Margiotti Katia, Fabiani Marco, Mesoraca Alvaro, Giorlandino Claudio
Acta Virol. 2021;65(4):333-338. doi: 10.4149/av_2021_401.
The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the associated disease Coronavirus disease 2019 (COVID-19) continues to spread throughout the world, causing millions of infections and dead. One major question in predicting the course of the COVID-19 pandemic is how well and how long the immune response protects the host from reinfection. Although more studies are needed, evidence suggests that virus-specific B cell response in people with SARS-CoV-2 infection is rapidly generated and seems to be more reliable marker of long-lasting humoral responses than serum antibodies. Here we reviewed all related major studies of immune response to SARS-CoV-2 virus to better understand the natural protection against the virus, and the risk of reinfection. The ability of our community to eradicate this virus will mostly depend on our knowledge of the immune response, critical not only for vaccine development and distribution but also for therapeutic options. Keywords: SARS-CoV-2 virus reinfection; humoral immune response; SARS-CoV-2 virus variants; vaccination.
新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)及相关的2019冠状病毒病(COVID-19)仍在全球范围内持续传播,导致数以百万计的感染和死亡。预测COVID-19大流行进程的一个主要问题是免疫反应在多大程度上以及能持续多长时间保护宿主免受再次感染。尽管还需要更多研究,但有证据表明,SARS-CoV-2感染者体内的病毒特异性B细胞反应迅速产生,而且似乎比血清抗体更能可靠地标志持久的体液反应。在此,我们综述了所有关于对SARS-CoV-2病毒免疫反应的相关主要研究,以更好地了解针对该病毒的自然保护作用以及再次感染的风险。我们社会根除这种病毒的能力将主要取决于我们对免疫反应的了解,这不仅对疫苗的研发和分发至关重要,对治疗选择也至关重要。关键词:SARS-CoV-2病毒再次感染;体液免疫反应;SARS-CoV-2病毒变体;疫苗接种