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Updated: Nov 2, 2025

Isolation, Transfection, and Culture of Primary Human Monocytes
Published on: December 16, 2019
Transcriptional Changes in CD16+ Monocytes May Contribute to the Pathogenesis of COVID-19
Vanessa Chilunda1, Pablo Martinez-Aguado1, Li C Xia2
1Department of Pathology, Albert Einstein College of Medicine, Bronx, NY, United States.
Insights
Investigating CD16+ monocytes in COVID-19 reveals key immune cell changes. These cells show increased activation and migration, contributing to disease severity and dysregulated inflammatory responses in patients.
Area of Science:
- Immunology
- Virology
- Genomics
Background:
- The COVID-19 pandemic has led to millions of deaths globally.
- Disease severity is linked to immune system dysregulation.
- CD16+ monocytes play roles in inflammation and tissue repair during viral infections.
Purpose of the Study:
- To characterize transcriptional changes in CD16+ monocytes from COVID-19 patients.
- To compare these changes with those in healthy individuals.
- To correlate monocyte transcriptomics with COVID-19 disease severity.
Main Methods:
- Utilized publicly available single-cell RNA sequencing data.
- Analyzed peripheral blood mononuclear cells (PBMC) from COVID-19 patients and healthy controls.
- Compared gene expression profiles of CD16+ monocytes based on disease severity.
Main Results:
- CD16+ monocytes from COVID-19 patients exhibited increased cell activation and a migratory phenotype compared to healthy individuals.
- Mild COVID-19 cases showed upregulated interferon response and MHC class II genes.
- Severe COVID-19 cases displayed dysregulated mitochondrial and antigen presentation genes, alongside increased inflammatory and apoptotic signatures.
Conclusions:
- Transcriptomic changes in CD16+ monocytes suggest a role in COVID-19 pathogenesis.
- These monocytes contribute to a dysregulated immune response with impaired antigen presentation and heightened inflammation.
- Altered monocyte function may drive increased tissue infiltration and disease severity in COVID-19.
Abstract:
The COVID-19 pandemic has caused more than three million deaths globally. The severity of the disease is characterized, in part, by a dysregulated immune response. CD16+ monocytes are innate immune cells involved in inflammatory responses to viral infections, and tissue repair, among other functions. We characterized the transcriptional changes in CD16+ monocytes from PBMC of people with COVID-19, and from healthy individuals using publicly available single cell RNA sequencing data. CD16+ monocytes from people with COVID-19 compared to those from healthy individuals expressed transcriptional changes indicative of increased cell activation, and induction of a migratory phenotype. We also analyzed COVID-19 cases based on severity of the disease and found that mild cases were characterized by upregulation of interferon response and MHC class II related genes, whereas the severe cases had dysregulated expression of mitochondrial and antigen presentation genes, and upregulated inflammatory, cell movement, and apoptotic gene signatures. These results suggest that CD16+ monocytes in people with COVID-19 contribute to a dysregulated host response characterized by decreased antigen presentation, and an elevated inflammatory response with increased monocytic infiltration into tissues. Our results show that there are transcriptomic changes in CD16+ monocytes that may impact the functions of these cells, contributing to the pathogenesis and severity of COVID-19.
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