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ACS Infect Dis . Microfluidic Antibody Affinity Profiling Reveals the Role of Memory Reactivation and Cross-Reactivity in the Defense Against SARS-C

tetano

Editor, Senior Moderator
ACS Infect Dis


. 2022 Mar 30.
doi: 10.1021/acsinfecdis.1c00486. Online ahead of print.
Microfluidic Antibody Affinity Profiling Reveals the Role of Memory Reactivation and Cross-Reactivity in the Defense Against SARS-CoV-2


Viola Denninger[SUP] 1 [/SUP], Catherine K Xu[SUP] 2 [/SUP], Georg Meisl[SUP] 2 [/SUP], Alexey S Morgunov[SUP] 1 2 [/SUP], Sebastian Fiedler[SUP] 1 [/SUP], Alison Ilsley[SUP] 1 [/SUP], Marc Emmenegger[SUP] 3 [/SUP], Anisa Y Malik[SUP] 1 [/SUP], Monika A Piziorska[SUP] 1 [/SUP], Matthias M Schneider[SUP] 2 [/SUP], Sean R A Devenish[SUP] 1 [/SUP], Vasilis Kosmoliaptsis[SUP] 4 5 6 [/SUP], Adriano Aguzzi[SUP] 3 [/SUP], Heike Fiegler[SUP] 1 [/SUP], Tuomas P J Knowles[SUP] 1 2 7 [/SUP]



Affiliations

Abstract

Recent efforts in understanding the course and severity of SARS-CoV-2 infections have highlighted both potentially beneficial and detrimental effects of cross-reactive antibodies derived from memory immunity. Specifically, due to a significant degree of sequence similarity between SARS-CoV-2 and other members of the coronavirus family, memory B-cells that emerged from previous infections with endemic human coronaviruses (HCoVs) could be reactivated upon encountering the newly emerged SARS-CoV-2, thus prompting the production of cross-reactive antibodies. Determining the affinity and concentration of these potentially cross-reactive antibodies to the new SARS-CoV-2 antigens is therefore particularly important when assessing both existing immunity against common HCoVs and adverse effects like antibody-dependent enhancement (ADE) in COVID-19. However, these two fundamental parameters cannot easily be disentangled by surface-based assays like enzyme-linked immunosorbent assays (ELISAs), which are routinely used to assess cross-reactivity. Here, we have used microfluidic antibody affinity profiling (MAAP) to quantitatively evaluate the humoral immune response in COVID-19 convalescent patients by determining both antibody affinity and concentration against spike antigens of SARS-CoV-2 directly in nine convalescent COVID-19 patient and three pre-pandemic sera that were seropositive for common HCoVs. All 12 sera contained low concentrations of high-affinity antibodies against spike antigens of HCoV-NL63 and HCoV-HKU1, indicative of past exposure to these pathogens, while the affinity against the SARS-CoV-2 spike protein was lower. These results suggest that cross-reactivity as a consequence of memory reactivation upon an acute SARS-CoV-2 infection may not be a significant factor in generating immunity against SARS-CoV-2.

Keywords: SARS-CoV-2; antibody affinity; antibody concentration; antibody profiling; cross-reactivity; microfluidics.
 
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