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1.
Biomaterials ; 312: 122739, 2025 Jan.
Article in English | MEDLINE | ID: mdl-39096840

ABSTRACT

The biofilm-induced "relatively immune-compromised zone" creates an immunosuppressive microenvironment that is a significant contributor to refractory infections in orthopedic endophytes. Consequently, the manipulation of immune cells to co-inhibit or co-activate signaling represents a crucial strategy for the management of biofilm. This study reports the incorporation of Mn2+ into mesoporous dopamine nanoparticles (Mnp) containing the stimulator of interferon genes (STING) pathway activator cGAMP (Mncp), and outer wrapping by M1-like macrophage cell membrane (m-Mncp). The cell membrane enhances the material's targeting ability for biofilm, allowing it to accumulate locally at the infectious focus. Furthermore, m-Mncp mechanically disrupts the biofilm through photothermal therapy and induces antigen exposure through photodynamic therapy-generated reactive oxygen species (ROS). Importantly, the modulation of immunosuppression and immune activation results in the augmentation of antigen-presenting cells (APCs) and the commencement of antigen presentation, thereby inducing biofilm-specific humoral immunity and memory responses. Additionally, this approach effectively suppresses the activation of myeloid-derived suppressor cells (MDSCs) while simultaneously boosting the activity of T cells. Our study showcases the efficacy of utilizing m-Mncp immunotherapy in conjunction with photothermal and photodynamic therapy to effectively mitigate residual and recurrent infections following the extraction of infected implants. As such, this research presents a viable alternative to traditional antibiotic treatments for biofilm that are challenging to manage.


Subject(s)
Biofilms , Indoles , Membrane Proteins , Polymers , Biofilms/drug effects , Polymers/chemistry , Animals , Indoles/chemistry , Indoles/pharmacology , Mice , Membrane Proteins/metabolism , Nanoparticles/chemistry , Photochemotherapy/methods , Porosity , Macrophages/metabolism , Macrophages/drug effects , Reactive Oxygen Species/metabolism , Female , Signal Transduction/drug effects , Photothermal Therapy , Myeloid-Derived Suppressor Cells/metabolism , Myeloid-Derived Suppressor Cells/drug effects , Mice, Inbred C57BL
2.
Methods Mol Biol ; 2854: 1-7, 2025.
Article in English | MEDLINE | ID: mdl-39192112

ABSTRACT

Antiviral innate immunity is a complicated system initiated by the induction of type I interferon (IFN-I) and downstream interferon-stimulated genes (ISGs) and is finely regulated by numerous positive and negative factors at different signaling adaptors. During this process, posttranslational modifications, especially ubiquitination, are the most common regulatory strategy used by the host to switch the antiviral innate signaling pathway and are mainly controlled by E3 ubiquitin ligases from different protein families. A comprehensive understanding of the regulatory mechanisms and a novel discovery of regulatory factors involved in the IFN-I signaling pathway are important for researchers to identify novel therapeutic targets against viral infectious diseases based on innate immunotherapy. In this section, we use the E3 ubiquitin ligase as an example to guide the identification of a protein belonging to the RING Finger (RNF) family that regulates the RIG-I-mediated IFN-I pathway through ubiquitination.


Subject(s)
Immunity, Innate , Interferon Type I , Signal Transduction , Ubiquitin-Protein Ligases , Ubiquitination , Humans , Ubiquitin-Protein Ligases/metabolism , Ubiquitin-Protein Ligases/genetics , Interferon Type I/metabolism , Virus Diseases/immunology , Virus Diseases/genetics , Host-Pathogen Interactions/immunology , Host-Pathogen Interactions/genetics , DEAD Box Protein 58/metabolism , DEAD Box Protein 58/genetics
3.
Methods Mol Biol ; 2854: 41-50, 2025.
Article in English | MEDLINE | ID: mdl-39192117

ABSTRACT

The innate immune system relies on a variety of pathogen recognition receptors (PRRs) as the first line of defense against pathogenic invasions. Viruses have evolved multiple strategies to evade the host immune system through coevolution with hosts. The CRISPR-Cas system is an adaptive immune system in bacteria or archaea that defends against viral reinvasion by targeting nucleic acids for cleavage. Based on the characteristics of Cas proteins and their variants, the CRISPR-Cas system has been developed into a versatile gene-editing tool capable of gene knockout or knock-in operations to achieve genetic variations in organisms. It is now widely used in the study of viral immune evasion mechanisms. This chapter will introduce the use of the CRISPR-Cas9 system for editing herpes simplex virus 1 (HSV-1) genes to explore the mechanisms by which HSV-1 evades host innate immunity and the experimental procedures involved.


Subject(s)
CRISPR-Cas Systems , Gene Knockout Techniques , Herpesvirus 1, Human , Immune Evasion , Immunity, Innate , CRISPR-Cas Systems/genetics , Immunity, Innate/genetics , Herpesvirus 1, Human/immunology , Herpesvirus 1, Human/genetics , Immune Evasion/genetics , Humans , Gene Editing/methods , Animals , Host-Pathogen Interactions/immunology , Host-Pathogen Interactions/genetics , Herpes Simplex/immunology , Herpes Simplex/virology , Herpes Simplex/genetics
4.
Methods Mol Biol ; 2854: 51-60, 2025.
Article in English | MEDLINE | ID: mdl-39192118

ABSTRACT

The application of CRISPR-mediated library screening has fundamentally transformed functional genomics by revealing the complexity of virus-host interactions. This protocol describes the use of CRISPR-mediated library screening to identify key functional genes regulating the innate immune response to PEDV infection. We detail a step-by-step process, starting from the design and construction of a customized CRISPR knockout library targeting genes involved in innate immunity to the effective delivery of these constructs into cells using lentiviral vectors. Subsequently, we outline the process of identifying functional genes postviral attack, including the use of next-generation sequencing (NGS), to analyze and identify knockout cells that exhibit altered responses to infection. This integrated approach provides researchers in immunology and virology with a resource and a robust framework for uncovering the genetic basis of host-pathogen interactions and the arsenal of the innate immune system against viral invasions.


Subject(s)
CRISPR-Cas Systems , Gene Knockout Techniques , Gene Library , Immunity, Innate , Immunity, Innate/genetics , CRISPR-Cas Systems/genetics , Humans , High-Throughput Nucleotide Sequencing/methods , Host-Pathogen Interactions/immunology , Host-Pathogen Interactions/genetics , Cell Line , Lentivirus/genetics
5.
Methods Mol Biol ; 2854: 9-18, 2025.
Article in English | MEDLINE | ID: mdl-39192113

ABSTRACT

Antiviral innate immunity is the first line of defence against viruses. The interferon (IFN) signaling pathway, the DNA damage response (DDR), apoptosis, endoplasmic reticulum (ER) stress, and autophagy are involved in antiviral innate immunity. Viruses abrogate the antiviral immune response of cells to replication in various ways. Viral genes/proteins play a key role in evading antiviral innate immunity. Here, we will discuss the interference of viruses with antiviral innate immunity and the strategy for identifying viral gene/protein immune evasion.


Subject(s)
Immunity, Innate , Humans , Viral Proteins/immunology , Viral Proteins/genetics , Viruses/immunology , Viruses/genetics , Immune Evasion , Virus Diseases/immunology , Virus Diseases/virology , Animals , Genes, Viral , Autophagy/immunology , Host-Pathogen Interactions/immunology , Signal Transduction/immunology
6.
Methods Mol Biol ; 2854: 83-91, 2025.
Article in English | MEDLINE | ID: mdl-39192121

ABSTRACT

Transcriptomics is an extremely important area of molecular biology and is a powerful tool for studying all RNA molecules in an organism. Conventional transcriptomic technologies include microarrays and RNA sequencing, and the rapid development of single-cell sequencing and spatial transcriptomics in recent years has provided an enormous scope for research in this field. This chapter describes the application, significance, and experimental procedures of a variety of transcriptomic technologies in antiviral natural immunity.


Subject(s)
Gene Expression Profiling , Immunity, Innate , Transcriptome , Immunity, Innate/genetics , Humans , Gene Expression Profiling/methods , Animals , Virus Diseases/immunology , Virus Diseases/genetics , Sequence Analysis, RNA/methods , Single-Cell Analysis/methods , Oligonucleotide Array Sequence Analysis/methods
7.
Methods Mol Biol ; 2854: 93-106, 2025.
Article in English | MEDLINE | ID: mdl-39192122

ABSTRACT

As an interferon-stimulating factor protein, STING plays a role in the response and downstream liaison in antiviral natural immunity. Upon viral invasion, the immediate response of STING protein leads to a series of changes in downstream proteins, which ultimately leads to an antiviral immune response in the form of proinflammatory cytokines and type I interferons, thus triggering an innate immune response, an adaptive immune response in vivo, and long-term protection of the host. In the field of antiviral natural immunity, it is particularly important to rigorously and sequentially probe the dynamic changes in the antiviral natural immunity connector protein STING caused by the entire anti-inflammatory and anti-pathway mechanism and the differences in upstream and downstream proteins. Traditionally, proteomics technology has been validated by detecting proteins in a 2D platform, for which it is difficult to sensitively identify changes in the nature and abundance of target proteins. With the development of mass spectrometry (MS) technology, MS-based proteomics has made important contributions to characterizing the dynamic changes in the natural immune proteome induced by viral infections. MS analytical techniques have several advantages, such as high throughput, rapidity, sensitivity, accuracy, and automation. The most common techniques for detecting complex proteomes are liquid chromatography (LC) and mass spectrometry (MS). LC-MS (Liquid Chromatography-Mass Spectrometry), which combines the physical separation capability of LC and the mass analysis capability of MS, is a powerful technique mainly used for analyzing the proteome of cells, tissues, and body fluids. To explore the combination of traditional proteomics techniques such as Western blotting, Co-IP (co-Immunoprecipitation), and the latest LC-MS methods to probe the anti-inflammatory pathway and the differential changes in upstream and downstream proteins induced by the antiviral natural immune junction protein STING.


Subject(s)
Immunity, Innate , Proteomics , Proteomics/methods , Chromatography, Liquid/methods , Humans , Blotting, Western/methods , Mass Spectrometry/methods , Immunoprecipitation/methods , Animals , Membrane Proteins/metabolism , Membrane Proteins/immunology , Liquid Chromatography-Mass Spectrometry
8.
Methods Mol Biol ; 2854: 117-125, 2025.
Article in English | MEDLINE | ID: mdl-39192124

ABSTRACT

Beyond its role as the bearer of genetic material, DNA also plays a crucial role in the activation phase of innate immunity. Pathogen recognition receptors (PRRs) and their homologs, pathogen-associated molecular patterns (PAMPs), form the foundation for driving innate immune activation and the induction of immune responses during infection. In the context of DNA viruses or bacterial infections, specific DNA sequences are recognized and bound by DNA sensors, marking the DNA as a PAMP for host recognition and subsequent activation of innate immunity. The primary DNA sensor pathway known to date is cGAS-STING, which can induce Type I interferons (IFN) and innate immune responses against viruses and bacteria. Additionally, the cGAS-STING pathway has been identified to mediate functions in autophagy and senescence. Herein, we introduce methods for using DNA PAMPs as molecular tools to study the role of cGAS-STING and its signaling pathway in regulating innate immunity, both in vitro and in vivo.


Subject(s)
DNA , Immunity, Innate , Membrane Proteins , Nucleotidyltransferases , Signal Transduction , Nucleotidyltransferases/metabolism , Nucleotidyltransferases/genetics , Membrane Proteins/metabolism , Membrane Proteins/genetics , Humans , DNA/metabolism , DNA/genetics , Animals , Pathogen-Associated Molecular Pattern Molecules/metabolism , Pathogen-Associated Molecular Pattern Molecules/immunology , Mice
9.
Methods Mol Biol ; 2854: 61-74, 2025.
Article in English | MEDLINE | ID: mdl-39192119

ABSTRACT

With the rapid development of CRISPR-Cas9 technology, gene editing has become a powerful tool for studying gene function. Specifically, in the study of the mechanisms by which natural immune responses combat viral infections, gene knockout mouse models have provided an indispensable platform. This article describes a detailed protocol for constructing gene knockout mice using the CRISPR-Cas9 system. This field focuses on the design of single-guide RNAs (sgRNAs) targeting the antiviral immune gene cGAS, embryo microinjection, and screening and verification of gene editing outcomes. Furthermore, this study provides methods for using cGAS gene knockout mice to analyze the role of specific genes in natural immune responses. Through this protocol, researchers can efficiently generate specific gene knockout mouse models, which not only helps in understanding the functions of the immune system but also offers a powerful experimental tool for exploring the mechanisms of antiviral innate immunity.


Subject(s)
CRISPR-Cas Systems , Gene Editing , Immunity, Innate , Mice, Knockout , RNA, Guide, CRISPR-Cas Systems , Animals , Immunity, Innate/genetics , Mice , RNA, Guide, CRISPR-Cas Systems/genetics , Gene Editing/methods , Gene Knockout Techniques/methods , Nucleotidyltransferases/genetics , Nucleotidyltransferases/metabolism , Virus Diseases/immunology , Virus Diseases/genetics
10.
Methods Mol Biol ; 2854: 127-141, 2025.
Article in English | MEDLINE | ID: mdl-39192125

ABSTRACT

Luciferase reporter systems are commonly used in scientific research to investigate a variety of biological processes, including antiviral innate immunity. These systems employ the use of luciferase enzymes derived from organisms such as fireflies or renilla reniformis, which emit light upon reaction with a substrate. In the context of antiviral innate immunity, the luciferase reporter systems offer a noninvasive and highly sensitive approach for real-time monitoring of immune responses in vitro and in vivo, enabling researchers to delve into the intricate interactions and signaling pathways involved in host-virus dynamic interactions. Here, we describe the methods of the promoter-luciferase reporter and enhancer-luciferase reporter, which provide insights into the transcriptional and post-transcriptional regulation of antiviral innate immunity. Additionally, we outline the split-luciferase complementary reporter method, which was designed to explore protein-protein interactions associated with antiviral immunity. These methodologies offer invaluable knowledge regarding the molecular mechanisms underlying antiviral immune pathways and have the potential to support the development of effective antiviral therapies.


Subject(s)
Genes, Reporter , Immunity, Innate , Luciferases , Humans , Luciferases/metabolism , Luciferases/genetics , Animals , Interferons/metabolism , Interferons/immunology , Promoter Regions, Genetic , Antiviral Agents/pharmacology , HEK293 Cells , Host-Pathogen Interactions/immunology , Host-Pathogen Interactions/genetics
11.
Methods Mol Biol ; 2854: 143-151, 2025.
Article in English | MEDLINE | ID: mdl-39192126

ABSTRACT

Protein lysine acetylation involved in the antiviral innate immunity contributes to the regulation of antiviral inflammation responses, including type 1 interferon production and interferon-stimulated gene expression. Thus, investigation of acetylated antiviral proteins is vital for the complete understanding of inflammatory responses to viral infections. Immunoprecipitation (IP) assay with anti-targeted-protein antibody or with acetyl-lysine affinity beads followed by immunoblot provides a classical way to determine the potential modified protein in the antiviral innate pathways, whereas mass spectrometry can be utilized to identify the accurate acetylation lysine residues or explore the acetyl-proteomics. We demonstrate here comprehensive methods of protein lysine acetylation determination in virus-infected macrophages and embryonic fibroblast cells or proteins-overexpressed HEK 293 T cells in the context of antiviral innate immunity.


Subject(s)
Immunity, Innate , Lysine , Humans , Acetylation , Lysine/metabolism , HEK293 Cells , Immunoprecipitation/methods , Macrophages/immunology , Macrophages/metabolism , Protein Processing, Post-Translational , Proteomics/methods , Animals , Mass Spectrometry/methods , Mice , Fibroblasts/metabolism , Fibroblasts/immunology , Fibroblasts/virology
12.
Methods Mol Biol ; 2854: 199-212, 2025.
Article in English | MEDLINE | ID: mdl-39192131

ABSTRACT

Antiviral innate immunity plays a critical role in the defense against viral infections, yet its complex interactions with viruses have been challenging to study using traditional models. Organoids, three-dimensional (3D) tissue-like structures derived from stem cells, have emerged as powerful tools for modeling human tissues and studying the complex interactions between viruses and the host innate immune system. This chapter summarizes relevant applications of organoids in antiviral innate immunity studies and provides detailed information and experimental procedures for using organoids to study antiviral innate immunity.


Subject(s)
Immunity, Innate , Organoids , Virus Diseases , Organoids/immunology , Organoids/virology , Humans , Virus Diseases/immunology , Virus Diseases/virology , Animals , Host-Pathogen Interactions/immunology , Viruses/immunology
13.
Methods Mol Biol ; 2854: 221-236, 2025.
Article in English | MEDLINE | ID: mdl-39192133

ABSTRACT

Zebrafish is a widely used model organism in genetics, developmental biology, pathology, and immunology research. Due to their fast reproduction, large numbers, transparent early embryos, and high genetic conservation with the human genome, zebrafish have been used as a model for studying human and fish viral diseases. In particular, the ability to easily perform forward and reverse genetics and lacking a functional adaptive immune response during the early period of development establish the zebrafish as a favored option to assess the functional implication of specific genes in the antiviral innate immune response and the pathogenesis of viral diseases. In this chapter, we detail protocols for the antiviral innate immunity analysis using the zebrafish model, including the generation of gene-overexpression zebrafish, generation of gene-knockout zebrafish by clustered regularly interspaced short palindromic repeats (CRISPR)/Cas9 technology, methods of viral infection in zebrafish larvae, analyzing the expression of antiviral genes in zebrafish larvae using qRT-PCR, Western blotting and transcriptome sequencing, and in vivo antiviral assays. These experimental protocols provide effective references for studying the antiviral immune response in the zebrafish model.


Subject(s)
CRISPR-Cas Systems , Disease Models, Animal , Immunity, Innate , Zebrafish , Animals , Zebrafish/immunology , Zebrafish/genetics , Zebrafish/virology , Immunity, Innate/genetics , Virus Diseases/immunology , Virus Diseases/genetics , Gene Knockout Techniques , Animals, Genetically Modified
14.
Methods Mol Biol ; 2854: 189-197, 2025.
Article in English | MEDLINE | ID: mdl-39192130

ABSTRACT

This chapter summarizes the epidemiological study design of natural immune epidemiology studies based on recent COVID-19-related research. The epidemiological studies on antiviral innate immunity have mainly included randomized controlled trials (RCTs) and observational studies. Importantly, this chapter will discuss how to use these methodologies to answer an epidemiological question of natural immunity in the viral infection process based on previous studies. An observational case- or cohort-based study of antiviral innate immunity may support this theoretical hypothesis but is not appropriate for clinical practice or treatment. RCTs are the gold standard for epidemiological studies and occupy a greater role in the hierarchy of evidence.


Subject(s)
COVID-19 , Immunity, Innate , SARS-CoV-2 , Humans , COVID-19/immunology , COVID-19/epidemiology , COVID-19/virology , SARS-CoV-2/immunology , Randomized Controlled Trials as Topic , Epidemiologic Studies , Antiviral Agents/therapeutic use , Observational Studies as Topic
15.
Methods Mol Biol ; 2854: 237-251, 2025.
Article in English | MEDLINE | ID: mdl-39192134

ABSTRACT

The innate immune system is the first line of host defense against infection by pathogenic microorganisms, among which macrophages are important innate immune cells. Macrophages are widely distributed throughout the body and recognize and eliminate viruses through pattern recognition receptors (PRRs) to sense pathogen-associated molecular patterns (PAMPs). In the present chapter, we provide detailed protocols for vesicular stomatitis virus (VSV) amplification, VSV titer detection, isolation of mouse primary peritoneal macrophages, in vitro and in vivo VSV infection, detection of interferon-beta (IFN-ß) expression, and lung injury. These protocols provide efficient and typical methods to evaluate virus-induced innate immunity in vitro and in vivo.


Subject(s)
Immunity, Innate , Interferon-beta , Macrophages, Peritoneal , Vesiculovirus , Animals , Mice , Macrophages, Peritoneal/immunology , Macrophages, Peritoneal/virology , Macrophages, Peritoneal/metabolism , Interferon-beta/immunology , Interferon-beta/metabolism , Interferon-beta/genetics , Vesiculovirus/immunology , Vesiculovirus/genetics , Vesicular Stomatitis/immunology , Vesicular Stomatitis/virology , Vesicular stomatitis Indiana virus/immunology , Receptors, Pattern Recognition/metabolism , Receptors, Pattern Recognition/immunology
16.
Methods Mol Biol ; 2854: 213-220, 2025.
Article in English | MEDLINE | ID: mdl-39192132

ABSTRACT

Yeast two-hybrid (YTH) technology is a powerful tool for studying protein interactions and has been widely used in various fields of molecular biology, including the study of antiviral innate immunity. This chapter presents detailed information and experimental procedures for identifying virus-host protein interactions involved in immune regulation using yeast two-hybrid technology.


Subject(s)
Host-Pathogen Interactions , Immunity, Innate , Two-Hybrid System Techniques , Humans , Host-Pathogen Interactions/immunology , Viral Proteins/immunology , Viral Proteins/metabolism , Saccharomyces cerevisiae/immunology , Saccharomyces cerevisiae/genetics , Protein Binding , Protein Interaction Mapping/methods
17.
J Invest Dermatol ; 2024 Aug 29.
Article in English | MEDLINE | ID: mdl-39217537

ABSTRACT

Prurigo nodularis (PN) is a chronic, inflammatory skin condition characterized by multiple, intensely pruritic, distinctive nodular lesions. Subsequent scratching can further intensify the pruritus, culminating in a self-reinforcing itch-scratch cycle, which drives lesion development. The latest data indicate dysregulation of the neuroimmune axis in PN pathogenesis, including the involvement of sensory neurons, key effector immune cells, proinflammatory cytokines, dermal fibroblasts, and pruritogens. In this review, we highlight evidence supporting the role of type 2 immune axis dysregulation in driving the clinical presentation of PN and discuss how related signaling pathways may offer effective therapeutic targets to control PN signs and symptoms.

18.
Vaccine ; 42(24): 126263, 2024 Aug 31.
Article in English | MEDLINE | ID: mdl-39217775

ABSTRACT

Immunity protective against shigella infection targets the bacterial O-specific polysaccharide (OSP) component of lipopolysaccharide. A multivalent shigella vaccine would ideally target the most common global Shigella species and serotypes such as Shigella flexneri 2a, S. flexneri 3a, S. flexneri 6, and S. sonnei. We previously reported development of shigella conjugate vaccines (SCVs) targeting S. flexneri 2a (SCV-Sf2a) and 3a (SCV-Sf3a) using a platform squaric acid chemistry conjugation approach and carrier protein rTTHc, a 52 kDa recombinant protein fragment of the heavy chain of tetanus toxoid. Here we report development of a SCV targeting S. flexneri 6 (SCV-Sf6) using the same platform approach. We demonstrated that SCV-Sf6 was recognized by serotype-specific monoclonal antibodies and convalescent sera of humans recovering from shigellosis in Bangladesh, suggesting correct immunological display of OSP. We vaccinated mice and found induction of serotype-specific OSP and LPS IgG and IgM responses, as well as rTTHc-specific IgG responses. Immune responses were increased when administered with aluminum phosphate adjuvant. Vaccination induced bactericidal antibody responses against S. flexneri 6, and vaccinated animals were protected against lethal challenge with virulent S. flexneri 6. Our results assist in the development of a multivalent vaccine protective against shigellosis.

19.
Biochemistry (Mosc) ; 89(7): 1283-1299, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39218025

ABSTRACT

The multigene TRIM family is an important component of the innate immune system. For a long time, the main function of the genes belonging to this family was believed to be an antiviral defense of the host organism. The issue of their participation in the immune system response to bacterial invasion has been less studied. This review is the first comprehensive analysis of the mechanisms of functioning of the TRIM family genes in response to bacterial infections, which expands our knowledge about the role of TRIM in the innate immune system. When infected with different types of bacteria, individual TRIM proteins regulate inflammatory, interferon, and other responses of the immune system in the cells, and also affect autophagy and apoptosis. Functioning of TRIM proteins in response to bacterial infection, as well as viral infection, often includes ubiquitination and various protein-protein interactions with both bacterial proteins and host cell proteins. At the same time, some TRIM proteins, on the contrary, contribute to the infection development. Different members of the TRIM family possess similar mechanisms of response to viral and bacterial infection, and the final impact of these proteins could vary significantly. New data on the effect of TRIM proteins on bacterial infections make an important contribution to a more detailed understanding of the innate immune system functioning in animals and humans when interacting with pathogens. This data could also be used for the search of new targets for antibacterial defense.


Subject(s)
Bacterial Infections , Immunity, Innate , Tripartite Motif Proteins , Humans , Bacterial Infections/immunology , Bacterial Infections/genetics , Animals , Tripartite Motif Proteins/genetics , Tripartite Motif Proteins/metabolism , Multigene Family
20.
Am J Epidemiol ; 2024 Aug 31.
Article in English | MEDLINE | ID: mdl-39218430

ABSTRACT

Households are a primary setting for transmission of SARS-CoV-2. We examined the role of prior SARS-CoV-2 immunity on the risk of infection in household close contacts. Households in the United States with an individual who tested positive for SARS-CoV-2 during September 2021-May 2023 were enrolled if the index case's illness began ≤6 days prior. Household members had daily self-collected nasal swabs tested by RT-PCR for SARS-CoV-2. The effects of prior SARS-CoV-2 immunity (vaccination, prior infection, or hybrid immunity) on SARS-CoV-2 infection risk among household contacts were assessed by robust, clustered multivariable Poisson regression. Of 1,532 contacts (905 households), 8% had immunity from prior infection alone, 51% from vaccination alone, 29% hybrid immunity, and 11% had no prior immunity. Sixty percent of contacts tested SARS-CoV-2-positive during follow-up. The adjusted risk of SARS-CoV-2 infection was lowest among contacts with vaccination and prior infection (aRR: 0.81, 95% CI: 0.70, 0.93, compared with contacts with no prior immunity) and was lowest when the last immunizing event occurred ≤6 months before COVID-19 affected the household (aRR: 0.69, 95% CI: 0.57, 0.83). In high-transmission settings like households, immunity from COVID-19 vaccination and prior infection was synergistic in protecting household contacts from SARS-CoV-2 infection.

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