Author: Nomani, Masoumeh; Varahram, Mohammad; Tabarsi, Payam; Hashemian, Seyed MohammadReza; Jamaati, Hamidreza; Malekmohammad, Majid; Ghazi, Mona; Adcock, Ian M.; Mortaz, Esmaeil
Title: Decreased neutrophilâ€mediated bacterial killing in COVIDâ€19 patients Cord-id: 5eh9t45r Document date: 2021_6_11
ID: 5eh9t45r
Snippet: The coronavirus disease COVIDâ€19 was first described in December 2019. The peripheral blood of COVIDâ€19 patients have increased numbers of neutrophils which are important in controlling the bacterial infections observed in COVIDâ€19. We sought to evaluate the cytotoxic capacity of neutrophils in COVIDâ€19 patients. 34 confirmed COVIDâ€19 patients (29 severe, five mild disease), and nine healthy controls were recruited from the Masih Daneshvari Hospital (Tehran, Iran) from March to May 202
Document: The coronavirus disease COVIDâ€19 was first described in December 2019. The peripheral blood of COVIDâ€19 patients have increased numbers of neutrophils which are important in controlling the bacterial infections observed in COVIDâ€19. We sought to evaluate the cytotoxic capacity of neutrophils in COVIDâ€19 patients. 34 confirmed COVIDâ€19 patients (29 severe, five mild disease), and nine healthy controls were recruited from the Masih Daneshvari Hospital (Tehran, Iran) from March to May 2020. Polymorphonuclear (PMN) cells were isolated from whole blood and incubated with green fluorescent protein (GFP)â€labelled methicillinâ€resistant Staphylococcus aureus (SA) and Pseudomonas aeruginosa (PA). Bacterial growth was determined by measuring the florescence of coâ€cultures of bacteria and neutrophils and reported as the lag time before exponential growth. The number of viable bacteria was determined after 70 hours as colonyâ€forming units (CFU). The immunophenotype of tested cells was evaluated by flow cytometry. Isolated neutrophils have higher surface expression of CD16 and CD62L with negative markers for PMNâ€MDSC. Bacterial growth in the presence of SA (22 ± 0.9 versus 9.2 ± 0.5 h, P < .01) and PA (12.4 ± 0.6 versus 4.5 ± 0.22, P < .01) was significantly reduced in COVIDâ€19 patients. After 70 h incubation of PMN with bacteria (SA and PA), CFUs were significant increased in COVIDâ€19 patients SA (2.6 ± 0.09 × 10(8) CFU/mLâ€severe patients and 1.4 ± 0.06 × 10(8) CFU/mLâ€mild patients, P < .001) and PA (2.2 ± 0.09 × 10(9) CFU/mLâ€severe patients and 1.6 ± 0.03 × 10(9) CFU/mLâ€mild patients, P < .001). Gentamycin proliferation assays confirmed the presence of intracellular bacteria. Reduced bacterial killing by neutrophils from COVIDâ€19 patients may be responsible for the high bacterial yield seen in these patients.
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