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Updated: Nov 19, 2025

A Data-Driven Approach to Quantifying Immune States in Sepsis
Published on: February 7, 2025
A distinct innate immune signature marks progression from mild to severe COVID-19
Stéphane Chevrier1,2, Yves Zurbuchen3, Carlo Cervia3
1Department of Quantitative Biomedicine, University of Zurich, Zurich, Switzerland.
Insights
Severe COVID-19 involves a sustained innate immune response with specific monocyte and cytokine signatures. Mild cases show a normalizing immune response, unlike severe disease progression.
Area of Science:
- Immunology
- Virology
- Proteomics
Background:
- Understanding the immune response in Coronavirus disease 2019 (COVID-19) is crucial for distinguishing mild from severe cases.
- The specific immune signatures differentiating disease severity remain incompletely characterized.
Purpose of the Study:
- To profile the innate immune response in mild and severe COVID-19 patients.
- To elucidate the dynamic changes in immune cell populations and cytokine profiles during disease progression.
Main Methods:
- Utilized mass cytometry and targeted proteomics to analyze immune cells and proteins.
- Reconstructed pseudo-temporal trajectories of the innate immune response based on longitudinal sampling.
Main Results:
- Identified a rapid surge of CD169-positive monocytes with an Interferon-gamma (IFN-γ) and Monocyte Chemoattractant Protein-2 (MCP-2) signature post-symptom onset.
- Observed a persistent inflammatory phenotype in severe COVID-19, characterized by high CCL3 and CCL4 levels and CD16-positive monocyte reappearance.
- Noted that immune responses in mild COVID-19 patients normalized over time.
Conclusions:
- Sustained innate immune responses are a potential mechanism driving severe COVID-19.
- These findings support the development of targeted interventions for severe cases.
- The study provides insights into the dynamic inflammatory processes in COVID-19.
Abstract:
Coronavirus disease 2019 (COVID-19) manifests with a range of severities, but immune signatures of mild and severe disease are still not fully understood. Here, we use mass cytometry and targeted proteomics to profile the innate immune response of patients with mild or severe COVID-19 and of healthy individuals. Sampling at different stages allows us to reconstruct a pseudo-temporal trajectory of the innate response. A surge of CD169+ monocytes associated with an IFN-γ+MCP-2+ signature rapidly follows symptom onset. At later stages, we observe a persistent inflammatory phenotype in patients with severe disease, dominated by high CCL3 and CCL4 abundance correlating with the re-appearance of CD16+ monocytes, whereas the response of mild COVID-19 patients normalizes. Our data provide insights into the dynamic nature of inflammatory responses in COVID-19 patients and identify sustained innate immune responses as a likely mechanism in severe patients, thus supporting the investigation of targeted interventions in severe COVID-19.
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