Publications by authors named "Sean A Knudson"

Article Synopsis
  • The study analyzes the molecular composition of polyclonal IgG anti-spike antibodies from SARS-CoV-2 infection, vaccination, and their combination, termed "hybrid immunity."
  • It finds that infection mainly triggers antibodies reactive to the spike S2 and N-terminal domain, while vaccination predominantly induces antibodies that target the receptor-binding domain (RBD).
  • The research also shows how original IgG antibodies can enhance their effectiveness against SARS-CoV-2 variants after subsequent exposures, highlighted by the SC27 antibody's improved neutralization capabilities and binding affinity.
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Unlabelled: We used plasma IgG proteomics to study the molecular composition and temporal durability of polyclonal IgG antibodies triggered by ancestral SARS-CoV-2 infection, vaccination, or their combination ("hybrid immunity"). Infection, whether primary or post-vaccination, mainly triggered an anti-spike antibody response to the S2 domain, while vaccination predominantly induced anti-RBD antibodies. Immunological imprinting persisted after a secondary (hybrid) exposure, with >60% of the ensuing serological response originating from the initial antibodies generated during the first exposure.

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Study Design: Retrospective case series; systematic review.

Objective: It is unknown whether the use of virtual surgical planning (VSP) to facilitate same-admission microsurgical reconstruction of the mandible following acute maxillofacial ballistic trauma (MBT) is sufficient to achieve definitive reconstruction and functional occlusion.

Methods: A single-center retrospective analysis was conducted for patients who underwent microsurgical reconstruction of the mandible using VSP after acute MBT.

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A 21-year old woman with a history of Turner syndrome presented with a diastolic heart murmur, dizziness, dyspnea, and intermittent chest pain. Preoperative imaging revealed a fistula from the right sinus of Valsalva into the right atrium. Turner syndrome is associated with both aortopathy and congenital heart malformations.

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An 11-year-old male presented with right proptosis, bulbar conjunctivitis, and diplopia. Computerized tomography (CT) and magnetic resonance imaging revealed an enhancing mass involving the superio-medial orbit, ethmoids, frontal sinus, and anterior cranial fossa with skull base destruction. Diffuse large B-cell lymphoma was diagnosed via CT-guided biopsy.

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