Alterations in the immune system persist after one year of convalescence in severe COVID-19 patients

重症 COVID-19 患者康复一年后,免疫系统变化仍然存在

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作者:Judith Abarca-Zabalía, Adela González-Jiménez, Myriam Calle-Rubio, Andrea R López-Pastor, Tomás Fariña, Carlos Ramos-Acosta, Eduardo Anguita, Elena Urcelay, Laura Espino-Paisán

Conclusions

These results are concordant with previous studies, which find alterations in CSC weeks or months after resolution of the symptoms, and point to the possibility of these alterations lasting one year or more after COVID-19 resolution.

Methods

Eighteen convalescent of severe COVID-19 (CSC), 14 convalescent of mild COVID-19 (CMC) and nine controls were recruited. NKG2A, NKG2C, NKG2D and the activating receptor NKp44 were evaluated in NKbright, NKdim and NKT subpopulations. In addition, CD3 and CD19 were measured and a basic biochemistry with IL-6 levels was obtained.

Results

CSC participants showed lower NKbright/NKdim ratio, higher NKp44 expression in NKbright subpopulations, higher levels of serum IL-6, lower levels of NKG2A+ T lymphocytes and a trend to a lower expression of CD19 in B lymphocytes compared to controls. CMC participants showed no significant alterations in the immune system compared to controls. Conclusions: These results are concordant with previous studies, which find alterations in CSC weeks or months after resolution of the symptoms, and point to the possibility of these alterations lasting one year or more after COVID-19 resolution.

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