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Dragon-Durey MA, Chen X, Kirilovsky A, Ben Hamouda N, El Sissy C, Russick J, Charpentier E, Binois Y, Marliot F, Meylan M, Granier C, Pere H, Saldmann A, Rance B, Jannot AS, Baron S, Chebbi M, Fayol A, Josseaume N, Rives-Lange C, Tharaux PL, Cholley B, Diehl JL, Arlet JB, Azizi M, Karras A, Czernichow S, Smadja DM, Hulot JS, Cremer I, Tartour E, Mousseaux E, Pagès F. Differential association between inflammatory cytokines and multiorgan dysfunction in COVID-19 patients with obesity. PLoS One 2021; 16:e0252026. [PMID: 34038475 PMCID: PMC8153504 DOI: 10.1371/journal.pone.0252026] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Accepted: 05/08/2021] [Indexed: 01/08/2023] Open
Abstract
To investigate the mechanisms underlying the SARS-CoV-2 infection severity observed in patients with obesity, we performed a prospective study of 51 patients evaluating the impact of multiple immune parameters during 2 weeks after admission, on vital organs' functions according to body mass index (BMI) categories. High-dimensional flow cytometric characterization of immune cell subsets was performed at admission, 30 systemic cytokines/chemokines levels were sequentially measured, thirteen endothelial markers were determined at admission and at the zenith of the cytokines. Computed tomography scans on admission were quantified for lung damage and hepatic steatosis (n = 23). Abnormal BMI (> 25) observed in 72.6% of patients, was associated with a higher rate of intensive care unit hospitalization (p = 0.044). SARS-CoV-2 RNAaemia, peripheral immune cell subsets and cytokines/chemokines were similar among BMI groups. A significant association between inflammatory cytokines and liver, renal, and endothelial dysfunctions was observed only in patients with obesity (BMI > 30). In contrast, early signs of lung damage (ground-glass opacity) correlated with Th1/M1/inflammatory cytokines only in normal weight patients. Later lesions of pulmonary consolidation correlated with BMI but were independent of cytokine levels. Our study reveals distinct physiopathological mechanisms associated with SARS-CoV-2 infection in patients with obesity that may have important clinical implications.
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Affiliation(s)
- Marie-Agnès Dragon-Durey
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Inflammation, Complement, and Cancer, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
| | - Xiaoyi Chen
- Sorbonne Université, Cordeliers Research Center, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Information Sciences to Support Personalized Medicine, Paris, France
- Laboratory of Information Sciences to support Personalized Medicine, Paris, France
| | - Amos Kirilovsky
- Sorbonne Université, Cordeliers Research Center, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Integrative Cancer Immunology, Paris, France
| | - Nadine Ben Hamouda
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
| | - Carine El Sissy
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Integrative Cancer Immunology, Paris, France
| | - Jules Russick
- INSERM UMRS 1138, Cordeliers Research Center, Team Inflammation, Complement, and Cancer, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
| | - Etienne Charpentier
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Department of Radiology
| | - Yannick Binois
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Department of Nephrology
| | - Florence Marliot
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Integrative Cancer Immunology, Paris, France
| | - Maxime Meylan
- INSERM UMRS 1138, Cordeliers Research Center, Team Inflammation, Complement, and Cancer, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
| | - Clémence Granier
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM, Paris Cardiovascular Center / PARCC, UMR 970, Paris, France
| | - Hélène Pere
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM, Paris Cardiovascular Center / PARCC, UMR 970, Paris, France
- Laboratory of Virology
| | - Antonin Saldmann
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM, Paris Cardiovascular Center / PARCC, UMR 970, Paris, France
| | - Bastien Rance
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Information Sciences to Support Personalized Medicine, Paris, France
- Laboratory of Information Sciences to support Personalized Medicine, Paris, France
- Biostatistics and Public Health Department
| | - Anne Sophie Jannot
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Information Sciences to Support Personalized Medicine, Paris, France
- Laboratory of Information Sciences to support Personalized Medicine, Paris, France
- Biostatistics and Public Health Department
| | - Stéphanie Baron
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Physiology
| | - Mouna Chebbi
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Physiology
| | - Antoine Fayol
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Clinic Investigation Center 1418
| | - Nathalie Josseaume
- INSERM UMRS 1138, Cordeliers Research Center, Team Inflammation, Complement, and Cancer, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
| | - Claire Rives-Lange
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Nutrition
| | - Pierre-Louis Tharaux
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM, Paris Cardiovascular Center / PARCC, UMR 970, Paris, France
| | - Bernard Cholley
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Intensive Medicine, Reanimation
| | - Jean-Luc Diehl
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Intensive Medicine, Reanimation
- INSERM UMR-S1140, Team Innovative Therapies in Haemostasis, Paris, France
| | - Jean-Benoît Arlet
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Internal Medicine
| | - Michel Azizi
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Vascular Medicine
| | - Alexandre Karras
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Nephrology
| | - Sébastien Czernichow
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Nutrition
| | - David M. Smadja
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM UMR-S1140, Team Innovative Therapies in Haemostasis, Paris, France
- Department of Hematology
| | - Jean-Sébastien Hulot
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM, Paris Cardiovascular Center / PARCC, UMR 970, Paris, France
- Clinic Investigation Center 1418
| | - Isabelle Cremer
- INSERM UMRS 1138, Cordeliers Research Center, Team Inflammation, Complement, and Cancer, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
| | - Eric Tartour
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- INSERM, Paris Cardiovascular Center / PARCC, UMR 970, Paris, France
| | - Elie Mousseaux
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Department of Radiology
| | - Franck Pagès
- Laboratory of Immunology
- Hôpital Européen Georges Pompidou, AP-HP, Paris, France
- Université de Paris, Paris, France
- Sorbonne Université, Cordeliers Research Center, Paris, France
- INSERM UMRS 1138, Cordeliers Research Center, Team Integrative Cancer Immunology, Paris, France
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