Monocyte CD169 Expression as a Biomarker in the Early Diagnosis of Coronavirus Disease 2019

Anne-Sophie Bedin1, Alain Makinson2,3, Marie-Christine Picot4,5

  • 1Pathogenesis and Control of Chronic Infections, Montpellier University, INSERM, EFS, Montpellier, France.

Insights

Monocyte CD169, a marker for interferon-inducible receptors, was highly expressed in COVID-19 patients. This finding suggests monocyte CD169 testing can aid in rapid triage of patients with suspected severe acute respiratory syndrome coronavirus 2 infection.

Area of Science:

  • Immunology
  • Virology
  • Hematology

Background:

  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes coronavirus disease 2019 (COVID-19).
  • Accurate and rapid diagnosis is crucial for patient management during outbreaks.
  • Type I interferon-inducible receptors, like CD169, play roles in antiviral responses.

Purpose of the Study:

  • To evaluate the diagnostic utility of monocyte CD169 expression for COVID-19.
  • To investigate the association between monocyte CD169 and clinical parameters in suspected COVID-19 patients.

Main Methods:

  • Assessed CD169 expression on monocytes (monocyte CD169 [mCD169]) in 53 adult patients with suspected SARS-CoV-2 infection.
  • Compared mCD169 levels between confirmed COVID-19 cases and those ruled out.
  • Correlated mCD169 expression with plasma interferon-alpha levels and platelet counts (thrombocytopenia).

Main Results:

  • Strong overexpression of mCD169 was observed in 93.7% of confirmed COVID-19 cases (30/32).
  • Only 14.3% of patients without COVID-19 (3/21) showed mCD169 overexpression.
  • mCD169 expression correlated with elevated plasma interferon-alpha and thrombocytopenia.

Conclusions:

  • Monocyte CD169 is significantly overexpressed in COVID-19 patients.
  • mCD169 testing shows potential as a rapid biomarker for triaging suspected COVID-19 cases.
  • This marker may assist in early identification and management during infectious disease outbreaks.

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