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Transcriptional response modules characterise IL-1β and IL-6 activity in COVID-19

Bell, LCK; Meydan, C; Kim, J; Foox, J; Butler, D; Mason, CE; Shapira, SD; ... Pollara, G; + view all (2020) Transcriptional response modules characterise IL-1β and IL-6 activity in COVID-19. iScience , Article 101896. 10.1016/j.isci.2020.101896. (In press). Green open access

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Abstract

Dysregulated IL-1β and IL-6 responses have been implicated in the pathogenesis of severe Coronavirus Disease 2019 (COVID-19). Innovative approaches for evaluating the biological activity of these cytokines in vivo are urgently needed to complement clinical trials of therapeutic targeting of IL-1β and IL-6 in COVID-19. We show that the expression of IL-1β or IL-6 inducible transcriptional signatures (modules) reflects the bioactivity of these cytokines in immunopathology modelled by juvenile idiopathic arthritis (JIA) and rheumatoid arthritis. In COVID-19, elevated expression of IL-1β and IL-6 response modules, but not the cytokine transcripts themselves, is a feature of infection in the nasopharynx and blood, but is not associated with severity of COVID-19 disease, length of stay or mortality. We propose that IL-1β and IL-6 transcriptional response modules provide a dynamic readout of functional cytokine activity in vivo, aiding quantification of the biological effects of immunomodulatory therapies in COVID-19.

Type: Article
Title: Transcriptional response modules characterise IL-1β and IL-6 activity in COVID-19
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.isci.2020.101896
Publisher version: https://doi.org/10.1016/j.isci.2020.101896
Language: English
Additional information: This is an Open Access article published under a Creative Commons Attribution 4.0 International (CC BY 4.0) licence (https://creativecommons.org/licenses/by/4.0/).
Keywords: COVID-19, transcriptomics, modules, IL-1β, IL-6
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
URI: https://discovery.ucl.ac.uk/id/eprint/10117431
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