SARS-CoV-2 核衣壳蛋白抗体的免疫原性和交叉反应性:在血清流行率和免疫研究中的应用和局限性。

Immunogenicity and crossreactivity of antibodies to the nucleocapsid protein of SARS-CoV-2: utility and limitations in seroprevalence and immunity studies.

机构信息

ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Catalonia, Spain; Spanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Spain.

ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Catalonia, Spain.

出版信息

Transl Res. 2021 Jun;232:60-74. doi: 10.1016/j.trsl.2021.02.006. Epub 2021 Feb 12.

Abstract

COVID-19 patients elicit strong responses to the nucleocapsid (N) protein of SARS-CoV-2 but binding antibodies are also detected in prepandemic individuals, indicating potential crossreactivity with common cold human coronaviruses (HCoV) and questioning its utility in seroprevalence studies. We investigated the immunogenicity of the full-length and shorter fragments of the SARS-CoV-2 N protein, and the crossreactivity of antibodies with HCoV. We identified a C-terminus region in SARS-CoV2 N of minimal sequence homology with HCoV that was more specific for SARS-CoV-2 and highly immunogenic. IgGs to the full-length SARS-CoV-2 N also recognized N229E N, and IgGs to HKU1 N recognized SARS-CoV-2 N. Crossreactivity with SARS-CoV-2 was stronger for alpha- rather than beta-HCoV despite having less sequence identity, revealing the importance of conformational recognition. Higher preexisting IgG to OC43 N correlated with lower IgG to SARS-CoV-2 N in rRT-PCR negative individuals, reflecting less exposure and indicating a potential protective association. Antibodies to SARS-CoV-2 N were higher in patients with more severe and longer duration of symptoms and in females. IgGs remained stable for at least 3 months, while IgAs and IgMs declined faster. In conclusion, N protein is a primary target of SARS-CoV-2-specific and HCoV crossreactive antibodies, both of which may affect the acquisition of immunity to COVID-19.

摘要

COVID-19 患者对 SARS-CoV-2 的核衣壳 (N) 蛋白产生强烈反应,但也在大流行前个体中检测到结合抗体,表明与普通感冒人类冠状病毒 (HCoV) 存在潜在的交叉反应性,并质疑其在血清流行率研究中的实用性。我们研究了全长和 SARS-CoV-2 N 蛋白较短片段的免疫原性,以及抗体与 HCoV 的交叉反应性。我们确定了 SARS-CoV-2 N 中与 HCoV 具有最小序列同源性的 C 末端区域,该区域对 SARS-CoV-2 更具特异性且高度免疫原性。全长 SARS-CoV-2 N 的 IgG 也识别 N229E N,而 HKU1 N 的 IgG 识别 SARS-CoV-2 N。尽管与 SARS-CoV-2 的序列同一性较低,但与 SARS-CoV-2 的交叉反应性对于 alpha-HCoV 而非 beta-HCoV 更强,这揭示了构象识别的重要性。在 rRT-PCR 阴性个体中,OC43 N 的预先存在的 IgG 较高与 SARS-CoV-2 N 的 IgG 较低相关,这反映了较少的暴露并表明存在潜在的保护关联。在症状更严重和持续时间更长的患者以及女性中,SARS-CoV-2 N 的抗体更高。IgG 至少稳定 3 个月,而 IgA 和 IgM 下降更快。总之,N 蛋白是 SARS-CoV-2 特异性和 HCoV 交叉反应性抗体的主要靶标,这两者都可能影响 COVID-19 免疫的获得。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d0f/7879156/5df714118638/gr1_lrg.jpg

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