2021
DOI: 10.1101/2021.07.12.21260360
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The impact of hypoxia on B cells in COVID-19

Abstract: Prominent early features of COVID-19 include severe, often clinically silent, hypoxia and a pronounced reduction in B cells, the latter important in defence against SARS-CoV-2. This brought to mind the phenotype of mice with VHL-deficient B cells, in which Hypoxia-Inducible Factors are constitutively active, suggesting hypoxia might drive B cell abnormalities in COVID-19. We demonstrated the breadth of early and persistent defects in B cell subsets in moderate/severe COVID-19, including reduced marginal zone-l… Show more

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Cited by 2 publications
(3 citation statements)
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“…In addition, we observed that the hypoxia-inducible factor 1-alpha (HIF-1α) transcription factor (TF), which might affect B cell function and induce B cell abnormalities in COVID-19 patients 34,35 , showed a signi cantly higher activity at both progression and convalescence in naïve B cells of COVID-19 CVID patients (Figure 2c), despite the previously described impaired HIF-1α upregulation in CVID patients upon BCR in vitro stimulation 36 . Moreover, in ammation-related genes, such as IL1B, IL6, LTA and TNF, showed an impaired upregulation in naïve B cells of CVID individuals during SARS-CoV-2 infection compared with COVID-19 controls (Supp.…”
Section: Dysfunctional B Cell Receptor and Nf-κb Signaling Pathways I...mentioning
confidence: 86%
See 1 more Smart Citation
“…In addition, we observed that the hypoxia-inducible factor 1-alpha (HIF-1α) transcription factor (TF), which might affect B cell function and induce B cell abnormalities in COVID-19 patients 34,35 , showed a signi cantly higher activity at both progression and convalescence in naïve B cells of COVID-19 CVID patients (Figure 2c), despite the previously described impaired HIF-1α upregulation in CVID patients upon BCR in vitro stimulation 36 . Moreover, in ammation-related genes, such as IL1B, IL6, LTA and TNF, showed an impaired upregulation in naïve B cells of CVID individuals during SARS-CoV-2 infection compared with COVID-19 controls (Supp.…”
Section: Dysfunctional B Cell Receptor and Nf-κb Signaling Pathways I...mentioning
confidence: 86%
“…The fact that these patients showed an impaired NF-κB pathway activation in the naïve B cell compartment, suggests that additional pathways might be involved. Hypoxia has been previously reported to affect B cell function and induce B cell abnormalities in COVID-19 patients 34,35 , so this molecular feature might have an additional negative impact on setting up a proper B cell response in these immunode cient patients.…”
Section: Discussionmentioning
confidence: 99%
“…In the humoral immune response, B cells are essential for presenting antigens to other immune cells, producing pathogen-specific antibodies, and secreting proinflammatory cytokines. Low B cell counts of some subsets such as memory B cells and expression of B cells related genes such as heavy chain and light V chain genes are observed in severe COVID-19 patients (3; 4; 5).…”
Section: Introductionmentioning
confidence: 99%