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NK cell receptor and ligand composition influences the clearance of SARS-CoV-2
Wan-Chen Hsieh, … , Yen-Tsung Huang, Shih-Yu Chen
Wan-Chen Hsieh, … , Yen-Tsung Huang, Shih-Yu Chen
Published November 1, 2021
Citation Information: J Clin Invest. 2021;131(21):e146408. https://doi.org/10.1172/JCI146408.
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Research Article

NK cell receptor and ligand composition influences the clearance of SARS-CoV-2

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Abstract

To explore how the immune system controls clearance of SARS-CoV-2, we used a single-cell, mass cytometry–based proteomics platform to profile the immune systems of 21 patients who had recovered from SARS-CoV-2 infection without need for admission to an intensive care unit or for mechanical ventilation. We focused on receptors involved in interactions between immune cells and virus-infected cells. We found that the diversity of receptor repertoires on natural killer (NK) cells was negatively correlated with the viral clearance rate. In addition, NK subsets expressing the receptor DNAM1 were increased in patients who more rapidly recovered from infection. Ex vivo functional studies revealed that NK subpopulations with high DNAM1 expression had cytolytic activities in response to target cell stimulation. We also found that SARS-CoV-2 infection induced the expression of CD155 and nectin-4, ligands of DNAM1 and its paired coinhibitory receptor TIGIT, which counterbalanced the cytolytic activities of NK cells. Collectively, our results link the cytolytic immune responses of NK cells to the clearance of SARS-CoV-2 and show that the DNAM1 pathway modulates host-pathogen interactions during SARS-CoV-2 infection.

Authors

Wan-Chen Hsieh, En-Yu Lai, Yu-Ting Liu, Yi-Fu Wang, Yi-Shiuan Tzeng, Lu Cui, Yun-Ju Lai, Hsiang-Chi Huang, Jia-Hsin Huang, Hung-Chih Ni, Dong-Yan Tsai, Jian-Jong Liang, Chun-Che Liao, Ya-Ting Lu, Laurence Jiang, Ming-Tsan Liu, Jann-Tay Wang, Sui-Yuan Chang, Chung-Yu Chen, Hsing-Chen Tsai, Yao-Ming Chang, Gerlinde Wernig, Chia-Wei Li, Kuo-I Lin, Yi-Ling Lin, Huai-Kuang Tsai, Yen-Tsung Huang, Shih-Yu Chen

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Figure 2

NK cell subsets have distinct kinetics and effector functions in response to target cell stimulation.

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NK cell subsets have distinct kinetics and effector functions in respons...
(A) Schematic diagram of the experiment. Primary NK cells were cocultured with 721.221 cells, and collected at different time points for immunophenotyping and intracellular functional effector staining followed by mass cytometry (CyTOF) analysis. The resultant data set was utilized to build the TICONET. The levels (L1 to Ln) in the TICONET represent the time order of coexpressed gene sets. Each TICONET starts from a cluster of 0-hour time point cells, labeled L1. Cells in the next level are the most similar to the cells in the previous level. (B) Heatmap of arcsinh-transformed marker intensities of protein expression from the 0-hour time point NK cells in clusters C1 to C11. (C) Line graphs of arcsinh-transformed intensities of the indicated markers from NK cells in each TICONET. The cytolytically skewed clusters are designated by the green box. (D) Schematic illustration of the strategy of machine learning. Purple dots represent the expression profiles of TNF-α–skewed NK cells, and green dots represent the cytolytically skewed NK cells. Purple and solid green lines indicate TNF-α– and CD107a-positive thresholds, respectively. (E) AUROC curves of XGBoost models during 10-fold cross validation. The solid curve represents the average curve of 10 ROC curves. (F) Markers in order of feature importance in the final XGBoost model trained on the entirety of selected data. F scores are indicated. (G) Box-and-whisker plot of quantification of the killing efficiency of SARS-CoV-2–infected cells by DNAM1hiTIGIThi cells (n = 11) and as not-double-positive cells (n = 12) in 2 independent experiments. Maximums, 75th, 50th, 25th percentiles, and minimums are 20.20, 6.10, 5.00, –3.20, and –4.10 for DNAM1hiTIGIThi NK cells and 5.10, 1.80, –0.60, –5.50, and –8.80 for the not-double-positive NK cells. P = 0.017 by 1-tailed, unpaired Student’s t test.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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