RT info:eu-repo/semantics/article T1 High‐Dimensional Immunophenotyping of Post‐COVID‐19 and Post‐Influenza Patients Reveals Persistent and Specific Immune Signatures After Acute Respiratory Infection A1 Pérez‐Cózar, Francisco A1 Cal‐Sabater, Paloma A1 Rybakowska, Paulina A1 Arribas‐Rodríguez, Elisa A1 Fiz‐López, Aida A1 García‐Blesa, Antonio A1 Hernández, Juan A1 Gutiérrez, Sara A1 Tellería, Pablo A1 Novoa, Cristina A1 Rello, Silvia Rojo A1 De Prado, Ángel A1 Pérez, Cándido A1 Sedano, Rosa A1 Domínguez‐Gil, Marta A1 Peñarrubia, María Jesús A1 Pieren, Daan K. J. A1 Garrote, José A. A1 Arranz, Eduardo A1 Eiros, José María A1 Tamayo, Eduardo A1 Orduña, Antonio A1 van Els, Cécile A.C.M. A1 Dueñas, Carlos A1 Marañón, Concepción A1 Bernardo, David A1 Cuesta‐Sancho, Sara K1 Inmunoterapia K1 Covid-19 (Enfermedad) K1 Immune signature K1 Immunome K1 Post‐COVID‐19 K1 Post‐influenza K1 2412 Inmunología K1 3202 Epidemiología AB Long-term consequences of SARS-CoV-2 infection are unknown since recovered individuals can experience symptoms and latent viral reactivation for months. Indeed, acute post-infection sequelae have also been observed in other respiratory viral infections, including influenza. To characterize post-COVID-19 and post-influenza induced alterations to the cellular immunome, peripheral blood mononuclear cells (PBMCs) were obtained from patients 3 months after recovery from COVID-19 (n = 93) or influenza (n = 25), and from pre-pandemic healthy controls (n = 25). PBMCs were characterized using a 40-plex mass cytometry panel. Principal component analysis (PCA), classification models, and K-means clustering were subsequently applied. PCA identified distinct immune profiles between cohorts, with both post-COVID and post-flu patients displaying an altered chemokine receptor expression compared to pre-pandemic healthy controls. These alterations were more prominent in post-COVID patients since they exhibited highly increased expression of chemokine receptors CXCR3 and CCR6 by various lymphoid populations, while post-influenza patients mainly showed a decrease in CCR4 expression by naïve T cells, monocytes, and conventional dendritic cells. Classification models using immunophenotyping data confirm the three groups, while K-means clustering revealed two subgroups among post-COVID patients, with younger patients showing more pronounced immune alterations in the chemokine receptor profile, independently of long COVID symptoms. In conclusion, post-COVID and post-influenza patients exhibit distinct and unique persistent immune alterations. Understanding these altered immune profiles can guide targeted therapies for post-COVID syndrome and highlight differences in immune recovery from various respiratory infections. PB Wiley SN 0146-6615 YR 2025 FD 2025 LK https://uvadoc.uva.es/handle/10324/76898 UL https://uvadoc.uva.es/handle/10324/76898 LA eng NO Journal of medical virology, junio 2025, 97. e70435 NO Producción Científica DS UVaDOC RD 02-ago-2025