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10.1126/sciadv.abf2467

http://scihub22266oqcxt.onion/10.1126/sciadv.abf2467
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33674317!7935365!33674317
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suck abstract from ncbi


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pmid33674317      Sci+Adv 2021 ; 7 (10): ä
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  • Longitudinal antibody repertoire in "mild" versus "severe" COVID-19 patients reveals immune markers associated with disease severity and resolution #MMPMID33674317
  • Ravichandran S; Lee Y; Grubbs G; Coyle EM; Klenow L; Akasaka O; Koga M; Adachi E; Saito M; Nakachi I; Ogura T; Baba R; Ito M; Kiso M; Yasuhara A; Yamada S; Sakai-Tagawa Y; Iwatsuki-Horimoto K; Imai M; Yamayoshi S; Yotsuyanagi H; Kawaoka Y; Khurana S
  • Sci Adv 2021[Mar]; 7 (10): ä PMID33674317show ga
  • Limited knowledge exists on immune markers associated with disease severity or recovery in patients with coronavirus disease 2019 (COVID-19). Here, we elucidated longitudinal evolution of SARS-CoV-2 antibody repertoire in patients with acute COVID-19. Differential kinetics was observed for immunoglobulin M (IgM)/IgG/IgA epitope diversity, antibody binding, and affinity maturation in "severe" versus "mild" COVID-19 patients. IgG profile demonstrated immunodominant antigenic sequences encompassing fusion peptide and receptor binding domain (RBD) in patients with mild COVID-19 who recovered early compared with "fatal" COVID-19 patients. In patients with severe COVID-19, high-titer IgA were observed, primarily against RBD, especially in patients who succumbed to SARS-CoV-2 infection. The patients with mild COVID-19 showed marked increase in antibody affinity maturation to prefusion SARS-CoV-2 spike that associated with faster recovery from COVID-19. This study revealed antibody markers associated with disease severity and resolution of clinical disease that could inform development and evaluation of effective immune-based countermeasures against COVID-19.
  • |*Severity of Illness Index[MESH]
  • |Antibodies, Viral/*blood/*immunology[MESH]
  • |Antibody Affinity/immunology[MESH]
  • |Antibody Formation/immunology[MESH]
  • |Antigens, Viral/*immunology[MESH]
  • |Biomarkers/*blood[MESH]
  • |COVID-19/blood/*immunology/*pathology/virology[MESH]
  • |Cytokines/blood[MESH]
  • |HEK293 Cells[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Immunoglobulin Class Switching[MESH]
  • |Kinetics[MESH]
  • |Neutralization Tests[MESH]
  • |Protein Binding[MESH]
  • |Protein Domains[MESH]
  • |SARS-CoV-2/*physiology[MESH]
  • |Spike Glycoprotein, Coronavirus/chemistry/immunology[MESH]


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