AI Article Synopsis

  • * Plasma samples were collected from 20 individuals exposed to or recovering from COVID-19, revealing that all subjects had SARS-CoV-2 specific IgG antibodies, with most showing high levels of nAb and strong ADCC activity.
  • * The results suggest that vaccines should not only assess neutralizing antibodies but also the ability to mediate ADCC, highlighting the need for a broader understanding of immune responses to SARS-CoV-2.

Article Abstract

Background: Neutralizing-antibody (nAb) is the major focus of most ongoing COVID-19 vaccine trials. However, nAb response against SARS-CoV-2, when present, decays rapidly. Given the myriad roles of antibodies in immune responses, it is possible that antibodies could also mediate protection against SARS-CoV-2 via effector mechanisms such as antibody-dependent cellular cytotoxicity (ADCC), which we sought to explore here.

Methods: Plasma of 3 uninfected controls and 20 subjects exposed to, or recovering from, SARS-CoV-2 infection were collected from U.S. and sub-Saharan Africa. Immunofluorescence assay was used to detect the presence of SARS-CoV-2 specific IgG antibodies in the plasma samples. SARS-CoV-2 specific neutralizing capability of these plasmas was assessed with SARS-CoV-2 spike pseudotyped virus. ADCC activity was assessed with a calcein release assay.

Results: SARS-CoV-2 specific IgG antibodies were detected in all COVID-19 subjects studied. All but three COVID-19 subjects contained nAb at high potency (>80% neutralization). Plasma from 19/20 of COVID-19 subjects also demonstrated strong ADCC activity against SARS-CoV-2 spike glycoprotein, including two individuals without nAb against SARS-CoV-2.

Conclusion: Both neutralizing and non-neutralizing COVID-19 plasmas can mediate ADCC. Our findings argue that evaluation of potential vaccines against SARS-CoV-2 should include investigation of the magnitude and durability of ADCC, in addition to nAb.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932539PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0247640PLOS

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