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COVID-19 Severity Is Associated with Differential Antibody Fc-mediated Innate Immune Functions
Opeyemi S. Adeniji; Leila B. Giron; Netanel F Zilberstein; Maliha W Shaikh; Robert A Balk; James N Moy; Christopher B Forsyth; Ali Keshavarzian; Alan L Landay; Mohamed Abdel-Mohsen.
Affiliation
  • Opeyemi S. Adeniji; The Wistar Institute
  • Leila B. Giron; The Wistar Institute
  • Netanel F Zilberstein; Rush University
  • Maliha W Shaikh; Ruch University
  • Robert A Balk; Rush University
  • James N Moy; Rush University
  • Christopher B Forsyth; Rush University
  • Ali Keshavarzian; Rush University
  • Alan L Landay; Rush University
  • Mohamed Abdel-Mohsen; The Wistar Institute
Preprint in En | PREPRINT-BIORXIV | ID: ppbiorxiv-426209
ABSTRACT
Beyond neutralization, antibodies elicit several innate immune functions including complement deposition (ADCD), phagocytosis (ADCP), and cytotoxicity (ADCC). These functions can be both beneficial (by clearing pathogens) and/or detrimental (by inducing inflammation). We tested the possibility that qualitative differences in SARS-CoV-2 specific antibody-mediated innate immune functions contribute to Coronavirus disease 2019 (COVID-19) severity. We found that antibodies from hospitalized COVID-19 patients elicited higher ADCD but lower ADCP compared to antibodies from non-hospitalized COVID-19 patients. Consistently, higher ADCD was associated with higher systemic inflammation during COVID-19. Our study points to qualitative, differential features of anti-SARS-CoV-2 antibodies as potential contributors to COVID-19 severity.
License
cc_by_nc_nd
Full text: 1 Collection: 09-preprints Database: PREPRINT-BIORXIV Type of study: Prognostic_studies / Qualitative_research Language: En Year: 2021 Document type: Preprint
Full text: 1 Collection: 09-preprints Database: PREPRINT-BIORXIV Type of study: Prognostic_studies / Qualitative_research Language: En Year: 2021 Document type: Preprint