未感染或已感染病毒个体中针对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的既往抗体与新发抗体:对抗体治疗、疫苗研究和血清学检测的影响
Preexisting vs. de novo antibodies against SARS-CoV-2 in individuals without or with virus infection: impact on antibody therapy, vaccine research and serological testing.
作者信息
Muthumani Kar, Xu Ziyang, Jeong Moonsup, Maslow Joel N, Kalyanaraman Vaniambadi S, Srinivasan Alagarsamy
机构信息
GeneOne Life Science, Inc, Seoul, 07335 South Korea.
Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104 USA.
出版信息
Transl Med Commun. 2021;6(1):13. doi: 10.1186/s41231-021-00093-2. Epub 2021 Jul 1.
The causative agent of the ongoing pandemic in the world is SARS-CoV-2. The research on SARS-CoV-2 has progressed with lightning speed on various fronts, including clinical research and treatment, virology, epidemiology, drug development, and vaccine research. Recent studies reported that sera from healthy individuals, who were confirmed negative for SARS-CoV-2 by RT-PCR method, tested positive for antibodies against spike and nucleocapsid proteins of SARS-CoV-2. Further, such antibodies also exhibited neutralizing activity against the virus. These observations have prompted us to prepare a commentary on this topic. While the preexisting antibodies are likely to protect against SARS-CoV-2 infection, they may also complicate serological testing results. Another unknown is the influence of preexisting antibodies on immune responses in individuals receiving vaccines against SARS-CoV-2. The commentary identifies the potential limitations with the serological tests based on spike and nucleocapsid proteins as these tests may overestimate the seroprevalence due to cross-reactive antibodies. The inclusion of tests specific to SARS-CoV-2 (such as RBD of spike protein) could overcome these limitations.
全球正在流行的疫情病原体是严重急性呼吸综合征冠状病毒2(SARS-CoV-2)。针对SARS-CoV-2的研究在包括临床研究与治疗、病毒学、流行病学、药物研发以及疫苗研究等各个领域都取得了飞速进展。近期研究报告称,经逆转录聚合酶链反应(RT-PCR)方法确认SARS-CoV-2检测呈阴性的健康个体的血清,针对SARS-CoV-2刺突蛋白和核衣壳蛋白的抗体检测呈阳性。此外,这类抗体还表现出对该病毒的中和活性。这些观察结果促使我们就这一主题撰写一篇评论。虽然预先存在的抗体可能会预防SARS-CoV-2感染,但它们也可能使血清学检测结果变得复杂。另一个未知因素是预先存在的抗体对接种SARS-CoV-2疫苗个体免疫反应的影响。该评论指出了基于刺突蛋白和核衣壳蛋白的血清学检测存在的潜在局限性,因为这些检测可能会因交叉反应抗体而高估血清阳性率。纳入针对SARS-CoV-2的特异性检测(如刺突蛋白的受体结合域[RBD])可以克服这些局限性。