Antibody correlates of protection from SARS-CoV-2 reinfection prior to vaccination: A nested case-control within the SIREN study.

Antibody correlates of protection from SARS-CoV-2 reinfection prior to vaccination: A nested case-control within the SIREN study.
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DOI:
10.1016/j.jinf.2022.09.004
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发表时间:
2022-11
影响因子:
28.2
通讯作者:
Hall, Victoria
Hall, Victoria
中科院分区:
医学1区
文献类型:
--
作者:
Atti, Ana;Insalata, Ferdinando;Carr, Edward J.;Otter, Ashley D.;Castillo-Olivares, Javier;Wu, Mary;Harvey, Ruth;Howell, Michael;Chan, Andrew;Lyall, Jonathan;Temperton, Nigel;Cantoni, Diego;da Costa, Kelly;Nadesalingam, Angalee;Taylor-Kerr, Andrew;Hettiarachchi, Nipunadi;Tranquillini, Caio;Hewson, Jacqueline;Cole, Michelle J.;Foulkes, Sarah;Munro, Katie;Monk, Edward J. M.;Milligan, Iain D.;Linley, Ezra;Chand, Meera A.;Brown, Colin S.;Islam, Jasmin;Semper, Amanda;Charlett, Andre;Heeney, Jonathan L.;Beale, Rupert;Zambon, Maria;Hopkins, Susan;Brooks, Tim;Hall, Victoria

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To investigate serological differences between SARS-CoV-2 reinfection cases and contemporary controls, to identify antibody correlates of protection against reinfection. We performed a case-control study, comparing reinfection cases with singly infected individuals pre-vaccination, matched by gender, age, region and timing of first infection. Serum samples were tested for anti-SARS-CoV-2 spike (anti-S), anti-SARS-CoV-2 nucleocapsid (anti-N), live virus microneutralisation (LV-N) and pseudovirus microneutralisation (PV-N). Results were analysed using fixed effect linear regression and fitted into conditional logistic regression models. We identified 23 cases and 92 controls. First infections occurred before November 2020; reinfections occurred before February 2021, pre-vaccination. Anti-S levels, LV-N and PV-N titres were significantly lower among cases; no difference was found for anti-N levels. Increasing anti-S levels were associated with reduced risk of reinfection (OR 0·63, CI 0·47-0·85), but no association for anti-N levels (OR 0·88, CI 0·73-1·05). Titres >40 were correlated with protection against reinfection for LV-N Wuhan (OR 0·02, CI 0·001–0·31) and LV-N Alpha (OR 0·07, CI 0·009–0·62). For PV-N, titres >100 were associated with protection against Wuhan (OR 0·14, CI 0·03–0·64) and Alpha (0·06, CI 0·008–0·40). Before vaccination, protection against SARS-CoV-2 reinfection was directly correlated with anti-S levels, PV-N and LV-N titres, but not with anti-N levels. Detectable LV-N titres were sufficient for protection, whilst PV-N titres >100 were required for a protective effect. ISRCTN11041050
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