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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Nat+Commun 2021 ; 12 (1): 2037 Nephropedia Template TP
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Systems serology detects functionally distinct coronavirus antibody features in children and elderly #MMPMID33795692
Selva KJ; van de Sandt CE; Lemke MM; Lee CY; Shoffner SK; Chua BY; Davis SK; Nguyen THO; Rowntree LC; Hensen L; Koutsakos M; Wong CY; Mordant F; Jackson DC; Flanagan KL; Crowe J; Tosif S; Neeland MR; Sutton P; Licciardi PV; Crawford NW; Cheng AC; Doolan DL; Amanat F; Krammer F; Chappell K; Modhiran N; Watterson D; Young P; Lee WS; Wines BD; Mark Hogarth P; Esterbauer R; Kelly HG; Tan HX; Juno JA; Wheatley AK; Kent SJ; Arnold KB; Kedzierska K; Chung AW
Nat Commun 2021[Apr]; 12 (1): 2037 PMID33795692show ga
The hallmarks of COVID-19 are higher pathogenicity and mortality in the elderly compared to children. Examining baseline SARS-CoV-2 cross-reactive immunological responses, induced by circulating human coronaviruses (hCoVs), is needed to understand such divergent clinical outcomes. Here we show analysis of coronavirus antibody responses of pre-pandemic healthy children (n = 89), adults (n = 98), elderly (n = 57), and COVID-19 patients (n = 50) by systems serology. Moderate levels of cross-reactive, but non-neutralizing, SARS-CoV-2 antibodies are detected in pre-pandemic healthy individuals. SARS-CoV-2 antigen-specific Fcgamma receptor binding accurately distinguishes COVID-19 patients from healthy individuals, suggesting that SARS-CoV-2 infection induces qualitative changes to antibody Fc, enhancing Fcgamma receptor engagement. Higher cross-reactive SARS-CoV-2 IgA and IgG are observed in healthy elderly, while healthy children display elevated SARS-CoV-2 IgM, suggesting that children have fewer hCoV exposures, resulting in less-experienced but more polyreactive humoral immunity. Age-dependent analysis of COVID-19 patients, confirms elevated class-switched antibodies in elderly, while children have stronger Fc responses which we demonstrate are functionally different. These insights will inform COVID-19 vaccination strategies, improved serological diagnostics and therapeutics.