抽象的许多临床参数与2019年严重冠状病毒病有关,但预防症状疾病的因素仍然未知。我们研究了严重的急性呼吸综合征2型(SARS-COV-2)和特有的人类冠状病毒(HCOV)抗体反应对纵向儿童队列中症状的症状的影响 瑞士。唾液(n = 4,993)和血浆(n = 7,486)对四个HCOV(亚基S1 [S1])和SARS-COV-2(S1,受体结合结构域,亚基S2 [s2],subunit S2 [s2],核苷酸蛋白)的抗体反应性与SARS-COV-2一起确定了SARS-COV-2。 (ba.2)在一个个体的子集中。推断最近的SARS-COV-2感染与粘膜与全身SARS-COV-2抗尖峰反应之间的强相关性有关。Individuals with pre-existing HCoV-S1 reactivity exhibited significantly higher antibody responses to SARS-CoV-2 in both plasma (IgG regression coefficients = 0.20, 95% CI = [0.09, 0.32], P < 0.001) and saliva (IgG regression coefficient = 0.60, 95% CI = [0.088, 1.11], P = 0.025).Saliva neutralization activity was modest but surprisingly broad, retaining activity against Wuhan (median NT50 = 32.0, 1Q–3Q = [16.4, 50.2]), Alpha (median NT50 = 34.9, 1Q–3Q = [26.0, 46.6]), and Delta (median NT50 = 28.0, 1Q–3Q = [19.9, 41.7])。与交叉反应性HCOV免疫触发的快速粘膜防御相一致,无症状的个体在血浆中具有较高的先前存在的HCOV-S1活性(IgG HKU1)(IgG HKU1)(IgG HKU1),异步比[OR] = 0.53,95%CI = [0.29,97],p = 0.29,0.97],p = 0.038)and = 0.038)和saliva(saliva and kc, = [0.33,0.91],p = 0.019)和唾液中较高的SARS-COV-2反应性(IgG S2倍变化= 1.26,95%CI = [1.03,1.54],p = 0.030)。通过研究人群中对SARS-COV-2和HCOV的全身和粘膜免疫反应,而无需事先暴露于SARS-COV-2或疫苗接种,我们确定了与缺乏症状发育有关的特定抗体反应性。
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