Pregnant women are generally more susceptible to viral infection. Although the impact of SARS-CoV-2 in pregnancy remains to be determined, evidence indicates that the risk factors for severe COVID-19 are similar in pregnancy to the general population. Here we systemically analyzed the clinical characteristics of pregnant and non-pregnant female COVID-19 patients who were hospitalized during the same period and found that pregnant patients developed marked lymphopenia and higher inflammation evident by higher C-reactive protein and IL-6. To elucidate the pathways that might contribute to immunopathology or protective immunity against COVID-19 during pregnancy, we applied single-cell mRNA sequencing to profile peripheral blood mononuclear cells from four pregnant and six non-pregnant female patients after recovery along with four pregnant and three non-pregnant healthy donors. We found normal clonal expansion of T cells in the pregnant patients, heightened activation and chemotaxis in NK, NKT, and MAIT cells, and differential interferon responses in the monocyte compartment. Our data present a unique feature in both innate and adaptive immune responses in pregnant patients recovered from COVID-19.
基金:
National Key Research and Development Program of China [2017YFA0106800, 2019YFC1005202]
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Wuhan, Hubei, Peoples R China
通讯作者:
通讯机构:[2]Sichuan Univ, West China Univ Hosp 2, State Key Lab Biotherapy, Key Lab Birth Defects & Related Dis Women & Child, Chengdu, Sichuan, Peoples R China[3]Collaborat Innovat Ctr Biotherapy, Chengdu, Sichuan, Peoples R China
推荐引用方式(GB/T 7714):
Chen Ge,Zhang Yiming,Zhang Yaoyao,et al.Differential immune responses in pregnant patients recovered from COVID-19[J].SIGNAL TRANSDUCTION AND TARGETED THERAPY.2021,6(1):doi:10.1038/s41392-021-00703-3.
APA:
Chen, Ge,Zhang, Yiming,Zhang, Yaoyao,Ai, Jihui,Yang, Bin...&Li, Kezhen.(2021).Differential immune responses in pregnant patients recovered from COVID-19.SIGNAL TRANSDUCTION AND TARGETED THERAPY,6,(1)
MLA:
Chen, Ge,et al."Differential immune responses in pregnant patients recovered from COVID-19".SIGNAL TRANSDUCTION AND TARGETED THERAPY 6..1(2021)