RT Journal Article SR Electronic T1 Physical phenotype of blood cells is altered in COVID-19 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.02.12.429482 DO 10.1101/2021.02.12.429482 A1 Markéta Kubánková A1 Bettina Hohberger A1 Jakob Hoffmanns A1 Julia Fürst A1 Martin Herrmann A1 Jochen Guck A1 Martin Kräter YR 2021 UL http://biorxiv.org/content/early/2021/02/12/2021.02.12.429482.abstract AB Clinical syndrome coronavirus disease 2019 (COVID-19) induced by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is characterized by rapid spreading and high mortality worldwide. While the pathology is not yet fully understood, hyper-inflammatory response and coagulation disorders leading to congestions of microvessels are considered to be key drivers of the still increasing death toll. Until now, physical changes of blood cells have not been considered to play a role in COVID-19 related vascular occlusion and organ damage. Here we report an evaluation of multiple physical parameters including the mechanical features of five frequent blood cell types, namely erythrocytes, lymphocytes, monocytes, neutrophils, and eosinophils. More than 4 million blood cells of 17 COVID-19 patients at different levels of severity, 24 volunteers free from infectious or inflammatory diseases, and 14 recovered COVID-19 patients were analyzed. We found significant changes in erythrocyte deformability, lymphocyte stiffness, monocyte size, and neutrophil size and deformability. While some of these changes recovered to normal values after hospitalization, others persisted for months after hospital discharge, evidencing the long-term imprint of COVID-19 on the body.Competing Interest StatementThe authors have declared no competing interest.