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Tang L, Cherry S, Tuomanen EI, Kirkpatrick Roubidoux E, Lin CY, Allison KJ, Gowen A, Freiden P, Allen EK, Su Y, Gaur AH, Estepp JH, McGargill MA, Krammer F, Thomas PG, Schultz-Cherry S, Wolf J. Host Predictors of Broadly Cross-Reactive Antibodies Against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Variants of Concern Differ Between Infection and Vaccination. Clin Infect Dis 2022; 75:e705-e714. [PMID: 34891165 PMCID: PMC8689782 DOI: 10.1093/cid/ciab996] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection or vaccination there is significant variability between individuals in protective antibody levels against SARS-CoV-2, and within individuals against different virus variants. However, host demographic or clinical characteristics that predict variability in cross-reactive antibody levels are not well-described. These data could inform clinicians, researchers, and policymakers on the populations most likely to require vaccine booster shots. METHODS In an institutional review board-approved prospective observational cohort study of staff at St. Jude Children's Research Hospital, we identified participants with plasma samples collected after SARS-CoV-2 infection, after mRNA vaccination, and after vaccination following infection, and quantitated immunoglobulin G (IgG) levels by enzyme-linked immunosorbent assay to the spike receptor binding domain (RBD) from 5 important SARS-CoV-2 variants (Wuhan Hu-1, B.1.1.7, B.1.351, P.1, and B.1.617.2). We used regression models to identify factors that contributed to cross-reactive IgG against 1 or multiple viral variants. RESULTS Following infection, a minority of the cohort generated cross-reactive antibodies, IgG antibodies that bound all tested variants. Those who did had increased disease severity, poor metabolic health, and were of a particular ancestry. Vaccination increased the levels of cross-reactive IgG levels in all populations, including immunocompromised, elderly, and persons with poor metabolic health. Younger people with a healthy weight mounted the highest responses. CONCLUSIONS Our findings provide important new information on individual antibody responses to infection/vaccination that could inform clinicians on populations that may require follow-on immunization.
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Affiliation(s)
- Li Tang
- Department of Biostatistics, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Sean Cherry
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Elaine I Tuomanen
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | | | - Chun Yang Lin
- Department of Immunology, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Kim J Allison
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Ashleigh Gowen
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Pamela Freiden
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - E Kaitlynn Allen
- Department of Immunology, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Yin Su
- Department of Biostatistics, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Aditya H Gaur
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Jeremie H Estepp
- Department of Hematology, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
- Department of Global Pediatric Medicine, St. Jude Children’s Research Hospital, Memphis, Tennessee, USAand
| | - Maureen A McGargill
- Department of Immunology, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Florian Krammer
- Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Paul G Thomas
- Department of Immunology, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Stacey Schultz-Cherry
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
| | - Joshua Wolf
- Department of Infectious Diseases, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA
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Bohannon CD, Ende Z, Cao W, Mboko WP, Ranjan P, Kumar A, Mishina M, Amoah S, Gangappa S, Mittal SK, Lovell JF, García‐Sastre A, Pfeifer BA, Davidson BA, Knight P, Sambhara S. Influenza Virus Infects and Depletes Activated Adaptive Immune Responders. Adv Sci (Weinh) 2021; 8:e2100693. [PMID: 34189857 PMCID: PMC8373117 DOI: 10.1002/advs.202100693] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 05/18/2021] [Indexed: 05/14/2023]
Abstract
Influenza infections cause several million cases of severe respiratory illness, hospitalizations, and hundreds of thousands of deaths globally. Secondary infections are a leading cause of influenza's high morbidity and mortality, and significantly factored into the severity of the 1918, 1968, and 2009 pandemics. Furthermore, there is an increased incidence of other respiratory infections even in vaccinated individuals during influenza season. Putative mechanisms responsible for vaccine failures against influenza as well as other respiratory infections during influenza season are investigated. Peripheral blood mononuclear cells (PBMCs) are used from influenza vaccinated individuals to assess antigen-specific responses to influenza, measles, and varicella. The observations made in humans to a mouse model to unravel the mechanism is confirmed and extended. Infection with influenza virus suppresses an ongoing adaptive response to vaccination against influenza as well as other respiratory pathogens, i.e., Adenovirus and Streptococcus pneumoniae by preferentially infecting and killing activated lymphocytes which express elevated levels of sialic acid receptors. These findings propose a new mechanism for the high incidence of secondary respiratory infections due to bacteria and other viruses as well as vaccine failures to influenza and other respiratory pathogens even in immune individuals due to influenza viral infections.
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Affiliation(s)
- Caitlin D. Bohannon
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
- Oak Ridge Institute for Science and Education (ORISE)CDC Fellowship ProgramOak RidgeTN37831USA
| | - Zachary Ende
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
- Oak Ridge Institute for Science and Education (ORISE)CDC Fellowship ProgramOak RidgeTN37831USA
| | - Weiping Cao
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
| | - Wadzanai P. Mboko
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
- Department of Comparative Pathobiology and Purdue Institute for InflammationImmunologyand Infectious DiseasePurdue UniversityWest LafayetteIN47907USA
| | - Priya Ranjan
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
| | - Amrita Kumar
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
| | - Margarita Mishina
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
| | - Samuel Amoah
- Influenza DivisionCenters for Disease Control and PreventionAtlantaGA30329USA
| | | | - Suresh K. Mittal
- Department of Comparative Pathobiology and Purdue Institute for InflammationImmunologyand Infectious DiseasePurdue UniversityWest LafayetteIN47907USA
| | - Jonathan F. Lovell
- Department of Biomedical EngineeringState University of New York at BuffaloBuffaloNY14260USA
| | - Adolfo García‐Sastre
- Global Health and Emerging Pathogens InstituteIcahn School of Medicine at Mount SinaiNew YorkNY10029USA
- Department of MicrobiologyIcahn School of Medicine at Mount SinaiNew YorkNY10029USA
- Department of MedicineDivision of Infectious DiseasesIcahn School of Medicine at Mount SinaiNew YorkNY10029USA
- The Tisch Cancer InstituteIcahn School of Medicine at Mount SinaiNew YorkNY10029USA
| | - Blaine A. Pfeifer
- Department of Chemical and Biological EngineeringSchool of Engineering and Applied SciencesState University of New York at BuffaloBuffaloNY14260USA
| | - Bruce A. Davidson
- Department of AnesthesiologyJacobs School of Medicine and Biomedical SciencesState University of New York at BuffaloBuffaloNY14260USA
- Department of Pathology and Anatomical SciencesSchool of Medicine and Biomedical SciencesState University of New York at BuffaloBuffaloNY14260USA
- Research ServiceVeterans AdministrationWestern New York Healthcare SystemBuffaloNY14215USA
| | - Paul Knight
- Department of AnesthesiologyJacobs School of Medicine and Biomedical SciencesState University of New York at BuffaloBuffaloNY14260USA
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