Mass cytometry and artificial intelligence define CD169 as a specific marker of SARS-CoV2-induced acute respiratory distress syndrome

Roussel, M.; Ferrant, J.; Reizine, F.; Le Gallou, S.; Dulong, J.; Carl, S.; Lesouhaitier, M.; Gregoire, M.; Bescher, N.; Verdy, C.; Latour, M.; Bezier, I.; Cornic, M.; Leonard, S.; Feuillard, J.; Tiwari, V.; Tadie, J. M.; Cogne, M.; Tarte, K.

doi:10.1101/2020.09.22.307975

bioRxiv · 10.1101/2020.09.22.307975

Mass cytometry and artificial intelligence define CD169 as a specific marker of SARS-CoV2-induced acute respiratory distress syndrome

Roussel, M.·Ferrant, J.·Reizine, F.·Le Gallou, S.·Dulong, J.·Carl, S.·Lesouhaitier, M.·Gregoire, M.·Bescher, N.·Verdy, C.·Latour, M.·Bezier, I.·Cornic, M.·Leonard, S.·Feuillard, J.·Tiwari, V.·Tadie, J. M.·Cogne, M.·Tarte, K.

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Abstract

Acute respiratory distress syndrome (ARDS) is the main complication of COVID-19, requiring admission to Intensive Care Unit (ICU). Despite recent immune profiling of COVID-19 patients, to what extent COVID-19-associated ARDS specifically differs from other causes of ARDS remains unknown, To address this question, we built 3 cohorts of patients categorized in COVID-19negARDSpos, COVID-19posARDSpos, and COVID-19posARDSneg, and compared their immune landscape analyzed by high-dimensional mass cytometry on peripheral blood followed by artificial intelligence analysis. A cell signature associating S100A9/calprotectin-producing CD169pos monocytes, plasmablasts, and Th1 cells was specifically found in COVID-19posARDSpos, unlike COVID-19negARDSpos patients. Moreover, this signature was shared by COVID-19posARDSneg patients, suggesting severe COVID-19 patients, whatever they experienced or not ARDS, displayed similar immune dysfunctions. We also showed an increase in CD14posHLA-DRlow and CD14lowCD16pos monocytes correlated to the occurrence of adverse events during ICU stay. Our study demonstrates that COVID-19-associated ARDS display a specific immune profile, and might benefit from personalized therapy in addition to standard ARDS management. One Sentence SummaryCOVID-19-associated ARDS is biologically distinct from other causes of ARDS.

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Roussel, M., Ferrant, J., Reizine, F., Le Gallou, S., Dulong, J., Carl, S., Lesouhaitier, M., Gregoire, M., Bescher, N., Verdy, C., Latour, M., Bezier, I., Cornic, M., Leonard, S., Feuillard, J., Tiwari, V., Tadie, J. M., Cogne, M., Tarte, K.. 2020-09-22. Mass cytometry and artificial intelligence define CD169 as a specific marker of SARS-CoV2-induced acute respiratory distress syndrome. https://doi.org/10.1101/2020.09.22.307975

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