Pediatric Rheumatology, Department of Pediatric and Adolescent Medicine, University Medicine Greifswald, Greifswald, Germany.
Institute of Immunology, University Medicine Greifswald, Greifswald, Germany.
Front Immunol. 2024 Aug 27;15:1434291. doi: 10.3389/fimmu.2024.1434291. eCollection 2024.
Monitoring the seroprevalence of SARS-CoV-2 in children and adolescents can provide valuable information for effective SARS-CoV-2 surveillance, and thus guide vaccination strategies. In this study, we quantified antibodies against the spike S1 domains of several SARS-CoV-2 variants (wild-type, Alpha, Delta, and Omicron variants) as well as endemic human coronaviruses (HCoVs) in 1,309 children and adolescents screened between December 2020 and March 2023. Their antibody binding profiles were compared with those of 22 pre-pandemic samples from children and adolescents using an in-house Luminex-based Corona Array (CA). The primary objectives of this study were to (i) monitor SARS-CoV-2-specific antibodies in children and adolescents, (ii) evaluate whether the S1-specific antibody response can identify the infecting variant of concern (VoC), (iii) estimate the prevalence of silent infections, and (iv) test whether vaccination or infection with SARS-CoV-2 induce HCoV cross-reactive antibodies. Both SARS-CoV-2 infection and vaccination induced a robust antibody response against the S1 domain of WT and VoCs in children and adolescents. Antibodies specific for the S1 domain were able to distinguish between SARS-CoV-2 VoCs in infected children. The serologically identified VoC was typically the predominant VoC at the time of infection. Furthermore, our highly sensitive CA identified more silent SARS-CoV-2 infections than a commercial ELISA (12.1% vs. 6.3%, respectively), and provided insights into the infecting VoC. Seroconversion to endemic HCoVs occurred in early childhood, and vaccination or infection with SARS-CoV-2 did not induce HCoV S1 cross-reactive antibodies. In conclusion, the antibody response to the S1 domain of the spike protein of SARS-CoV-2 is highly specific, providing information about the infecting VoC and revealing clinically silent infections.
监测 SARS-CoV-2 在儿童和青少年中的血清流行率可以为有效的 SARS-CoV-2 监测提供有价值的信息,从而指导疫苗接种策略。在这项研究中,我们定量检测了 1309 名儿童和青少年在 2020 年 12 月至 2023 年 3 月间筛查时针对几种 SARS-CoV-2 变体(野生型、Alpha、Delta 和 Omicron 变体)和地方性人类冠状病毒(HCoV)的 Spike S1 结构域的抗体。我们将这些抗体结合图谱与 22 份来自儿童和青少年的大流行前样本(使用内部基于 Luminex 的 Corona Array(CA)进行分析)进行了比较。本研究的主要目的是:(i)监测儿童和青少年中的 SARS-CoV-2 特异性抗体,(ii)评估 S1 特异性抗体反应是否可以识别感染的关注变体(VoC),(iii)估计沉默感染的流行率,以及(iv)测试 SARS-CoV-2 感染或接种疫苗是否诱导 HCoV 交叉反应性抗体。SARS-CoV-2 感染和接种均在儿童和青少年中诱导了针对 WT 和 VoC 的 S1 结构域的强大抗体反应。针对 S1 结构域的抗体能够区分感染儿童中的 SARS-CoV-2 VoC。血清学鉴定的 VoC 通常是感染时主要的 VoC。此外,我们的高灵敏度 CA 比商业 ELISA 检测到更多的沉默 SARS-CoV-2 感染(分别为 12.1%和 6.3%),并提供了有关感染 VoC 的信息。针对地方性 HCoV 的血清转换发生在幼儿期,SARS-CoV-2 感染或接种疫苗不会诱导 HCoV S1 交叉反应性抗体。总之,针对 SARS-CoV-2 刺突蛋白 S1 结构域的抗体反应具有高度特异性,提供了有关感染 VoC 的信息,并揭示了临床上沉默的感染。
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