101. Multi-cohort analysis of host immune response identifies conserved protective and detrimental modules associated with severity across viruses
- Author
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Jiaying Toh, Yehudit Hasin-Brumshtein, James R. Heath, Aditya M Rao, Purvesh Khatri, Minas Karagiannis, Evangelos J. Giamarellos-Bourboulis, Theodoros Marantos, Denis Dermadi, Yudong D He, Cheng L. Dai, Lara Murphy Jones, Yapeng Su, Hong Zheng, Yiran Liu, Sergey A. Kornilov, and Michele Donato
- Subjects
0301 basic medicine ,multi-cohort analysis ,Immunology ,Antigen presentation ,systems immunology ,conserved host response to viruses ,Biology ,medicine.disease_cause ,Severity of Illness Index ,Article ,Virus ,Cohort Studies ,Transcriptome ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Interferon ,Immunity ,medicine ,Humans ,Immunology and Allergy ,Myeloid Cells ,Chikungunya ,Antigen Presentation ,Systems Biology ,pan-virus analysis ,Prognosis ,Hematopoiesis ,Killer Cells, Natural ,030104 developmental biology ,Infectious Diseases ,covid-19 ,Virus Diseases ,030220 oncology & carcinogenesis ,Viruses ,Interferons ,Myelopoiesis ,medicine.drug - Abstract
Viral infections induce a conserved host response distinct from bacterial infections. We hypothesized that the conserved response is associated with disease severity and is distinct between patients with different outcomes. To test this, we integrated 4,780 blood transcriptome profiles from patients aged 0 to 90 years infected with one of 16 viruses, including SARS-CoV-2, Ebola, chikungunya, and influenza, across 34 cohorts from 18 countries, and single-cell RNA sequencing profiles of 702,970 immune cells from 289 samples across three cohorts. Severe viral infection was associated with increased hematopoiesis, myelopoiesis, and myeloid-derived suppressor cells. We identified protective and detrimental gene modules that defined distinct trajectories associated with mild versus severe outcomes. The interferon response was decoupled from the protective host response in patients with severe outcomes. These findings were consistent, irrespective of age and virus, and provide insights to accelerate the development of diagnostics and host-directed therapies to improve global pandemic preparedness., Graphical abstract, Viral infections induce a conserved host response distinct from bacterial infections, but whether this conserved response distinguishes severity is unclear. Zheng et al. analyzed >5000 bulk and single-cell transcriptome profiles from patients infected with one of 16 viruses, including SARS-CoV-2, Ebola, and chikungunya. They identified protective and detrimental host response modules that distinguish patients with mild or severe outcomes.
- Published
- 2021