UMMC researchers work to determine COVID-19 severity
JACKSON, Miss. (WLBT) -Researchers at the University of Mississippi Medical Center are trying to dig into the severity of COVID-19.
Researchers worked with a multi-institution team to get closer to that answer.
Published online July 23 in the journal Cell, the paper shows how the response of different nasal cells to the early stages of infection may predict the progression of COVID-19.
Dr. Sarah Glover, professor of medicine and director of the division of digestive diseases, led the UMMC-based portion of the work in collaboration with researchers at the Ragon Institute of Massachusetts General Hospital, the Broad Institute, the Massachusetts Institute of Technology, and Boston Children’s Hospital/Harvard University.
Fourteen of the paper’s 25 co-authors come from UMMC. including School of Medicine faculty, trainees, and research and clinical staff.
Glover and her colleagues gathered 58 swabs from UMMC adult patients, including 35 with confirmed COVID-19 ranging from mild to severe. As controls, they also collected 17 samples from healthy volunteers and six from patients with respiratory failure not caused by COVID-19.
The study found that people who went on to develop mild or moderate COVID-19 symptoms had cells with a stronger anti-viral immune response than people who developed severe disease. This happened even though the two groups had similar viral loads and similar health statuses prior to COVID-19.
“This virus causes significant distortion of the innate immune system,” Glover said, adding that SARS-CoV2 “changed the makeup of the cells in the nasopharynx of people with severe disease.”
Among COVID-19 patients, they found more mucus-producing secretory cells and fewer particle-filtering ciliated cells. They also found that patients with severe COVID-19 had more macrophages, the immune cells that help lead to the cytokine storm often seen in serious cases. Another part of the study showed that SARS-CoV-2 targets particular kinds of cells.
“Our findings suggest that the course of severe COVID-19 may be determined by the body’s intrinsic antiviral response to initial infection, opening up new avenues for early interventions that could prevent severe disease,” said Dr. José Ordovás-Montañés, co-senior author and assistant professor at Harvard Medical School, in a Broad Institute news release.
The samples in this study came from patients treated between April and September 2020, encompassing the first wave of Mississippi cases.
Glover and colleagues are working on a follow-up study to compare these initial findings to patients with Delta-variant COVID-19 or breakthrough infections post-vaccination.
“We were very excited when Dr. Glover approached us with an idea to perform this research. Dr. (George Abraham, UMMC professor of medicine) and I were identifying the patients and enrolling them in the study. The results stress out the importance of epithelial immunity and help us better understand its response to SARS-CoV-2,” said Dr. Michal Senitko, UMMC assistant professor of medicine. Both pulmonologists are co-authors on the study.
The UMMC co-authors also include Dr. Anna Owings, a chief resident in internal medicine. She conducted research in Glover’s lab before COVID-19 and worked in the intensive care unit that cared for COVID-19 patients in 2020.
One of her roles in the study was to monitor participants’ health charts during their time in UMMC, which allowed researchers to correlate their health outcomes with the cellular and RNA-level data coming from the laboratory.
“At that time, we were serving so many COVID-19 patients and wanted to expand the knowledge because we didn’t know much and were trying to figure out how we can help our patients,” Owings said, adding that it was powerful to “see everyone come together to work toward a common goal: to protect humankind.”
The results of this study will help other patients with not only SARS-CoV-2, but also other respiratory diseases.
“This research opens up a lot of doors in understanding how the nasopharynx modulates our response to viruses and other infections,” Glover said.
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