bioRxiv · 10.1101/2020.08.18.255927
Erythroid precursors and progenitors suppress adaptive immunity and get invaded by SARS-CoV-2
Abstract
SARS-CoV-2 infection is associated with lower blood oxygen levels even in patients without hypoxia requiring hospitalization. This discordance illustrates the need for a more unifying explanation as to whether SARS-CoV-2 directly or indirectly affects erythropoiesis. Here we show significantly enriched CD71+ erythroid precursors/progenitors in the blood circulation of COVID-19 patients that have distinctive immunosuppressive properties. A subpopulation of abundant erythroid cells, CD45+CD71+cells, co-express ACE2, TMPRSS2, CD147, CD26 and these can be infected with SARS-CoV-2. In turn, pre-treatment of erythroid cells with dexamethasone significantly diminished ACE2/TMPRSS2 expression and subsequently reduced their infectivity with SARS-CoV-2. Taken together, pathological abundance of erythroid cells might reflect stress erythropoiesis due to the invasion of erythroid progenitors by SARS-CoV-2. This may provide a novel insight into the impact of SARS-CoV-2 on erythropoiesis and hypoxia seen in COVID-19 patients.
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Shahbaz, S., Xu, L., Osman, M., Sligl, W., Shields, J., Joyce, M., Tyrrell, L., Oyegbami, O., Elahi, S.. 2020-08-18. Erythroid precursors and progenitors suppress adaptive immunity and get invaded by SARS-CoV-2. https://doi.org/10.1101/2020.08.18.255927
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