Longitudinal transcriptome analyses show robust T cell immunity during recovery from COVID-19

Signal Transduct Target Ther. 2020 Dec 24;5(1):294. doi: 10.1038/s41392-020-00457-4.

Abstract

Understanding the processes of immune regulation in patients infected with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is crucial for improving treatment. Here, we performed longitudinal whole-transcriptome RNA sequencing on peripheral blood mononuclear cell (PBMC) samples from 18 patients with coronavirus disease 2019 (COVID-19) during their treatment, convalescence, and rehabilitation. After analyzing the regulatory networks of differentially expressed messenger RNAs (mRNAs), microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) between the different clinical stages, we found that humoral immunity and type I interferon response were significantly downregulated, while robust T-cell activation and differentiation at the whole transcriptome level constituted the main events that occurred during recovery from COVID-19. The formation of this T cell immune response might be driven by the activation of activating protein-1 (AP-1) related signaling pathway and was weakly affected by other clinical features. These findings uncovered the dynamic pattern of immune responses and indicated the key role of T cell immunity in the creation of immune protection against this disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19 / epidemiology
  • COVID-19 / genetics*
  • COVID-19 / pathology
  • Female
  • Humans
  • Immunity, Humoral / genetics*
  • Immunity, Humoral / immunology
  • Leukocytes, Mononuclear / metabolism
  • Male
  • MicroRNAs
  • RNA, Long Noncoding / genetics
  • RNA-Seq
  • SARS-CoV-2 / genetics
  • SARS-CoV-2 / pathogenicity
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism*
  • T-Lymphocytes / pathology
  • Transcription Factor AP-1 / genetics
  • Transcriptome / genetics*

Substances

  • MicroRNAs
  • RNA, Long Noncoding
  • Transcription Factor AP-1