Analysis of Immune Profiles Related to Disease Severity in COVID-19 by Flow Cytometry

AuthorTugrul Hosbulen
AuthorSema Orenen
AuthorCumhur Artuken
AuthorCanset Nur Aydoganen
AuthorIrem Unaten
AuthorSerkan Senkalen
AuthorGamze Icenen
AuthorTugba Fatsaen
AuthorRamazan Gumralen
AuthorFatih Sahineren
AuthorMurat Kizilgunen
AuthorMehmet Tevfik Yavuzen
OrcidTugrul Hosbul [0000-0002-0150-4417]en
OrcidSema Oren [0000-0001-7375-2009]en
OrcidCumhur Artuk [0000-0003-0827-990X]en
OrcidCanset Nur Aydogan [0000-0002-6081-8934]en
OrcidIrem Unat [0000-0002-9247-2480]en
OrcidSerkan Senkal [0000-0001-8196-3834]en
OrcidGamze Icen [0000-0003-3328-2131]en
OrcidTugba Fatsa [0000-0003-3759-495X]en
OrcidRamazan Gumral [0000-0002-2303-8234]en
OrcidFatih Sahiner [0000-0002-3488-0339]en
OrcidMurat Kizilgun [0000-0001-5551-4058]en
OrcidMehmet Tevfik Yavuz [0000-0002-1964-424X]en
Issued Date2023-07-31en
AbstractBackground: More than 768 million people have been affected by COVID-19. Identifying lymphocyte subsets and cytokine level abnormalities in COVID-19 patients is essential to gain new insights and data on immunity mechanisms against viral infections. Objectives: We used flow cytometry to determine the relationship between disease severity, lymphocyte subsets distribution, and cytokine level alterations in COVID-19 patients. Methods: Totally 94 COVID-19 patients (32 mild, 31 moderate, and 31 severe) and 27 healthy individuals were included in the cross-sectional study. The distribution of peripheral lymphocyte subsets and cytokine levels was assessed by flow cytometry. Results: The percentages of CD56+ natural killer (NK) cells in all patient groups and total T lymphocytes in moderate and severe groups were significantly lower than those in the control group (P < 0.001). Also, IL-2 (P < 0.001), IL-17A (P < 0.001), IL-4 (P < 0.001), IL-6 (P < 0.001), TNF-α (P = 0.004), IP-10 (P < 0.001), IFN-λ1 (IL-29) (P < 0.001), IFN-λ2/3 (IL-28A/B) (P = 0.011), IFN-β (P < 0.001), IL-10 (P < 0.001), and IFN-γ (P < 0.001) levels were statistically higher in patients than in the controls. Conclusions: Our data revealed that increased levels of certain cytokines in peripheral blood contribute to disease severity. Increased CRP (OR: 1.012, %95 CI: 1.002 - 1.023, P = 0.038) and IL-10 (OR: 1.068, %95 CI: 1.000 - 1.141, P = 0.049) levels, decreased CD56+ NK percentage (OR: 0.576, %95 CI: 0.376 - 0.882, P = 0.011) and lymphocyte count (OR: 0.02, %95 CI: 0.001 - 0.368, P = 0.009), and the presence of diabetes mellitus and mechanical ventilation were independent predictors of mortality.en
DOIhttps://doi.org/10.5812/jjm-138835en
KeywordCOVID-19en
KeywordFlow Cytometryen
KeywordLymphocyte Subsetsen
KeywordCytokinesen
PublisherBrieflandsen
TitleAnalysis of Immune Profiles Related to Disease Severity in COVID-19 by Flow Cytometryen
TypeResearch Articleen

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