RT info:eu-repo/semantics/article T1 Altered Surface Expression of Insulin-Degrading Enzyme on Monocytes and Lymphocytes from COVID-19 Patients Both at Diagnosis and after Hospital Discharge A1 González-Casimiro, Carlos M. A1 Arribas-Rodríguez, Elisa A1 Fiz-López, Aida A1 Casas, Javier A1 Gutiérrez, Sara A1 Tellería, Pablo A1 Novoa, Cristina A1 Rojo Rello, Silvia A1 Tamayo Gómez, Eduardo A1 Orduña, Antonio A1 Dueñas, Carlos A1 Bernardo, David A1 Perdomo, German AB Although the COVID-19 disease has developed into a worldwide pandemic, its pathophysiology remains to be fully understood. Insulin-degrading enzyme (IDE), a zinc-metalloprotease with a high affinity for insulin, has been found in the interactomes of multiple SARS-CoV-2 proteins. However, the relevance of IDE in the innate and adaptative immune responses elicited by circulating peripheral blood mononuclear cells is unknown. Here, we show that IDE is highly expressed on the surface of circulating monocytes, T-cells (both CD4+ and CD4−), and, to a lower extent, in B-cells from healthy controls. Notably, IDE’s surface expression was upregulated on monocytes from COVID-19 patients at diagnosis, and it was increased in more severe patients. However, IDE’s surface expression was downregulated (relative to healthy controls) 3 months after hospital discharge in all the studied immune subsets, with this effect being more pronounced in males than in females, and thus it was sex-dependent. Additionally, IDE levels in monocytes, CD4+ T-cells, and CD4− T-cells were inversely correlated with circulating insulin levels in COVID-19 patients (both at diagnosis and after hospital discharge). Of note, high glucose and insulin levels downregulated IDE surface expression by ~30% in the monocytes isolated from healthy donors, without affecting its expression in CD4+ T-cells and CD4− T-cells. In conclusion, our studies reveal the sex- and metabolism-dependent regulation of IDE in monocytes, suggesting that its regulation might be important for the recruitment of immune cells to the site of infection, as well as for glucometabolic control, in COVID-19 patients. YR 2022 FD 2022 LK https://uvadoc.uva.es/handle/10324/64308 UL https://uvadoc.uva.es/handle/10324/64308 LA eng NO Int J Mol Sci 23:11070. https://doi.org/10.3390/ijms231911070 NO Producción Científica DS UVaDOC RD 27-nov-2024