Winheim, E.* ; Rinke, L.* ; Lutz, K.* ; Reischer, A.* ; Leutbecher, A.* ; Wolfram, L.* ; Rausch, L.* ; Kranich, J.* ; Wratil, P.R.* ; Huber, J.E.* ; Baumjohann, D.* ; Rothenfußer, S. ; Schubert, B. ; Hilgendorff, A. ; Hellmuth, J.C.* ; Scherer, C.* ; Muenchhoff, M.* ; von Bergwelt-Baildon, M.* ; Stark, K.* ; Straub, T.* ; Brocker, T.* ; Keppler, O.T.* ; Subklewe, M.* ; Krug, A.B.*
     
 
    
        
Impaired function and delayed regeneration of dendritic cells in COVID-19.
    
    
        
    
    
        
        PLoS Pathog. 17:e1009742 (2021)
    
    
    
		
		
			
				Disease manifestations in COVID-19 range from mild to severe illness associated with a dysregulated innate immune response. Alterations in function and regeneration of dendritic cells (DCs) and monocytes may contribute to immunopathology and influence adaptive immune responses in COVID-19 patients. We analyzed circulating DC and monocyte subsets in 65 hospitalized COVID-19 patients with mild/moderate or severe disease from acute illness to recovery and in healthy controls. Persisting reduction of all DC subpopulations was accompanied by an expansion of proliferating Lineage-HLADR+ cells lacking DC markers. Increased frequency of CD163+ CD14+ cells within the recently discovered DC3 subpopulation in patients with more severe disease was associated with systemic inflammation, activated T follicular helper cells, and antibody-secreting cells. Persistent downregulation of CD86 and upregulation of programmed death-ligand 1 (PD-L1) in conventional DCs (cDC2 and DC3) and classical monocytes associated with a reduced capacity to stimulate naïve CD4+ T cells correlated with disease severity. Long-lasting depletion and functional impairment of DCs and monocytes may have consequences for susceptibility to secondary infections and therapy of COVID-19 patients.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
        Typ der Hochschulschrift
        
    
 
    
        Herausgeber
        
    
    
        Schlagwörter
        Infection; Mild; Population; Sars-cov-2; Responses; Melanoma; Immunity; Subsets; Reveals
    
 
    
        Keywords plus
        
    
 
    
    
        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2021
    
 
    
        Prepublished im Jahr 
        
    
 
    
        HGF-Berichtsjahr
        2021
    
 
    
    
        ISSN (print) / ISBN
        1553-7366
    
 
    
        e-ISSN
        1553-7374
    
 
    
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	    Band: 17,  
	    Heft: 10,  
	    Seiten: ,  
	    Artikelnummer: e1009742 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            Public Library of Science (PLoS)
        
 
        
            Verlagsort
            1160 Battery Street, Ste 100, San Francisco, Ca 94111 Usa
        
 
	
        
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            0000-00-00
        
 
        
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        Begutachtungsstatus
        Peer reviewed
    
 
     
    
        POF Topic(s)
        30203 - Molecular Targets and Therapies
30205 - Bioengineering and Digital Health
30202 - Environmental Health
    
 
    
        Forschungsfeld(er)
        Immune Response and Infection
Enabling and Novel Technologies
Lung Research
    
 
    
        PSP-Element(e)
        G-522100-001
G-503800-001
G-552100-001
    
 
    
        Förderungen
        Wilhelm Sander Stiftung
Bavarian Elite Graduate Training Network
Villigst Foundation
Bavarian State Ministry of Science and the Arts
Else-Kroner-FreseniusStiftung
Germany's Excellence Strategy EXC2151
'Deutsche Forschungsgemeinschaft'
Faculty of Medicine of the LMU Munchen
Free State of Bavaria under the Excellence Strategy of the Federal Government and the States
LMUexcellent
Federal Ministry of Education and Research (BMBF) initiative "NaFoUniMedCovid19"
Federal Ministry of Education and Research (BMBF) initiative "COMBAT C19IR"
Deutsche Forschungsgemeinschaft
    
 
    
        Copyright
        
    
 	
    
    
    
    
    
        Erfassungsdatum
        2021-12-07