Microorganisms (Nov 2023)

Memory T Cells Discrepancies in COVID-19 Patients

  • Hajir A. Al Saihati,
  • Hosni A. M. Hussein,
  • Ali A. Thabet,
  • Ahmed A. Wardany,
  • Sabry Y. Mahmoud,
  • Eman S. Farrag,
  • Taha I. A. Mohamed,
  • Samah M. Fathy,
  • Mohamed E. Elnosary,
  • Ali Sobhy,
  • Abdelazeem E. Ahmed,
  • Ahmed M. El-Adly,
  • Fareed S. El-Shenawy,
  • Asmaa A. Elsadek,
  • Amal Rayan,
  • Zeinab Albadry M. Zahran,
  • Omnia El-Badawy,
  • Mohamed G. M. El-Naggar,
  • Magdy M. Afifi,
  • Asmaa M. Zahran

DOI
https://doi.org/10.3390/microorganisms11112737
Journal volume & issue
Vol. 11, no. 11
p. 2737

Abstract

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The immune response implicated in Coronavirus disease 2019 (COVID-19) pathogenesis remains to be fully understood. The present study aimed to clarify the alterations in CD4+ and CD8+ memory T cells’ compartments in SARS-CoV-2-infected patients, with an emphasis on various comorbidities affecting COVID-19 patients. Peripheral blood samples were collected from 35 COVID-19 patients, 16 recovered individuals, and 25 healthy controls, and analyzed using flow cytometry. Significant alterations were detected in the percentage of CD8+ T cells and effector memory-expressing CD45RA CD8+ T cells (TEMRA) in COVID-19 patients compared to healthy controls. Interestingly, altered percentages of CD4+ T cells, CD8+ T cells, T effector (TEff), T naïve cells (TNs), T central memory (TCM), T effector memory (TEM), T stem cell memory (TSCM), and TEMRA T cells were significantly associated with the disease severity. Male patients had more CD8+ TSCMs and CD4+ TNs cells, while female patients had a significantly higher percentage of effector CD8+CD45RA+ T cells. Moreover, altered percentages of CD8+ TNs and memory CD8+CD45RO+ T cells were detected in diabetic and non-diabetic COVID-19 patients, respectively. In summary, this study identified alterations in memory T cells among COVID-19 patients, revealing a sex bias in the percentage of memory T cells. Moreover, COVID-19 severity and comorbidities have been linked to specific subsets of T memory cells which could be used as therapeutic, diagnostic, and protective targets for severe COVID-19.

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