Rapid Generation of Neutralizing Antibody Responses in COVID-19 Patients.

COVID-19 SARS-CoV-2 coronavirus humoral immune response neutralizing antibody protective immunity receptor-binding protein serology test spike protein

Journal

Cell reports. Medicine
ISSN: 2666-3791
Titre abrégé: Cell Rep Med
Pays: United States
ID NLM: 101766894

Informations de publication

Date de publication:
23 06 2020
Historique:
received: 29 04 2020
revised: 28 05 2020
accepted: 29 05 2020
entrez: 25 8 2020
pubmed: 25 8 2020
medline: 25 8 2020
Statut: ppublish

Résumé

SARS-CoV-2, the virus responsible for COVID-19, is causing a devastating worldwide pandemic, and there is a pressing need to understand the development, specificity, and neutralizing potency of humoral immune responses during acute infection. We report a cross-sectional study of antibody responses to the receptor-binding domain (RBD) of the spike protein and virus neutralization activity in a cohort of 44 hospitalized COVID-19 patients. RBD-specific IgG responses are detectable in all patients 6 days after PCR confirmation. Isotype switching to IgG occurs rapidly, primarily to IgG1 and IgG3. Using a clinical SARS-CoV-2 isolate, neutralizing antibody titers are detectable in all patients by 6 days after PCR confirmation and correlate with RBD-specific binding IgG titers. The RBD-specific binding data were further validated in a clinical setting with 231 PCR-confirmed COVID-19 patient samples. These findings have implications for understanding protective immunity against SARS-CoV-2, therapeutic use of immune plasma, and development of much-needed vaccines.

Identifiants

pubmed: 32835303
doi: 10.1016/j.xcrm.2020.100040
pii: S2666-3791(20)30052-5
pii: 100040
pmc: PMC7276302
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100040

Subventions

Organisme : NIAID NIH HHS
ID : R38 AI140299
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM008169
Pays : United States
Organisme : NIA NIH HHS
ID : R00 AG049092
Pays : United States
Organisme : NIAID NIH HHS
ID : U19 AI057266
Pays : United States
Organisme : NIAID NIH HHS
ID : T32 AI074492
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI148684
Pays : United States
Organisme : NIAID NIH HHS
ID : R24 AI120942
Pays : United States
Organisme : NIAID NIH HHS
ID : K99 AI153736
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI137127
Pays : United States
Organisme : NIAID NIH HHS
ID : U19 AI090023
Pays : United States
Organisme : NIH HHS
ID : P51 OD011132
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI148576
Pays : United States

Commentaires et corrections

Type : UpdateOf

Informations de copyright

© 2020 The Author(s).

Déclaration de conflit d'intérêts

The authors declare no competing interests.

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Auteurs

Mehul S Suthar (MS)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
Yerkes National Primate Research Center, Atlanta, GA 30329, USA.

Matthew G Zimmerman (MG)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
Yerkes National Primate Research Center, Atlanta, GA 30329, USA.

Robert C Kauffman (RC)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.

Grace Mantus (G)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.

Susanne L Linderman (SL)

Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA.

William H Hudson (WH)

Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA.

Abigail Vanderheiden (A)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
Yerkes National Primate Research Center, Atlanta, GA 30329, USA.

Lindsay Nyhoff (L)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.

Carl W Davis (CW)

Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA.

Oluwaseyi Adekunle (O)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.

Maurizio Affer (M)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.

Melanie Sherman (M)

Emory Medical Laboratories, Emory Healthcare, Atlanta, GA 30322, USA.

Stacian Reynolds (S)

Emory Medical Laboratories, Emory Healthcare, Atlanta, GA 30322, USA.

Hans P Verkerke (HP)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

David N Alter (DN)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Jeannette Guarner (J)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Janetta Bryksin (J)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Michael C Horwath (MC)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Connie M Arthur (CM)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Natia Saakadze (N)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Geoffrey H Smith (GH)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Srilatha Edupuganti (S)

Hope Clinic of the Emory Vaccine Center, Emory University School of Medicine Decatur, Atlanta, GA, USA.
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Erin M Scherer (EM)

Hope Clinic of the Emory Vaccine Center, Emory University School of Medicine Decatur, Atlanta, GA, USA.
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Kieffer Hellmeister (K)

Hope Clinic of the Emory Vaccine Center, Emory University School of Medicine Decatur, Atlanta, GA, USA.
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Andrew Cheng (A)

Hope Clinic of the Emory Vaccine Center, Emory University School of Medicine Decatur, Atlanta, GA, USA.
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Juliet A Morales (JA)

Hope Clinic of the Emory Vaccine Center, Emory University School of Medicine Decatur, Atlanta, GA, USA.
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Andrew S Neish (AS)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Sean R Stowell (SR)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Filipp Frank (F)

Department of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA.

Eric Ortlund (E)

Department of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA.

Evan J Anderson (EJ)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.

Vineet D Menachery (VD)

Department of Microbiology and Immunology, Institute for Human Infection and Immunity, World Reference Center for Emerging Viruses and Arboviruses, University of Texas Medical Branch, Galveston, TX, USA.

Nadine Rouphael (N)

Hope Clinic of the Emory Vaccine Center, Emory University School of Medicine Decatur, Atlanta, GA, USA.
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Aneesh K Mehta (AK)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

David S Stephens (DS)

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Rafi Ahmed (R)

Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.
Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA.

John D Roback (JD)

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA.

Jens Wrammert (J)

Center for Childhood Infections and Vaccines; Children's Healthcare of Atlanta and Emory University Department of Pediatrics, Atlanta, GA 30322, USA.
Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30329, USA.

Classifications MeSH