两种不同检测方法显示轻度 COVID-19 恢复期患者血清中和抗 SARS-CoV-2 S 抗体水平较低。

Low serum neutralizing anti-SARS-CoV-2 S antibody levels in mildly affected COVID-19 convalescent patients revealed by two different detection methods.

机构信息

Institute of Immunology, Hannover Medical School, Hannover, Germany.

Institute of Virology, Hannover Medical School, Hannover, Germany.

出版信息

Cell Mol Immunol. 2021 Apr;18(4):936-944. doi: 10.1038/s41423-020-00573-9. Epub 2020 Nov 2.

Abstract

Neutralizing antibodies targeting the receptor-binding domain (RBD) of the SARS-CoV-2 spike (S) block severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) entry into cells via surface-expressed angiotensin-converting enzyme 2 (ACE2). We used a surrogate virus neutralization test (sVNT) and SARS-CoV-2 S protein-pseudotyped vesicular stomatitis virus (VSV) vector-based neutralization assay (pVNT) to assess the degree to which serum antibodies from coronavirus disease 2019 (COVID-19) convalescent patients interfere with the binding of SARS-CoV-2 S to ACE2. Both tests revealed neutralizing anti-SARS-CoV-2 S antibodies in the sera of ~90% of mildly and 100% of severely affected COVID-19 convalescent patients. Importantly, sVNT and pVNT results correlated strongly with each other and to the levels of anti-SARS-CoV-2 S1 IgG and IgA antibodies. Moreover, levels of neutralizing antibodies correlated with the duration and severity of clinical symptoms but not with patient age. Compared to pVNT, sVNT is less sophisticated and does not require any biosafety labs. Since this assay is also much faster and cheaper, sVNT will not only be important for evaluating the prevalence of neutralizing antibodies in a population but also for identifying promising plasma donors for successful passive antibody therapy.

摘要

针对严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)刺突(S)受体结合域(RBD)的中和抗体通过表面表达的血管紧张素转换酶 2(ACE2)阻止 SARS-CoV-2 进入细胞。我们使用替代病毒中和试验(sVNT)和 SARS-CoV-2 S 蛋白假型水疱性口炎病毒(VSV)载体中和测定(pVNT)来评估来自新型冠状病毒肺炎(COVID-19)恢复期患者的血清抗体在多大程度上干扰 SARS-CoV-2 S 与 ACE2 的结合。这两种测试都在轻度和重度 COVID-19 恢复期患者的血清中发现了约 90%和 100%中和 SARS-CoV-2 S 的抗体。重要的是,sVNT 和 pVNT 结果彼此之间以及与抗 SARS-CoV-2 S1 IgG 和 IgA 抗体水平高度相关。此外,中和抗体的水平与临床症状的持续时间和严重程度相关,但与患者年龄无关。与 pVNT 相比,sVNT 不那么复杂,也不需要任何生物安全实验室。由于该测定法也更快且更便宜,因此 sVNT 不仅对于评估人群中中和抗体的流行程度很重要,而且对于鉴定有希望用于成功被动抗体治疗的血浆供体也很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c114/7604543/a20b44968baf/41423_2020_573_Fig1_HTML.jpg

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