Article ; Online: Persistent CD8
2024 Volume 14, Page(s) 1303971
Abstract: Introduction: Post-acute sequelae of COVID-19 affects the quality of life of many COVID-19 survivors, yet the etiology of post-acute sequelae of COVID-19 remains unknown. We aimed to determine if persistent inflammation and ongoing T-cell activation ... ...
Abstract | Introduction: Post-acute sequelae of COVID-19 affects the quality of life of many COVID-19 survivors, yet the etiology of post-acute sequelae of COVID-19 remains unknown. We aimed to determine if persistent inflammation and ongoing T-cell activation during convalescence were a contributing factor to the pathogenesis of post-acute sequelae of COVID-19. Methods: We evaluated 67 individuals diagnosed with COVID-19 by nasopharyngeal polymerase chain reaction for persistent symptoms during convalescence at separate time points occurring up to 180 days post-diagnosis. Fifty-two of these individuals were evaluated longitudinally. We obtained whole blood samples at each study visit, isolated peripheral blood mononuclear cells, and stained for multiple T cell activation markers for flow cytometry analysis. The activation states of participants' CD4 Results: Overall, we found that participants with persistent symptoms had significantly higher levels of inflammation at multiple time points during convalescence when compared to those who fully recovered from COVID-19. Participants with persistent dyspnea, forgetfulness, confusion, and chest pain had significantly higher levels of proliferating effector T-cells (CD8 Discussion: These findings suggest continued CD8+ T-cell activation following SARS-CoV-2 infection in adults experiencing post-acute sequelae of COVID-19 and that the increase in T regulatory cells for a subset of these patients represents the ongoing attempt by the host to reduce inflammation. |
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MeSH term(s) | Humans ; Adult ; COVID-19/complications ; CD8-Positive T-Lymphocytes ; Retrospective Studies ; Convalescence ; Leukocytes, Mononuclear ; Ki-67 Antigen ; Post-Acute COVID-19 Syndrome ; Quality of Life ; SARS-CoV-2 ; CD4-Positive T-Lymphocytes ; Cohort Studies ; CD3 Complex ; Disease Progression ; Inflammation ; Cell Proliferation ; Survivors ; Dyspnea ; Chest Pain |
Chemical Substances | Ki-67 Antigen ; CD3 Complex |
Language | English |
Publishing date | 2024-01-23 |
Publishing country | Switzerland |
Document type | Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2606827-8 |
ISSN | 1664-3224 ; 1664-3224 |
ISSN (online) | 1664-3224 |
ISSN | 1664-3224 |
DOI | 10.3389/fimmu.2023.1303971 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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