Long-lasting severe immune dysfunction in Ebola virus disease survivors
Aurélie Wiedemann,
Emile Foucat,
Hakim Hocini,
Cécile Lefebvre,
Boris P. Hejblum,
Mélany Durand,
Miriam Krüger,
Alpha Kabinet Keita,
Ahidjo Ayouba,
Stéphane Mély,
José-Carlos Fernandez,
Abdoulaye Touré,
Slim Fourati,
Claire Lévy-Marchal,
Hervé Raoul,
Eric Delaporte,
Lamine Koivogui,
Rodolphe Thiébaut,
Christine Lacabaratz and
Yves Lévy ()
Additional contact information
Aurélie Wiedemann: Université Paris-Est Créteil
Emile Foucat: Université Paris-Est Créteil
Hakim Hocini: Université Paris-Est Créteil
Cécile Lefebvre: Université Paris-Est Créteil
Boris P. Hejblum: Vaccine Research Institute (VRI)
Mélany Durand: Vaccine Research Institute (VRI)
Miriam Krüger: Vaccine Research Institute (VRI)
Alpha Kabinet Keita: Montpellier University
Ahidjo Ayouba: Montpellier University
Stéphane Mély: US003 INSERM
José-Carlos Fernandez: Université Paris-Est Créteil
Abdoulaye Touré: Montpellier University
Slim Fourati: Laboratoire de Virologie
Claire Lévy-Marchal: INSERM
Hervé Raoul: US003 INSERM
Eric Delaporte: Montpellier University
Lamine Koivogui: Institut National de Santé Publique (INSP)
Rodolphe Thiébaut: Vaccine Research Institute (VRI)
Christine Lacabaratz: Université Paris-Est Créteil
Yves Lévy: Université Paris-Est Créteil
Nature Communications, 2020, vol. 11, issue 1, 1-11
Abstract:
Abstract Long-term follow up studies from Ebola virus disease (EVD) survivors (EBOV_S) are lacking. Here, we evaluate immune and gene expression profiles in 35 Guinean EBOV_S from the last West African outbreak, a median of 23 months (IQR [18–25]) after discharge from treatment center. Compared with healthy donors, EBOV_S exhibit increases of blood markers of inflammation, intestinal tissue damage, T cell and B cell activation and a depletion of circulating dendritic cells. All survivors have EBOV-specific IgG antibodies and robust and polyfunctional EBOV-specific memory T-cell responses. Deep sequencing of the genes expressed in blood reveals an enrichment in ‘inflammation’ and ‘antiviral’ pathways. Integrated analyses identify specific immune markers associated with the persistence of clinical symptoms. This study identifies a set of biological and genetic markers that could be used to define a signature of “chronic Ebola virus disease (CEVD)”.
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-17489-7
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DOI: 10.1038/s41467-020-17489-7
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