Department of Host-Microbe Interactions, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Sci Rep. 2023 Oct 19;13(1):17820. doi: 10.1038/s41598-023-44989-5.
SARS-CoV-2 has caused millions of infections worldwide since its emergence in 2019. Understanding how infection and vaccination induce mucosal immune responses and how they fluctuate over time is important, especially since they are key in preventing infection and reducing disease severity. We established a novel methodology for assessing SARS-CoV-2 cytokine and antibody responses at the nasal epithelium by using nasopharyngeal swabs collected longitudinally before and after either SARS-CoV-2 infection or vaccination. We then compared responses between mucosal and systemic compartments. We demonstrate that cytokine and antibody profiles differ between compartments. Nasal cytokines show a wound healing phenotype while plasma cytokines are consistent with pro-inflammatory pathways. We found that nasal IgA and IgG have different kinetics after infection, with IgA peaking first. Although vaccination results in low nasal IgA, IgG induction persists for up to 180 days post-vaccination. This research highlights the importance of studying mucosal responses in addition to systemic responses to respiratory infections. The methods described herein can be used to further mucosal vaccine development by giving us a better understanding of immunity at the nasal epithelium providing a simpler, alternative clinical practice to studying mucosal responses to infection.
自 2019 年出现以来,SARS-CoV-2 已在全球范围内导致数百万人感染。了解感染和接种疫苗如何诱导黏膜免疫反应,以及这些反应如何随时间波动非常重要,因为这是预防感染和降低疾病严重程度的关键。我们建立了一种新的方法,通过使用在 SARS-CoV-2 感染或接种疫苗前后纵向收集的鼻咽拭子,来评估鼻上皮的 SARS-CoV-2 细胞因子和抗体反应。然后,我们比较了黏膜和全身隔室之间的反应。我们证明了隔室之间的细胞因子和抗体谱不同。鼻细胞因子显示出伤口愈合表型,而血浆细胞因子与促炎途径一致。我们发现,感染后鼻 IgA 和 IgG 的动力学不同,IgA 首先达到峰值。尽管接种疫苗导致鼻内 IgA 水平较低,但 IgG 的诱导可持续长达接种后 180 天。这项研究强调了除了研究呼吸道感染的全身反应外,还需要研究黏膜反应。本文所述的方法可以通过更好地了解鼻上皮的免疫反应,为黏膜疫苗的进一步发展提供帮助,为研究感染时的黏膜反应提供一种更简单、替代的临床实践方法。