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Extensive activation, tissue trafficking, turnover and functional impairment of NK cells in COVID-19 patients at disease onset associates with subsequent disease severity

Fig 2

Flow cytometric analysis of peripheral blood NK cell development and activation in COVID-19 patients.

Analysis is performed on CD3-CD14-CD19- cells by flow cytometry in COVID-19 patients (#28) and HD (#18). Histograms show mean±SD. Significance by Mann-Whitney U-test analysis is indicated. Open histograms: HD. Greyed histogram: COVID-19. Panel A: Analysis of circulating NK cell development according to NKG2A and KIR expression of PB cells. KIR and NKG2A were analyzed on CD3-CD14-CD19-CD56+CD16+ cells. Maturing = KIR-NKG2A+. Intermediate = KIR+NKG2A+. Mature = KIR+NKG2A-. Memory = CD85j+KIR+ CD57+NKG2A-. Panel B: MFI ratios of KIR expression in NK cells. MFIr = mean fluorescence intensity ratio calculated as (MFI sample–MFI neg control)/MFI neg control. MFIr expresses NK cell molecule density. Panel C: Proportions of NK cells expressing CD69 and HLA-DR. Panel D: MFI ratios of CD69 and HLA-DR on PB NK cells. MFIr = mean fluorescence intensity ratio calculated as (MFI sample–MFI neg control)/MFI neg control. MFIr expresses NK cell molecule density. MFIr expresses NK cell molecule density. Panel E: analysis of the expression of HLA-DR in NKp46+, NKp30+, or NKG2D+ NK cells.

Fig 2

doi: https://doi.org/10.1371/journal.ppat.1009448.g002