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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9466351PMC
http://dx.doi.org/10.1007/s00415-022-11353-yDOI Listing

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SARS-CoV-2 infection induces a humoral immune response, producing virus-specific antibodies such as IgM, IgG, and IgA. IgA antibodies are present at mucosal sites, protecting against respiratory and other mucosal infections, including SARS-CoV-2, by neutralizing viruses or impeding attachment to epithelial cells. Since SARS-CoV-2 spreads through the nasopharynx, the specific IgAs of SARS-CoV-2 are produced quickly after infection, effectively contributing to virus neutralization.

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HIV causes intense polyclonal activation of B cells, resulting in increased numbers of spontaneously antibody-secreting cells in the circulation and hypergammaglobulinemia. It is accompanied by significant perturbations in various B cell subsets, such as increased frequencies of immature/transitional B cells, activated memory B cells, atypical memory B cells, short-lived plasmablasts and regulatory B cells, as well as by decreased frequencies of resting memory and resting naïve B cells. Furthermore, both memory and antigen-inexperienced naïve B cells show exhausted and immune-senescent phenotypes.

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Background/objectives: Although the protective effects of zinc against COVID-19 are documented, its impact on COVID-19 vaccine immunogenicity remains unknown.

Methods: We conducted a prospective study involving a cohort of 79 Japanese individuals (aged 21-56 years; comprising three subcohorts) and measured their serum zinc levels pre-vaccination and anti-SARS-CoV-2 IgM/IgG levels pre- and post-vaccination over 4 months.

Results: Serum zinc concentrations ranged between 74-140 and 64-113 μg/dL in male and female individuals, respectively, with one male and 11 female participants exhibiting subclinical zinc deficiency (60-80 μg/dL).

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An infant was diagnosed as having X-linked agammaglobulinemia (XLA) at age 3 months and was receiving immunoglobulin replacement therapy. He developed SARS-CoV-2 infection at age 7 months and was treated with intravenous immunoglobulin, remdesivir, and dexamethasone. His respiratory symptoms improved quickly, and the infection resolved.

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Article Synopsis
  • - SARS-CoV-2, responsible for COVID-19, is rapidly evolving, making the development of effective and safe vaccines critical for public health, with the Betuvax-CoV-2 vaccine showing promise in previous trials.
  • - A study compared monovalent and bivalent vaccines' ability to neutralize different SARS-CoV-2 strains, revealing that while both types had strengths against certain variants, neither performed well against the Omicron BQ.1 strain at lower doses.
  • - The research implies that vaccine effectiveness relies on matching the formulation to the circulating SARS-CoV-2 strain, and using a bivalent vaccine doesn't necessarily provide an advantage over a monovalent vaccine for a single variant.
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