AUTHOR=Jiang Yushu , Dai Shuhua , Pang Rui , Qin Lingzhi , Zhang Milan , Liu Huiqin , Wang Xiaojuan , Zhang Jiewen , Peng Gongxin , Wang Yongchao , Li Wei TITLE=Single-cell RNA sequencing reveals cell type-specific immune regulation associated with human neuromyelitis optica spectrum disorder JOURNAL=Frontiers in Immunology VOLUME=Volume 15 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2024.1322125 DOI=10.3389/fimmu.2024.1322125 ISSN=1664-3224 ABSTRACT=Neuromyelitis optica spectrum disorder (NMOSD) is a rare autoimmune disease.However, the peripheral immune characteristics of NMOSD remain unclear. Here, peripheral blood mononuclear cells from patients with NMOSD are characterized using single-cell RNA sequencing (scRNA-seq). The differentiation and activation of lymphocytes, expansion of myeloid cells, and an excessive inflammatory response in innate immunity are observed. Flow cytometry analyses confirm a significant increase in the percentage of plasma cells among B cells in NMOSD. NMOSD patients exhibit 2 an elevated percentage of CD8+ T cells within the T cell population. Oligoclonal expansions of B cell receptors are observed after therapy. Additionally, NMOSD patients show higher expression levels of CXCL8, IL7, IL18, TNFSF13, IFNG, and NLRP3. High-dimensional single-cell profiling of both innate and adaptive immune responses reveals disease-specific immune cell subsets and identifies potential new targets for NMOSD.