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感染 SARS-CoV-2 及关注变异株后康复患者血清中的中和抗体活性。

Neutralizing antibody activity in convalescent sera from infection in humans with SARS-CoV-2 and variants of concern.

机构信息

Department of Infectious Diseases, School of Immunology and Microbial Sciences, King's College London, London, UK.

Centre for Clinical Infection and Diagnostics Research, Department of Infectious Diseases, Guy's and St Thomas' NHS Foundation Trust, London, UK.

出版信息

Nat Microbiol. 2021 Nov;6(11):1433-1442. doi: 10.1038/s41564-021-00974-0. Epub 2021 Oct 15.

Abstract

COVID-19 vaccine design and vaccination rollout need to take into account a detailed understanding of antibody durability and cross-neutralizing potential against SARS-CoV-2 and emerging variants of concern (VOCs). Analyses of convalescent sera provide unique insights into antibody longevity and cross-neutralizing activity induced by variant spike proteins, which are putative vaccine candidates. Using sera from 38 individuals infected in wave 1, we show that cross-neutralizing activity can be detected up to 305 days pos onset of symptoms, although sera were less potent against B.1.1.7 (Alpha) and B1.351 (Beta). Over time, despite a reduction in overall neutralization activity, differences in sera neutralization potency against SARS-CoV-2 and the Alpha and Beta variants decreased, which suggests that continued antibody maturation improves tolerance to spike mutations. We also compared the cross-neutralizing activity of wave 1 sera with sera from individuals infected with the Alpha, the Beta or the B.1.617.2 (Delta) variants up to 79 days post onset of symptoms. While these sera neutralize the infecting VOC and parental virus to similar levels, cross-neutralization of different SARS-CoV-2 VOC lineages is reduced. These findings will inform the optimization of vaccines to protect against SARS-CoV-2 variants.

摘要

COVID-19 疫苗的设计和接种推广需要充分考虑对 SARS-CoV-2 及新兴关注变异株(VOC)的抗体持久性和交叉中和潜力的深入了解。对恢复期血清的分析为变异刺突蛋白诱导的抗体持久性和交叉中和活性提供了独特的见解,这些变异刺突蛋白是潜在的疫苗候选物。利用来自第 1 波感染的 38 个人的血清,我们发现交叉中和活性可在症状出现后长达 305 天检测到,尽管血清对 B.1.1.7(Alpha)和 B1.351(Beta)的中和活性较弱。随着时间的推移,尽管总体中和活性下降,但血清对 SARS-CoV-2 以及 Alpha 和 Beta 变异体的中和效力差异减小,这表明持续的抗体成熟可提高对刺突突变的耐受性。我们还比较了第 1 波血清与感染 Alpha、Beta 或 B.1.617.2(Delta)变异体后 79 天的个体血清的交叉中和活性。虽然这些血清对感染性 VOC 和原始病毒的中和水平相似,但对不同 SARS-CoV-2 VOC 谱系的交叉中和活性降低。这些发现将为优化疫苗以预防 SARS-CoV-2 变异体提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29f4/8556155/aebfcc07e0ea/41564_2021_974_Fig1_HTML.jpg

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