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研究揭示与SARS-CoV-2死亡率相关的体液反应改变轨迹
2020-11-05 14:03

美国博德研究所Galit Alter等研究人员合作揭示与SARS-CoV-2死亡率相关的体液反应改变轨迹。相关论文2020年11月3日在线发表在《细胞》杂志上。

为了全面定义保护性体液免疫,研究人员剖析了193名从中度到重度住院患者体液反应的早期演变。尽管在患有严重疾病的幸存者和非幸存者中都产生了强大的IgM和IgA反应,但非幸存者的IgG反应减弱,并伴有Fc?-受体结合和Fc效应子活性受损,这表明了体液发育的不足而不是疾病增强的体液免疫。
 
相反,患有中度疾病的个体表现出延迟反应,这些反应会最终成熟。这些数据突出了与SARS-CoV-2感染消退相关的独特体液轨迹以及对早期功能性体液免疫的需要。
 
据了解,在缺乏明确免疫相关性的情况下,当前迫切需要研发有效的SARS-CoV-2疫苗。尽管中和作用已与针对其他病原体的保护相关,但尚不清楚仅凭中和作用是否足以推动对更广泛人群的SARS-CoV-2保护。
 
附:英文原文

Title: Compromised humoral functional evolution tracks with SARS-CoV-2 mortality

Author: Tomer Zohar, Carolin Loos, Stephanie Fischinger, Caroline Atyeo, Chuangqi Wang, Matthew D. Slein, John Burke, Jingyou Yu, Jared Feldman, Blake Marie Hauser, Tim Caradonna, Aaron Schmidt, Yongfei Cai, Hendrik Streeck, Edward T. Ryan, Dan H. Barouch, Richelle C. Charles, Douglas Lauffenburger, Galit Alter

Issue&Volume: 2020-11-03

Abstract: The urgent need for an effective SARS-CoV-2 vaccine has forced development to progress in the absence of well-defined correlates of immunity. While neutralization has been linked to protection against other pathogens, whether neutralization alone will be sufficient to drive protection against SARS-CoV-2 in the broader population remains unclear. Therefore, to fully define protective humoral immunity we dissected the early evolution of the humoral response in 193 hospitalized individuals ranging from moderate-to severe. Although robust IgM and IgA responses evolved in both survivors and non-survivors with severe disease, non-survivors showed attenuated IgG responses, accompanied by compromised Fc-receptor binding and Fc-effector activity, pointing to deficient humoral development rather than disease-enhancing humoral immunity. In contrast, individuals with moderate disease exhibited delayed responses that ultimately matured. These data highlight distinct humoral trajectories associated with resolution of SARS-CoV-2 infection and the need for early functional humoral immunity.

DOI: 10.1016/j.cell.2020.10.052

Source: https://www.cell.com/cell/fulltext/S0092-8674(20)31459-8

Cell:《细胞》,创刊于1974年。隶属于细胞出版社,最新IF:66.85
官方网址:https://www.cell.com/
投稿链接:https://www.editorialmanager.com/cell/default.aspx

本期文章:《细胞》:Online/在线发表

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