1. Dexamethasone modulates immature neutrophils and interferon programming in severe COVID-19
- Author
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Antoine Dufour, Raquel Farias, Leslie Cao, Mark R. Gillrie, Braedon McDonald, Bryan G. Yipp, Nicole L. Rosin, Angela P. Nguyen, Arzina Jaffer, Elodie Labit, Sarthak Sinha, Amy Bromley, Luiz Gustavo de Almeida, Jeff Biernaskie, Marvin J. Fritzler, and Rohit Arora
- Subjects
Male ,Proteomics ,ARDS ,Neutrophils ,Cell Communication ,Severity of Illness Index ,Dexamethasone ,chemistry.chemical_compound ,Tandem Mass Spectrometry ,Interferon ,Gene Regulatory Networks ,RNA-Seq ,Innate immunity ,Respiratory Distress Syndrome ,General Medicine ,Middle Aged ,Cytokines ,Female ,Immunotherapy ,Single-Cell Analysis ,medicine.drug ,Adult ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Down-Regulation ,Prostaglandin ,Article ,In Brief ,General Biochemistry, Genetics and Molecular Biology ,Sex Factors ,Target identification ,Internal medicine ,Pneumonia, Bacterial ,medicine ,Humans ,Glucocorticoids ,Gene ,Aged ,Innate immune system ,SARS-CoV-2 ,business.industry ,COVID-19 ,RNA ,medicine.disease ,Immunity, Innate ,COVID-19 Drug Treatment ,Endocrinology ,chemistry ,Viral infection ,Immunology ,Prostaglandins ,Interferons ,business ,Chromatography, Liquid - Abstract
Although critical for host defense, innate immune cells are also pathologic drivers of acute respiratory distress syndrome (ARDS). Innate immune dynamics during Coronavirus Disease 2019 (COVID-19) ARDS, compared to ARDS from other respiratory pathogens, is unclear. Moreover, mechanisms underlying the beneficial effects of dexamethasone during severe COVID-19 remain elusive. Using single-cell RNA sequencing and plasma proteomics, we discovered that, compared to bacterial ARDS, COVID-19 was associated with expansion of distinct neutrophil states characterized by interferon (IFN) and prostaglandin signaling. Dexamethasone during severe COVID-19 affected circulating neutrophils, altered IFNactive neutrophils, downregulated interferon-stimulated genes and activated IL-1R2+ neutrophils. Dexamethasone also expanded immunosuppressive immature neutrophils and remodeled cellular interactions by changing neutrophils from information receivers into information providers. Male patients had higher proportions of IFNactive neutrophils and preferential steroid-induced immature neutrophil expansion, potentially affecting outcomes. Our single-cell atlas (see ‘Data availability’ section) defines COVID-19-enriched neutrophil states and molecular mechanisms of dexamethasone action to develop targeted immunotherapies for severe COVID-19., New results shed light on the molecular mechanisms of dexamethasone action, underlying its therapeutic benefit in patients with severe COVID-19.
- Published
- 2021
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