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10.1128/mBio.00281-21

http://scihub22266oqcxt.onion/10.1128/mBio.00281-21
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33879594!8092230!33879594
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suck abstract from ncbi


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pmid33879594      mBio 2021 ; 12 (2): ä
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  • COVID-19 Severity Is Associated with Differential Antibody Fc-Mediated Innate Immune Functions #MMPMID33879594
  • Adeniji OS; Giron LB; Purwar M; Zilberstein NF; Kulkarni AJ; Shaikh MW; Balk RA; Moy JN; Forsyth CB; Liu Q; Dweep H; Kossenkov A; Weiner DB; Keshavarzian A; Landay A; Abdel-Mohsen M
  • mBio 2021[Apr]; 12 (2): ä PMID33879594show ga
  • Beyond neutralization, antibodies binding to their Fc receptors elicit several innate immune functions including antibody-dependent complement deposition (ADCD), antibody-dependent cell-mediated phagocytosis (ADCP), and antibody-dependent cell-mediated cytotoxicity (ADCC). These functions are beneficial, as they contribute to pathogen clearance; however, they also can induce inflammation. We tested the possibility that qualitative differences in SARS-CoV-2-specific antibody-mediated innate immune functions contribute to coronavirus disease 2019 (COVID-19) severity. We found that anti-S1 and anti-RBD antibodies from hospitalized COVID-19 patients elicited higher ADCD but lower ADCP compared to antibodies from nonhospitalized COVID-19 patients. Consistently, higher ADCD was associated with higher systemic inflammation, whereas higher ADCP was associated with lower systemic inflammation during COVID-19. Our study points to qualitative, differential features of anti-SARS-CoV-2 specific antibodies as potential contributors to COVID-19 severity. Understanding these qualitative features of natural and vaccine-induced antibodies will be important in achieving optimal efficacy and safety of SARS-CoV-2 vaccines and/or COVID-19 therapeutics.IMPORTANCE A state of hyperinflammation and increased complement activation has been associated with coronavirus disease 2019 (COVID-19) severity. However, the pathophysiological mechanisms that contribute to this phenomenon remain mostly unknown. Our data point to a qualitative, rather than quantitative, difference in SARS-CoV-2-specific antibodies' ability to elicit Fc-mediated innate immune functions as a potential contributor to COVID-19 severity and associated inflammation. These data highlight the need for further studies to understand these qualitative features and their potential contribution to COVID-19 severity. This understanding could be essential to develop antibody-based COVID-19 therapeutics and SARS-CoV-2 vaccines with an optimal balance between efficacy and safety.
  • |*Antibodies, Viral/blood/immunology[MESH]
  • |*Immunity, Innate[MESH]
  • |Antibodies, Neutralizing/blood[MESH]
  • |Antibody Specificity[MESH]
  • |Antibody-Dependent Cell Cytotoxicity[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19/etiology/*immunology/virology[MESH]
  • |Case-Control Studies[MESH]
  • |Cohort Studies[MESH]
  • |Complement Activation[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoglobulin Fc Fragments/immunology[MESH]
  • |Inflammation/blood/etiology/immunology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Phagocytosis[MESH]
  • |Receptors, Fc/immunology[MESH]
  • |SARS-CoV-2/*immunology[MESH]
  • |Severity of Illness Index[MESH]


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