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Biological Significance of Anti-SARS-CoV-2 Antibodies: Lessons Learned From Progressive Multifocal Leukoencephalopathy.

Identifieur interne : 000100 ( Main/Exploration ); précédent : 000099; suivant : 000101

Biological Significance of Anti-SARS-CoV-2 Antibodies: Lessons Learned From Progressive Multifocal Leukoencephalopathy.

Auteurs : Navid Manouchehri ; Lawrence Steinman ; Olaf Stuve [États-Unis]

Source :

RBID : pubmed:33361386

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To discuss the pathogenic and diagnostic relevance of cellular and humoral immune responses against severe acute respiratory syndrome novel coronavirus (SARS-COV-2) and pertinent observations made in progressive multifocal leukoencephalopathy (PML).

METHODS

Review of pertinent literature

CONCLUSION

Based on pathogenic lessons learned from PML under natalizumab therapy, we suggest the incorporation of functional assays that determine neutralizing properties of SARS-CoV-2-specific antibodies. In addition, we outline the potential role of T-cell detection assays in determining herd immunity in a given population or in studying therapeutic responses to vaccines.


DOI: 10.1212/NXI.0000000000000935
PubMed: 33361386
PubMed Central: PMC7768959


Affiliations:


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Le document en format XML

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<term>Adaptive Immunity (immunology)</term>
<term>Antibodies, Viral (immunology)</term>
<term>Antibody Formation (immunology)</term>
<term>Humans (MeSH)</term>
<term>Immunity, Humoral (immunology)</term>
<term>Leukoencephalopathy, Progressive Multifocal (drug therapy)</term>
<term>Leukoencephalopathy, Progressive Multifocal (immunology)</term>
<term>SARS-CoV-2 (immunology)</term>
<term>T-Lymphocytes (immunology)</term>
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<term>Anticorps antiviraux (immunologie)</term>
<term>Humains (MeSH)</term>
<term>Immunité acquise (immunologie)</term>
<term>Immunité humorale (immunologie)</term>
<term>Leucoencéphalopathie multifocale progressive (immunologie)</term>
<term>Leucoencéphalopathie multifocale progressive (traitement médicamenteux)</term>
<term>Lymphocytes T (immunologie)</term>
<term>Production d'anticorps (immunologie)</term>
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<term>Antibodies, Viral</term>
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<term>Leukoencephalopathy, Progressive Multifocal</term>
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<term>Anticorps antiviraux</term>
<term>Immunité acquise</term>
<term>Immunité humorale</term>
<term>Leucoencéphalopathie multifocale progressive</term>
<term>Lymphocytes T</term>
<term>Production d'anticorps</term>
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<term>Antibody Formation</term>
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<term>Leukoencephalopathy, Progressive Multifocal</term>
<term>SARS-CoV-2</term>
<term>T-Lymphocytes</term>
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<b>OBJECTIVE</b>
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<p>To discuss the pathogenic and diagnostic relevance of cellular and humoral immune responses against severe acute respiratory syndrome novel coronavirus (SARS-COV-2) and pertinent observations made in progressive multifocal leukoencephalopathy (PML).</p>
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<b>METHODS</b>
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<p>Review of pertinent literature</p>
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<b>CONCLUSION</b>
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<p>Based on pathogenic lessons learned from PML under natalizumab therapy, we suggest the incorporation of functional assays that determine neutralizing properties of SARS-CoV-2-specific antibodies. In addition, we outline the potential role of T-cell detection assays in determining herd immunity in a given population or in studying therapeutic responses to vaccines.</p>
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<b>.</b>
RESULTS: There is at least 1 precedent for an antibody response against a viral pathogen that fails to provide host protection in the absence of immune-competent CD4
<sup>+</sup>
T cells. PML is an infection of the CNS caused by JC virus (JCV), which commonly occurs during treatment with the therapeutic monoclonal antibody natalizumab. In this context, the humoral immune response fails to prevent JCV reactivation, and elevated anti-JCV serum indices are associated with a higher PML incidence. The more relevant immune-competent cells in host defense against JCV appear to be T cells. T cell-mediated responses are also detectable in convalescing patients with SARS-COV-2 irrespective of the humoral immune response.</AbstractText>
<AbstractText Label="CONCLUSION">Based on pathogenic lessons learned from PML under natalizumab therapy, we suggest the incorporation of functional assays that determine neutralizing properties of SARS-CoV-2-specific antibodies. In addition, we outline the potential role of T-cell detection assays in determining herd immunity in a given population or in studying therapeutic responses to vaccines.</AbstractText>
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