Interleukin-3 is a predictive marker for severity and outcome during SARS-CoV-2 infections

Nat Commun. 2021 Feb 18;12(1):1112. doi: 10.1038/s41467-021-21310-4.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a worldwide health threat. In a prospective multicentric study, we identify IL-3 as an independent prognostic marker for the outcome during SARS-CoV-2 infections. Specifically, low plasma IL-3 levels is associated with increased severity, viral load, and mortality during SARS-CoV-2 infections. Patients with severe COVID-19 exhibit also reduced circulating plasmacytoid dendritic cells (pDCs) and low plasma IFNα and IFNλ levels when compared to non-severe COVID-19 patients. In a mouse model of pulmonary HSV-1 infection, treatment with recombinant IL-3 reduces viral load and mortality. Mechanistically, IL-3 increases innate antiviral immunity by promoting the recruitment of circulating pDCs into the airways by stimulating CXCL12 secretion from pulmonary CD123+ epithelial cells, both, in mice and in COVID-19 negative patients exhibiting pulmonary diseases. This study identifies IL-3 as a predictive disease marker for SARS-CoV-2 infections and as a potential therapeutic target for pulmunory viral infections.

Publication types

  • Multicenter Study
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • COVID-19 / diagnosis*
  • COVID-19 / mortality
  • Chemokine CXCL12 / immunology
  • Dendritic Cells / cytology
  • Disease Models, Animal
  • Female
  • Germany
  • Humans
  • Immunity, Innate
  • Interferons / blood
  • Interleukin-3 / blood*
  • Lung / immunology
  • Lung / virology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Prospective Studies
  • Severity of Illness Index
  • T-Lymphocytes / cytology
  • Viral Load

Substances

  • Chemokine CXCL12
  • IL3 protein, human
  • Interleukin-3
  • Interferons