SARS-CoV-2 induces human plasmacytoid predendritic cell diversification via UNC93B and IRAK4

F Onodi, L Bonnet-Madin, L Meertens, L Karpf… - Journal of Experimental …, 2021 - rupress.org
F Onodi, L Bonnet-Madin, L Meertens, L Karpf, J Poirot, SY Zhang, C Picard, A Puel…
Journal of Experimental Medicine, 2021rupress.org
Several studies have analyzed antiviral immune pathways in late-stage severe COVID-19.
However, the initial steps of SARS-CoV-2 antiviral immunity are poorly understood. Here we
have isolated primary SARS-CoV-2 viral strains and studied their interaction with human
plasmacytoid predendritic cells (pDCs), a key player in antiviral immunity. We show that
pDCs are not productively infected by SARS-CoV-2. However, they efficiently diversified into
activated P1-, P2-, and P3-pDC effector subsets in response to viral stimulation. They …
Several studies have analyzed antiviral immune pathways in late-stage severe COVID-19. However, the initial steps of SARS-CoV-2 antiviral immunity are poorly understood. Here we have isolated primary SARS-CoV-2 viral strains and studied their interaction with human plasmacytoid predendritic cells (pDCs), a key player in antiviral immunity. We show that pDCs are not productively infected by SARS-CoV-2. However, they efficiently diversified into activated P1-, P2-, and P3-pDC effector subsets in response to viral stimulation. They expressed CD80, CD86, CCR7, and OX40 ligand at levels similar to influenza virus–induced activation. They rapidly produced high levels of interferon-α, interferon-λ1, IL-6, IP-10, and IL-8. All major aspects of SARS-CoV-2–induced pDC activation were inhibited by hydroxychloroquine. Mechanistically, SARS-CoV-2–induced pDC activation critically depended on IRAK4 and UNC93B1, as established using pDC from genetically deficient patients. Overall, our data indicate that human pDC are efficiently activated by SARS-CoV-2 particles and may thus contribute to type I IFN–dependent immunity against SARS-CoV-2 infection.
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