Science Translational Medicine,
Journal Year:
2022,
Volume and Issue:
14(634)
Published: Jan. 14, 2022
Multiple
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
variants
that
have
mutations
associated
with
increased
transmission
and
antibody
escape
arisen
over
the
course
of
current
pandemic.
Although
vaccines
largely
been
effective
against
past
variants,
number
found
on
Omicron
(B.1.1.529)
spike
protein
appear
to
diminish
protection
conferred
by
preexisting
immunity.
Using
vesicular
stomatitis
virus
(VSV)
pseudoparticles
expressing
several
SARS-CoV-2
we
evaluated
magnitude
breadth
neutralizing
response
time
in
individuals
after
infection
mRNA-vaccinated
individuals.
We
observed
boosting
increases
wild-type
(D614),
Beta,
Delta,
variants;
however,
variant
was
most
resistant
neutralization.
further
vaccinated
healthy
adults
had
robust
broad
responses,
whereas
responses
may
reduced
pregnant
women,
underscoring
importance
learning
how
maximize
mRNA
vaccine
populations.
Findings
from
this
study
show
substantial
heterogeneity
vaccination
support
addition
more
conserved
viral
antigens
existing
vaccines.
Nature Reviews Microbiology,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Jan. 18, 2023
In
late
2020,
after
circulating
for
almost
a
year
in
the
human
population,
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
exhibited
major
step
change
its
adaptation
to
humans.
These
highly
mutated
forms
of
SARS-CoV-2
had
enhanced
rates
transmission
relative
previous
variants
and
were
termed
'variants
concern'
(VOCs).
Designated
Alpha,
Beta,
Gamma,
Delta
Omicron,
VOCs
emerged
independently
from
one
another,
turn
each
rapidly
became
dominant,
regionally
or
globally,
outcompeting
variants.
The
success
VOC
previously
dominant
variant
was
enabled
by
altered
intrinsic
functional
properties
virus
and,
various
degrees,
changes
antigenicity
conferring
ability
evade
primed
immune
response.
increased
fitness
associated
with
is
result
complex
interplay
biology
context
changing
immunity
due
both
vaccination
prior
infection.
this
Review,
we
summarize
literature
on
transmissibility
variants,
role
mutations
at
furin
spike
cleavage
site
non-spike
proteins,
potential
importance
recombination
success,
evolution
T
cells,
innate
population
immunity.
shows
complicated
relationship
among
antigenicity,
virulence,
which
has
unpredictable
implications
future
trajectory
disease
burden
COVID-19.
Nature Medicine,
Journal Year:
2021,
Volume and Issue:
27(11), P. 1990 - 2001
Published: Sept. 14, 2021
SARS-CoV-2
messenger
RNA
vaccination
in
healthy
individuals
generates
immune
protection
against
COVID-19.
However,
little
is
known
about
mRNA
vaccine-induced
responses
immunosuppressed
patients.
We
investigated
induction
of
antigen-specific
antibody,
B
cell
and
T
longitudinally
patients
with
multiple
sclerosis
(MS)
on
anti-CD20
antibody
monotherapy
(n
=
20)
compared
controls
10)
after
BNT162b2
or
mRNA-1273
vaccination.
Treatment
monoclonal
(aCD20)
significantly
reduced
spike-specific
receptor-binding
domain
(RBD)-specific
memory
most
patients,
an
effect
ameliorated
longer
duration
from
last
aCD20
treatment
extent
reconstitution.
By
contrast,
all
MS
treated
generated
CD4
CD8
skewed
responses,
compromising
circulating
follicular
helper
(TFH)
augmenting
induction,
while
preserving
type
1
(TH1)
priming.
Patients
lacking
anti-RBD
IgG
had
the
severe
defect
TFH
more
robust
responses.
These
data
define
nature
landscape
aCD20-treated
provide
insights
into
coordinated
humans.
Our
findings
have
implications
for
clinical
decision-making
public
health
policy
including
those
aCD20.
New England Journal of Medicine,
Journal Year:
2022,
Volume and Issue:
387(11), P. 1011 - 1020
Published: Aug. 31, 2022
T
he
coronavirus
disease
2019
(Covid-19)
pandemic
has
claimed
an
estimated
15
million
lives,
including
more
than
1
lives
in
the
United
States
alone.The
rapid
development
of
multiple
Covid-19
vaccines
been
a
triumph
biomedical
research,
and
billions
vaccine
doses
have
administered
worldwide.Challenges
facing
field
include
inequitable
distribution,
hesitancy,
waning
immunity,
emergence
highly
transmissible
viral
variants
that
partially
escape
antibodies.This
review
summarizes
current
state
knowledge
about
immune
responses
to
importance
both
humoral
cellular
immunity
for
durable
protection
against
severe
disease.
A
nti
v
ir
l
Immunit
yThe
system
is
broadly
divided
into
innate
adaptive
systems.Innate
are
first
line
defense
viruses
rapidly
triggered
when
pattern-recognition
receptors,
such
as
toll-like
recognize
pathogen-associated
molecular
patterns.Innate
antiviral
includes
secretion
type
I
interferons,
cytokines,
certain
responses,
neutrophils,
monocytes
macrophages,
dendritic
cells,
natural
killer
cells.
Adaptive
second
viruses,
involve
antigen-specific
recognition
epitopes.Adaptive
two
complementary
branches
system:
immunity.Humoral
acute
respiratory
syndrome
2
(SARS-CoV-2)
antibodies
bind
SARS-CoV-2
spike
protein
either
neutralize
virus
or
eliminate
it
through
other
effector
mechanisms.
2,3ellular
virus-specific
B
cells
which
provide
long-term
immunologic
memory
expand
on
reexposure
antigen.B
produce
antibodies,
CD8+
directly
virally
infected
CD4+
help
support
responses.5][6][7]
For
variant
largely
escapes
neutralizing
may
be
particularly
important
longterm
The Lancet Rheumatology,
Journal Year:
2021,
Volume and Issue:
3(11), P. e789 - e797
Published: Sept. 7, 2021
B-cell-depleting
therapies
increase
the
risk
of
morbidity
and
mortality
due
to
COVID-19.
Evidence-based
SARS-CoV-2
vaccination
strategies
for
patients
on
are
scarce.
We
aimed
investigate
humoral
cell-mediated
immune
responses
mRNA-based
vaccines
in
receiving
CD20-targeted
agents
autoimmune
disease,
malignancy,
or
transplantation.The
RituxiVac
study
was
an
investigator-initiated,
single-centre,
open-label
done
at
Bern
University
Hospital
(Bern,
Switzerland).
Patients
with
a
treatment
history
anti-CD20-depleting
(rituximab
ocrelizumab)
no
previous
infection
were
enrolled
between
April
26
June
30,
2021,
analysis
(by
interferon-γ
[IFNγ]
release
assay)
least
4
weeks
after
completing
against
SARS-CoV-2.
Healthy
controls
without
also
All
participants
received
two
doses
either
Pfizer-BioNTech
BNT162b2
vaccine
Moderna
mRNA-1273
vaccine.
The
primary
outcome
proportion
anti-CD20
who
showed
response
spike
protein
comparison
immunocompetent
controls.
Prespecified
secondary
endpoints
effect
therapy
(including
time
since
last
cumulative
dose)
vaccination,
biomarkers
immunocompetence.
This
is
registered
ClinicalTrials.gov,
NCT04877496.The
final
population
comprised
96
29
median
age
67
years
(IQR
57-72)
54
(45-62),
51
(53%)
19
(66%)
female.
1·07
0·48-2·55)
dose
depleting
agent
2·80
g
(1·50-5·00).
Anti-spike
IgG
antibodies
detected
47
(49%)
1·79
months
1·16-2·48)
second
compared
(100%)
1·81
(1·17-2·48)
(p<0·001).
SARS-CoV-2-specific
IFNγ
13
(20%)
66
21
(75%)
28
healthy
Only
nine
(14%)
double
positive
anti-SARS-CoV-2
responses,
Time
(>7·6
months;
predictive
value
0·78),
peripheral
CD19+
cell
count
(>27
cells
per
μL;
0·70),
CD4+
lymphocyte
(>653
0·71)
(area
under
curve
[AUC]
67%
[95%
CI
56-78]
therapy,
[55-80]
count,
66%
[54-79]
count).This
provides
further
evidence
blunted
elicited
by
mRNA
CD20
treatment.
Lymphocyte
subpopulation
counts
associated
this
highly
vulnerable
population.
On
validation,
these
results
could
help
guide
both
administration
population.Bern
Hospital.