Age-dependent decrease of circulating T follicular helper cells correlates with disease severity in elderly patients with COVID-19

Copyright © 2024 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 266(2024) vom: 26. Aug., Seite 110329
1. Verfasser: Wang, Yihan (VerfasserIn)
Weitere Verfasser: Wang, Qiu, He, Furong, Qiao, Nan, Li, Xuejun, Wei, Liqun, Sun, Lingjin, Dai, Weiqian, Li, Ying, Pang, Xueyang, Hu, Jiayi, Huang, Chuan, Yang, Guangchen, Pang, Chongjie, Hu, Zhidong, Xing, Man, Wan, Chunxiao, Zhou, Dongming
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Aging COVID-19 Circulating T follicular helper cells Elderly patients Lymphopenia Vaccination COVID-19 Vaccines Antibodies, Viral
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520 |a Overwhelming evidence has shown that aging is a significant risk factor for COVID-19-related hospitalizations, death and other adverse health outcomes. Particular T cell subsets that susceptible to aging and associated with COVID-19 disease severity requires further elucidation. Our study recruited 57 elderly patients with acute COVID-19 and 27 convalescent donors. Adaptive immunity was assessed across the COVID-19 severity spectrum. Patients underwent age-dependent CD4+ T lymphopenia, preferential loss of circulating T follicular regulatory cells (cTfh) subsets including cTfh-em, cTfh-cm, cTfh1, cTfh2, cTfh17 and circulating T follicular regulatory cells (cTfr), which regulated antibody production through different pathways and correlated with COVID-19 severity, were observed. Moreover, vaccination improved cTfh-cm, cTfh2, cTfr proportion and promoted NAb production. In conclusion, the elderly had gone through age-dependent cTfh subsets deficiency, which impeded NAb production and enabled aggravation of COVID-19 to critical illness, whereas SARS-CoV-2 vaccine inoculation helped to rejuvenate cTfh, cTfr and intensify NAb responses 
650 4 |a Journal Article 
650 4 |a Aging 
650 4 |a COVID-19 
650 4 |a Circulating T follicular helper cells 
650 4 |a Elderly patients 
650 4 |a Lymphopenia 
650 4 |a Vaccination 
650 7 |a COVID-19 Vaccines  |2 NLM 
650 7 |a Antibodies, Viral  |2 NLM 
700 1 |a Wang, Qiu  |e verfasserin  |4 aut 
700 1 |a He, Furong  |e verfasserin  |4 aut 
700 1 |a Qiao, Nan  |e verfasserin  |4 aut 
700 1 |a Li, Xuejun  |e verfasserin  |4 aut 
700 1 |a Wei, Liqun  |e verfasserin  |4 aut 
700 1 |a Sun, Lingjin  |e verfasserin  |4 aut 
700 1 |a Dai, Weiqian  |e verfasserin  |4 aut 
700 1 |a Li, Ying  |e verfasserin  |4 aut 
700 1 |a Pang, Xueyang  |e verfasserin  |4 aut 
700 1 |a Hu, Jiayi  |e verfasserin  |4 aut 
700 1 |a Huang, Chuan  |e verfasserin  |4 aut 
700 1 |a Yang, Guangchen  |e verfasserin  |4 aut 
700 1 |a Pang, Chongjie  |e verfasserin  |4 aut 
700 1 |a Hu, Zhidong  |e verfasserin  |4 aut 
700 1 |a Xing, Man  |e verfasserin  |4 aut 
700 1 |a Wan, Chunxiao  |e verfasserin  |4 aut 
700 1 |a Zhou, Dongming  |e verfasserin  |4 aut 
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773 1 8 |g volume:266  |g year:2024  |g day:26  |g month:08  |g pages:110329 
856 4 0 |u http://dx.doi.org/10.1016/j.clim.2024.110329  |3 Volltext 
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