Using whole blood samples obtained from patients with COVID-19, patients with influenza A, and healthy donors, we isolated PBMCs by
Ficoll-Paque density gradient centrifugation using
lymphocyte separation medium (Corning, New York, NY). PBMCs were cryopreserved until use.
After thawing cryopreserved PBMCs, the cell viability was 86.88% ± 7.35% (healthy donors), 69.21% ± 13.77% (patients with influenza), 79.75% ± 12.11% (patients with mild COVID-19), and 75.22% ± 10.19% (patients with severe COVID-19) (see
Table E5 in this article’s Online Repository at
www.jacionline.org). Thawed PBMCs were directly analyzed without
in vitro incubation.
NK cells were isolated 2 ways. For RNA-seq, we stained PBMCs with antibodies against 7-AAD, CD3, and CD56, and sorted NK cells on the basis of surface expression of CD3 and CD56 (CD3
–CD56
+) using an ARIA II cell sorter. The gating strategies for NK-cell sorting are presented in
Fig E1 in this article’s Online Repository at
www.jacionline.org. For the NK-cell cytotoxicity assay, to avoid affecting NK cells as much as possible, we negatively isolated NK cells using the
NK-cell isolation kit (Miltenyi Biotec, Bergisch Gladbach, Germany). We stained other cells except NK cells in the PBMCs according to the manufacturer’s instructions and obtained NK cells by removing magnetically labeled cells using a
magnetic-activated cell sorter (Miltenyi Biotec).
Leem G., Cheon S., Lee H., Choi S.J., Jeong S., Kim E.S., Jeong H.W., Jeong H., Park S.H., Kim Y.S, & Shin E.C. (2021). Abnormality in the NK-cell population is prolonged in severe COVID-19 patients. The Journal of Allergy and Clinical Immunology, 148(4), 996-1006.e18.