Recombinant human interleukin-2 corrects NK cell phenotype and functional activity in patients with post-COVID syndrome

Andrei A. Savchenko , Igor V. Kudryavtsev , Dmitry V. Isakov , Ivan S. Sadowski , Vasily D. Beleyuk , Alexandr G. Borisov

Cytokines and inflammation ›› 2023, Vol. 20 ›› Issue (4) : 49 -66.

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Cytokines and inflammation ›› 2023, Vol. 20 ›› Issue (4) : 49 -66. DOI: 10.17816/CI635092
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Recombinant human interleukin-2 corrects NK cell phenotype and functional activity in patients with post-COVID syndrome

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Abstract

Post-COVID syndrome develops in 10–20% of people who have recovered from COVID-19 and it is characterized by impaired function of the nervous, cardiovascular, and immune systems. Previously, it was found that patients who recovered from infection with the SARS-CoV-2 virus had a decrease in the number and functional activity of NK cells. The aim of the study was to assess the effectiveness of recombinant human interleukin-2 administered to correct NK cell phenotype and functional activity in patients with post-COVID syndrome. Patients were examined after 3 months for acute COVID-19 of varying severity. The phenotype of the peripheral blood NK cells was studied by flow cytometry. It was found that disturbances in the cell subset composition in patients with post-COVID syndrome were characterized by low levels of mature (p=0.001) and cytotoxic NK cells (p=0.013), with increased release of immature NK cells (p=0.023). Functional deficiency of NK cells in post-COVID syndrome was characterized by lowered cytotoxic activity due to the decreased count of CD57+ (p=0.001) and CD8+ (p <0.001) NK cells. In the treatment of patients with post-COVID syndrome with recombinant human interleukin-2, peripheral blood NK cell count and functional potential were restored. In general, the effectiveness of using recombinant human interleukin in treatment of post-COVID syndrome has been proven in patients with low levels of NK cells.

This article is a translation of the article by Savchenko AA, Kudryavtsev IV, Isakov DV, Sadowski IS, Belenyuk VD, Borisov AG. Recombinant Human Interleukin-2 Corrects NK Cell Phenotype and Functional Activity in Patients with Post-COVID Syndrome. Pharmaceuticals. 2023;16(4):537. DOI: 10.3390/ph16040537

Published with the permission of the copyright holder.

Keywords

post-COVID syndrome / NK cell / recombinant human interleukin-2 / immunorehabilitation / subset composition / functional activity

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Andrei A. Savchenko, Igor V. Kudryavtsev, Dmitry V. Isakov, Ivan S. Sadowski, Vasily D. Beleyuk, Alexandr G. Borisov. Recombinant human interleukin-2 corrects NK cell phenotype and functional activity in patients with post-COVID syndrome. Cytokines and inflammation, 2023, 20(4): 49-66 DOI:10.17816/CI635092

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Funding

Научно-исследовательский институт медицинских проблем СевераResearch Institute of Medical Problems of the North(121022600088-4)

Институт экспериментальной медициныInstitute of Experimental Medicine(122020300186-5)

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