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PLoS One . Immune response dynamics in COVID-19 patients to SARS-CoV-2 and other human coronaviruses

tetano

Editor, Senior Moderator
PLoS One


. 2021 Jul 9;16(7):e0254367.
doi: 10.1371/journal.pone.0254367. eCollection 2021.
Immune response dynamics in COVID-19 patients to SARS-CoV-2 and other human coronaviruses


Resmi Ravindran[SUP] 1 [/SUP], Cindy McReynolds[SUP] 2 [/SUP], Jun Yang[SUP] 2 [/SUP], Bruce D Hammock[SUP] 2 [/SUP], Aamer Ikram[SUP] 3 [/SUP], Amna Ali[SUP] 3 [/SUP], Adnan Bashir[SUP] 3 [/SUP], Tanzeel Zohra[SUP] 3 [/SUP], W L William Chang[SUP] 4 5 [/SUP], Dennis J Hartigan-O'Connor[SUP] 4 [/SUP], Hooman H Rashidi[SUP] 1 [/SUP], Imran H Khan[SUP] 1 [/SUP]



Affiliations

Abstract

COVID-19 serological test must have high sensitivity as well as specificity to rule out cross-reactivity with common coronaviruses (HCoVs). We have developed a quantitative multiplex test, measuring antibodies against spike (S) proteins of SARS-CoV-2, SARS-CoV, MERS-CoV, and common human coronavirus strains (229E, NL63, OC43, HKU1), and nucleocapsid (N) protein of SARS-CoV viruses. Receptor binding domain of S protein of SARS-CoV-2 (S-RBD), and N protein, demonstrated sensitivity (94% and 92.5%, respectively) in COVID-19 patients (n = 53), with 98% specificity in non-COVID-19 respiratory-disease (n = 98), and healthy-controls (n = 129). Anti S-RBD and N antibodies appeared five to ten days post-onset of symptoms, peaking at approximately four weeks. The appearance of IgG and IgM coincided while IgG subtypes, IgG1 and IgG3 appeared soon after the total IgG; IgG2 and IgG4 remained undetectable. Several inflammatory cytokines/chemokines were found to be elevated in many COVID-19 patients (e.g., Eotaxin, Gro-α, CXCL-10 (IP-10), RANTES (CCL5), IL-2Rα, MCP-1, and SCGF-b); CXCL-10 was elevated in all. In contrast to antibody titers, levels of CXCL-10 decreased with the improvement in patient health suggesting it as a candidate for disease resolution. Importantly, anti-N antibodies appear before S-RBD and differentiate between vaccinated and infected people-current vaccines (and several in the pipeline) are S protein-based.
 
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