽  
Author(s):  
Daniel Geanon ◽  
Brian Lee ◽  
Adeeb H. Rahman

AbstractHigh-dimensional mass cytometry (CyTOF) phenotyping allows for the routine measurement of over 40 parameters and is increasingly being utilized across a wide range of studies. However, CyTOF-specific panel design and optimization represent challenges to wider adoption and standardization of immune profiling with CyTOF. To address this, Fluidigm recently commercialized its MaxPar Direct Immune Profiling Assay (MDIPA), which comprises a lyophilized 30-marker antibody panel that is able to identify all major circulating immune cell subsets and offers a streamlined solution for standardized human immune monitoring. However, in the course of applying the MDIPA to characterize large numbers of whole blood samples, we observed several instances of unusual aberrant staining patterns, most notably CD19 expression on non-B cells, which can potentially confound data analysis and lead to erroneous interpretation of results when using this assay. Here, we report that this complex phenomenon is mediated by donor-specific plasma factors that mediate non-specific interactions between specific antibodies in the MDIPA panel. Our findings additionally suggest specific strategies that can be used to mitigate the issue, including the use of PBMCs or lysed/washed whole blood to remove endogenous plasma prior to staining, or blocking specific antibodies in the MDIPA panel.


2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Rahmat Dani Satria ◽  
Tzu-Wen Huang ◽  
Ming-Kai Jhan ◽  
Ting-Jing Shen ◽  
Po-Chun Tseng ◽  
...  

During the acute febrile phase of dengue virus (DENV) infection, viremia can cause severe systemic immune responses accompanied by hematologic disorders. This study investigated the potential induction and mechanism of the cytopathic effects of DENV on peripheral blood cells ex vivo. At one day postinfection, there was viral nonstructural protein NS1 but no further virus replication measured in the whole blood culture. Notably, DENV exposure caused significant vacuolization in monocytic phagocytes. With a minor change in the complete blood cell count, except for a minor increase in neutrophils and a significant decrease in monocytes, the immune profiling assay identified several changes, particularly a significant reduction in CD14-positive monocytes as well as CD11c-positive dendritic cells. Abnormal production of TNF-α was highly associated with the induction of vacuolization. Manipulating TNF-α expression resulted in cytopathogenic effects. These results demonstrate the potential hematological damage caused by ex vivo DENV-induced TNF-α.


Small ◽  
2021 ◽  
Vol 17 (12) ◽  
pp. 2170051
Author(s):  
Kerwin Kwek Zeming ◽  
Rohan Vernekar ◽  
Mui Teng Chua ◽  
Kai Yun Quek ◽  
Greg Sutton ◽  
...  

2021 ◽  
Vol 7 (42) ◽  
Author(s):  
Supriya Ravichandran ◽  
Gabrielle Grubbs ◽  
Juanjie Tang ◽  
Youri Lee ◽  
Chang Huang ◽  
...  

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