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Long-Term Immunity against SARS-CoV-2 Wild-Type and Omicron XBB.1.5 in Indonesian Residents after Vaccination and Infection. 印度尼西亚居民接种疫苗和感染后对 SARS-CoV-2 野生型和 Omicron XBB.1.5 的长期免疫力。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-09-02 DOI: 10.3390/antib13030072
Karismananda, Ammar Abdurrahman Hasyim, Akihiko Sakamoto, Kyouhei Yamagata, Kartika Hardianti Zainal, Desi Dwirosalia Ningsih Suparman, Ika Yustisia, Marhaen Hardjo, Syahrijuita Kadir, Mitsuhiro Iyori, Shigeto Yoshida, Yenni Yusuf

In the post-pandemic era, evaluating long-term immunity against COVID-19 has become increasingly critical, particularly in light of continuous SARS-CoV-2 mutations. This study aimed to assess the long-term humoral immune response in sera collected in Makassar. We measured anti-RBD IgG levels and neutralization capacity (NC) against both the Wild-Type (WT) Wuhan-Hu and Omicron XBB.1.5 variants across groups of COVID-19-vaccinated individuals with no booster (NB), single booster (SB), and double booster (DB). The mean durations since the last vaccination were 25.11 months, 19.24 months, and 16.9 months for the NB, SB, and DB group, respectively. Additionally, we evaluated the effect of breakthrough infection (BTI) history, with a mean duration since the last confirmed infection of 21.72 months. Our findings indicate fair long-term WT antibody (Ab) titers, with the DB group showing a significantly higher level than the other groups. Similarly, the DB group demonstrated the highest anti-Omicron XBB.1.5 Ab titer, yet it was insignificantly different from the other groups. Although the level of anti-WT Ab titers was moderate, we observed near-complete (96-97%) long-term neutralization against the WT pseudo-virus for all groups. There was a slight decrease in NC against Omicron XBB.1.5 compared to the WT among all groups, as DB group, SB group, and NB group showed 80.71 ± 3.9%, 74.29 ± 6.7%, and 67.2 ± 6.3% neutralization activity, respectively. A breakdown analysis based on infection and vaccine status showed that booster doses increase the NC against XBB.1.5, particularly in individuals without BTI. Individuals with BTI demonstrate a better NC compared to their counterpart uninfected individuals with the same number of booster doses. Our findings suggest that long-term immunity against SARS-CoV-2 persists and is effective against the mutant variant. Booster doses enhance the NC, especially among uninfected individuals.

在后大流行时代,评估对 COVID-19 的长期免疫力变得越来越重要,尤其是在 SARS-CoV-2 不断变异的情况下。本研究旨在评估在望加锡采集的血清中的长期体液免疫反应。我们测量了各组接种过 COVID-19 疫苗(无加强剂 (NB)、单加强剂 (SB) 和双加强剂 (DB))的人体内抗野生型(WT)武汉-Hu 和 Omicron XBB.1.5 变种的抗 RBD IgG 水平和中和能力 (NC)。NB、SB 和 DB 组距最后一次接种疫苗的平均时间分别为 25.11 个月、19.24 个月和 16.9 个月。此外,我们还评估了突破性感染(BTI)史的影响,自最后一次确诊感染以来的平均持续时间为 21.72 个月。我们的研究结果表明,长期 WT 抗体 (Ab) 滴度尚可,其中 DB 组的水平明显高于其他组。同样,DB 组的抗 Omicron XBB.1.5 抗体滴度最高,但与其他组相比差异不大。虽然抗 WT 抗体滴度水平适中,但我们观察到所有组对 WT 伪病毒的长期中和作用接近完全(96-97%)。与 WT 相比,各组对 Omicron XBB.1.5 的中和活性略有下降,DB 组、SB 组和 NB 组的中和活性分别为 80.71 ± 3.9%、74.29 ± 6.7% 和 67.2 ± 6.3%。根据感染和疫苗状态进行的细分分析表明,加强剂量可提高对 XBB.1.5 的中和活性,尤其是对无 BTI 的个体。与未感染的人相比,接种相同剂量加强剂的 BTI 感染者的 NC 值更高。我们的研究结果表明,对 SARS-CoV-2 的长期免疫力持续存在,并能有效抵抗变异株。加强剂量可增强 NC,尤其是在未感染者中。
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引用次数: 0
Functional Activity of Cytokine-Induced Killer Cells Enhanced by CAR-CD19 Modification or by Soluble Bispecific Antibody Blinatumomab. 通过 CAR-CD19 修饰或可溶性双特异性抗体 Blinatumomab 增强细胞因子诱导的杀伤细胞的功能活性。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-30 DOI: 10.3390/antib13030071
Silvia Zaninelli, Silvia Panna, Sarah Tettamanti, Giusi Melita, Andrea Doni, Francesca D'Autilia, Rut Valgardsdottir, Elisa Gotti, Alessandro Rambaldi, Josée Golay, Martino Introna

Strategies to increase the anti-tumor efficacy of cytokine-induced killer cells (CIKs) include genetic modification with chimeric antigen receptors (CARs) or the addition of soluble T-cell engaging bispecific antibodies (BsAbs). Here, CIKs were modified using a transposon system integrating two distinct anti-CD19 CARs (CAR-MNZ and CAR-BG2) or combined with soluble CD3xCD19 BsAb blinatumomab (CIK + Blina). CAR-MNZ bearing the CD28-OX40-CD3ζ signaling modules, and CAR-BG2, designed on the Tisagenlecleucel CAR sequence (Kymriah®), carrying the 4-1BB and CD3ζ signaling elements, were employed. After transfection and CIK expansion, cells expressed CAR-CD19 to a similar extent (35.9% CAR-MNZ and 17.7% CAR-BG2). In vitro evaluations demonstrated robust proliferation and cytotoxicity (~50% cytotoxicity) of CARCIK-MNZ, CARCIK-BG2, and CIK + Blina against CD19+ target cells, suggesting similar efficacy. All effectors formed an increased number of synapses, activated NFAT and NFkB, and secreted IL-2 and IFN-ɣ upon encountering targets. CIK + Blina displayed strongest NFAT and IFN-ɣ induction, whereas CARCIK-BG2 demonstrated superior synapse formation. All the effectors have shown therapeutic activity in vivo against the CD19+ Daudi tumor model, with CARCIK cells showing a more durable response compared to CIK + Blina, likely due to the short half-life of Blina in this model.

提高细胞因子诱导的杀伤细胞(CIKs)抗肿瘤功效的策略包括用嵌合抗原受体(CARs)进行基因修饰或添加可溶性T细胞参与双特异性抗体(BsAbs)。在这里,我们使用整合了两种不同抗 CD19 CARs(CAR-MNZ 和 CAR-BG2)的转座子系统或结合可溶性 CD3xCD19 双特异性抗体 blinatumomab(CIK + Blina)对 CIK 进行了改造。CAR-MNZ带有CD28-OX40-CD3ζ信号模块,CAR-BG2根据Tisagenlecleucel CAR序列(Kymriah®)设计,带有4-1BB和CD3ζ信号元件。转染和 CIK 扩增后,细胞表达 CAR-CD19 的程度相似(CAR-MNZ 为 35.9%,CAR-BG2 为 17.7%)。体外评估显示,CARCIK-MNZ、CARCIK-BG2 和 CIK + Blina 对 CD19+ 靶细胞具有强大的增殖和细胞毒性(约 50% 的细胞毒性),表明它们具有相似的功效。所有效应物在遇到靶细胞时都会形成更多的突触,激活 NFAT 和 NFkB,并分泌 IL-2 和 IFN-ɣ。CIK + Blina的NFAT和IFN-ɣ诱导作用最强,而CARCIK-BG2的突触形成作用更强。所有效应物在体内都显示出对 CD19+ Daudi 肿瘤模型的治疗活性,与 CIK + Blina 相比,CARCIK 细胞显示出更持久的反应,这可能是由于 Blina 在该模型中的半衰期较短。
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引用次数: 0
A Physiologically Based Pharmacokinetic Model Relates the Subcutaneous Bioavailability of Monoclonal Antibodies to the Saturation of FcRn-Mediated Recycling in Injection-Site-Draining Lymph Nodes. 基于生理学的药代动力学模型将单克隆抗体的皮下生物利用度与注射部位引流淋巴结中由 FcRn 促成的再循环饱和度联系起来。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-15 DOI: 10.3390/antib13030070
Felix Stader, Cong Liu, Abdallah Derbalah, Hiroshi Momiji, Xian Pan, Iain Gardner, Masoud Jamei, Armin Sepp

The bioavailability of a monoclonal antibody (mAb) or another therapeutic protein after subcutaneous (SC) dosing is challenging to predict from first principles, even if the impact of injection site physiology and drug properties on mAb bioavailability is generally understood. We used a physiologically based pharmacokinetic model to predict pre-systemic clearance after SC administration mechanistically by incorporating the FcRn salvage pathway in antigen-presenting cells (APCs) in peripheral lymph nodes, draining the injection site. Clinically observed data of the removal rate of IgG from the arm as well as its plasma concentration after SC dosing were mostly predicted within the 95% confidence interval. The bioavailability of IgG was predicted to be 70%, which mechanistically relates to macropinocytosis in the draining lymph nodes and transient local dose-dependent partial saturation of the FcRn receptor in the APCs, resulting in higher catabolism and consequently less drug reaching the systemic circulation. The predicted free FcRn concentration was reduced to 40-45%, reaching the minimum 1-2 days after the SC administration of IgG, and returned to baseline after 8-12 days, depending on the site of injection. The model predicted the uptake into APCs, the binding affinity to FcRn, and the dose to be important factors impacting the bioavailability of a mAb.

单克隆抗体(mAb)或其他治疗性蛋白质皮下注射(SC)后的生物利用度很难根据第一原理进行预测,即使注射部位的生理学和药物特性对 mAb 生物利用度的影响已被普遍了解。我们使用基于生理学的药代动力学模型,结合注射部位引流的外周淋巴结中抗原递呈细胞(APCs)的 FcRn 挽救途径,从机理上预测皮下注射后的前系统清除率。临床观察到的 IgG 从手臂的清除率数据以及经皮下注射后的血浆浓度大部分都在 95% 的置信区间内。据预测,IgG 的生物利用度为 70%,从机理上讲,这与引流淋巴结中的大蛋白细胞作用和 APCs 中 FcRn 受体的瞬时局部剂量依赖性部分饱和有关,从而导致分解率升高,因此进入全身循环的药物减少。预测的游离 FcRn 浓度降低到 40-45%,在 IgG 经皮下注射后 1-2 天达到最低,根据注射部位的不同,8-12 天后恢复到基线。该模型预测,APC 的吸收、与 FcRn 的结合亲和力以及剂量是影响 mAb 生物利用度的重要因素。
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引用次数: 0
Dynamics of IgM and IgG Antibody Response Profile against Linear B-Cell Epitopes from Exoerythrocytic (CelTOS and TRAP) and Erythrocytic (CyRPA) Phases of Plasmodium vivax: Follow-Up Study. 针对间日疟原虫红细胞外期(CelTOS 和 TRAP)和红细胞期(CyRPA)线性 B 细胞表位的 IgM 和 IgG 抗体反应谱的动态变化:后续研究。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-15 DOI: 10.3390/antib13030069
Cinthia Magalhães Rodolphi, Isabela Ferreira Soares, Ada da Silva Matos, Rodrigo Nunes Rodrigues-da-Silva, Marcelo Urbano Ferreira, Lilian Rose Pratt-Riccio, Paulo Renato Rivas Totino, Kézia Katiani Gorza Scopel, Josué da Costa Lima-Junior

Malaria is a serious health problem worldwide affecting mainly children and socially vulnerable people. The biological particularities of P. vivax, such as the ability to generate dormant liver stages, the rapid maturation of gametocytes, and the emergence of drug resistance, have contributed to difficulties in disease control. In this context, developing an effective vaccine has been considered a fundamental tool for the efficient control and/or elimination of vivax malaria. Although recombinant proteins have been the main strategy used in designing vaccine prototypes, synthetic immunogenic peptides have emerged as a viable alternative for this purpose. Considering, therefore, that in the Brazilian endemic population, little is known about the profile of the humoral immune response directed to synthetic peptides that represent different P. vivax proteins, the present work aimed to map the epitope-specific antibodies' profiles to synthetic peptides representing the linear portions of the ookinete and sporozoite cell passage protein (CelTOS), thrombospondin-related adhesive protein (TRAP), and cysteine-rich protective antigen (CyRPA) proteins in the acute (AC) and convalescent phases (Conv30 and Conv180 after infection) of vivax malaria. The results showed that the studied subjects responded to all proteins for at least six months following infection. For IgM, a few individuals (3-21%) were positive during the acute phase of the disease; the highest frequencies were observed for IgG (28-57%). Regarding the subclasses, IgG2 and IgG3 stood out as the most prevalent for all peptides. During the follow-up, the stability of IgG was observed for all peptides. Only one significant positive correlation was observed between IgM and exposure time. We conclude that for all the peptides, the immunodominant epitopes are recognized in the exposed population, with similar frequency and magnitude. However, if the antibodies detected in this study are potential protectors, this needs to be investigated.

疟疾是全世界的一个严重健康问题,主要影响儿童和社会弱势群体。间日疟的生物学特性,如产生休眠肝阶段的能力、配子细胞的快速成熟以及抗药性的出现,给疾病控制带来了困难。在这种情况下,开发有效的疫苗被认为是有效控制和/或消灭间日疟的基本工具。虽然重组蛋白一直是设计疫苗原型的主要策略,但合成免疫原肽已成为这方面的可行替代品。因此,考虑到在巴西疟疾流行人群中,对代表不同 P. vivax 蛋白的合成肽的体液免疫反应概况知之甚少,本研究对其进行了分析。本研究旨在绘制在间日疟急性期(AC)和恢复期(感染后的 Conv30 和 Conv180),代表卵细胞和孢子虫细胞通道蛋白(CelTOS)、凝血酶相关粘附蛋白(TRAP)和富半胱氨酸保护性抗原(CyRPA)线性部分的合成肽的表位特异性抗体图谱。结果显示,研究对象在感染后至少六个月内对所有蛋白都有反应。在疾病的急性期,少数人(3-21%)的 IgM 呈阳性;IgG 的阳性率最高(28-57%)。在亚类方面,IgG2 和 IgG3 在所有肽中最为常见。在随访期间,所有肽中的 IgG 均保持稳定。在 IgM 和暴露时间之间只观察到一个明显的正相关。我们的结论是,对于所有肽,暴露人群都能识别免疫优势表位,其频率和程度相似。但是,如果本研究中检测到的抗体是潜在的保护因子,则需要对此进行调查。
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引用次数: 0
Identification of Conserved Linear Epitopes on Viral Protein 2 of Foot-and-Mouth Disease Virus Serotype O by Monoclonal Antibodies 6F4.D11.B6 and 8D6.B9.C3. 用单克隆抗体 6F4.D11.B6 和 8D6.B9.C3 鉴定口蹄疫病毒血清型 O 的病毒蛋白 2 上的保守线性表位。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-07 DOI: 10.3390/antib13030067
Wantanee Tommeurd, Kanyarat Thueng-In, Sirin Theerawatanasirikul, Nongnaput Tuyapala, Sukontip Poonsuk, Nantawan Petcharat, Nattarat Thangthamniyom, Porntippa Lekcharoensuk

Foot-and-mouth disease (FMD) is a highly infectious disease of cloven-hoofed animals with a significant economic impact. Early diagnosis and effective prevention and control could reduce the spread of the disease which could possibly minimize economic losses. Epitope characterization based on monoclonal antibodies provide essential information for developing diagnostic assays and vaccine designs. In this study, monoclonal antibodies raised against FMD virus (FMDV) were produced. Sixty-six monoclonal antibodies demonstrated strong reactivity and specificity to FMDV. The purified monoclonal antibodies were further used for bio-panning to select phage expressing specific epitopes from phage-displayed 12 mer-peptide library. The phage peptide sequences were analyzed using multiple sequence alignment and evaluated by peptide ELISA. Two hybridoma clones secreted monoclonal antibodies recognizing linear epitopes on VP2 of FMDV serotype O. The non-neutralizing monoclonal antibody 6F4.D11.B6 recognized the residues 67-78 on antigenic site 2 resinding in VP2, while the neutralizing monoclonal antibody 8D6.B9.C3 recognized a novel linear epitope encompassing residues 115-126 on VP2. This information and the FMDV-specific monoclonal antibodies provide valuable sources for further study and application in diagnosis, therapeutics and vaccine designs to strengthen the disease prevention and control measures.

口蹄疫(FMD)是蹄类动物的一种高度传染病,对经济有重大影响。早期诊断和有效防控可以减少疾病的传播,从而将经济损失降到最低。基于单克隆抗体的表位特征描述为开发诊断测试和疫苗设计提供了重要信息。本研究制备了针对口蹄疫病毒(FMDV)的单克隆抗体。66种单克隆抗体对口蹄疫病毒具有很强的反应性和特异性。纯化的单克隆抗体被进一步用于生物筛选,从噬菌体显示的 12 mer 肽库中选择表达特定表位的噬菌体。噬菌体多肽序列通过多重序列比对进行分析,并通过多肽酶联免疫吸附进行评估。两个杂交瘤克隆分泌的单克隆抗体可识别FMDV血清型O的VP2上的线性表位。非中和单克隆抗体6F4.D11.B6可识别VP2中抗原位点2 resinding上的残基67-78,而中和单克隆抗体8D6.B9.C3可识别VP2上包含残基115-126的新型线性表位。这些信息和口蹄疫病毒特异性单克隆抗体为进一步研究和应用于诊断、治疗和疫苗设计以加强疾病防控措施提供了宝贵资料。
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引用次数: 0
Enhanced N-Glycan Profiling of Therapeutic Monoclonal Antibodies through the Application of Upper-Hinge Middle-Up Level LC-HRMS Analysis. 通过应用上铰链中上水平 LC-HRMS 分析增强治疗性单克隆抗体的 N-糖谱分析。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-06 DOI: 10.3390/antib13030066
Natalia Mesonzhnik, Anton Belushenko, Polina Novikova, Alexey Kukharenko, Mikhail Afonin

Therapeutic monoclonal antibodies (mAbs) are crucial in modern medicine due to their effectiveness in treating various diseases. However, the structural complexity of mAbs, particularly their glycosylation patterns, presents challenges for quality control and biosimilarity assessment. This study explores the use of upper-hinge middle-up (UHMU)-level ultra-high-performance liquid chromatography-high-resolution mass spectrometry (LC-HRMS) analysis to improve N-glycan profiling of mAbs. Two specific enzymes, known as IgG degradation enzymes (IGDEs), were used to selectively cleave therapeutic mAbs above the hinge region to separate antibody subunits for further Fc glycan analysis by means of the UHMU/LC-HRMS workflow. The complexity of the mass spectra of IGDEs-digested mAbs was significantly reduced compared to the intact MS level, enabling reliable assignment and relative quantitation of paired Fc glycoforms. The results of the UHMU/LC-HRMS analysis of nine approved therapeutics highlight the significance of this approach for in-depth glycoform profiling.

治疗性单克隆抗体(mAbs)因其治疗各种疾病的有效性而成为现代医学的关键。然而,mAbs 结构复杂,尤其是其糖基化模式,给质量控制和生物相似性评估带来了挑战。本研究探索了利用上铰链中间向上(UHMU)级超高效液相色谱-高分辨质谱(LC-HRMS)分析来改进 mAbs 的 N-糖谱分析。通过UHMU/LC-HRMS工作流程,两种被称为IgG降解酶(IGDEs)的特异性酶被用来选择性地裂解铰链区以上的治疗用mAbs,以分离抗体亚基,进一步进行Fc糖分析。与完整的质谱水平相比,IGDEs 消化的 mAbs 质谱的复杂性大大降低,因此可以对配对的 Fc 糖型进行可靠的分配和相对定量。对九种获批治疗药物进行的 UHMU/LC-HRMS 分析结果突显了这种方法对深入分析糖形的重要意义。
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引用次数: 0
The Seraph 100® Microbind Affinity Blood Filter Does Not Alter Levels of Circulating or Mucosal Antibodies in Critical COVID-19 Patients. Seraph 100® Microbind Affinity 血液过滤器不会改变 COVID-19 重症患者的循环或粘膜抗体水平。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-06 DOI: 10.3390/antib13030065
Tonia L Conner, Pooja Vir, Eric D Laing, Ian J Stewart, Edward Mitre, Kathleen P Pratt

PURIFY-OBS-1 is an observational study evaluating the safety and efficacy of Seraph 100® Microbind Affinity Blood Filter (Seraph 100) use for COVID-19 patients with respiratory failure admitted to the intensive care unit (ICU). The Seraph 100 is a hemoperfusion device containing heparin-coated beads that can bind to, and reduce levels of, some circulating pathogens and inflammatory molecules. This study evaluated whether treatment with the Seraph 100 affected circulating and mucosal antibody levels in critically ill COVID-19 subjects. SARS-CoV-2 anti-spike and anti-nucleocapsid IgG and IgA levels in serum were evaluated at enrollment and on days 1, 4, 7, and 28 after Seraph 100 application, while anti-spike and nucleocapsid IgG, IgA, and secretory IgA levels in tracheal aspirates were evaluated at enrollment and on days 1, 2, 3, 7, and 28. Serum samples were also collected from the pre- and post-filter lines at 1 and 4 h following Seraph 100 application to evaluate the direct impact of the filter on circulating antibody levels. Treatment with the Seraph 100 did not alter the levels of circulating or mucosal antibodies in critically ill COVID-19 subjects admitted to the ICU.

PURIFY-OBS-1 是一项观察性研究,旨在评估重症监护室 (ICU) 中呼吸衰竭的 COVID-19 患者使用 Seraph 100® Microbind Affinity 血液过滤器(Seraph 100)的安全性和有效性。Seraph 100 是一种血液灌流装置,内含肝素涂层微珠,可与某些循环病原体和炎症分子结合并降低其水平。本研究评估了使用 Seraph 100 治疗是否会影响 COVID-19 重症患者的循环和粘膜抗体水平。在入组时和使用 Seraph 100 后的第 1、4、7 和 28 天,对血清中的 SARS-CoV-2 抗尖头病毒和抗核头状病毒 IgG 和 IgA 水平进行了评估;在入组时和使用 Seraph 100 后的第 1、2、3、7 和 28 天,对气管吸出物中的抗尖头病毒和抗核头状病毒 IgG、IgA 和分泌型 IgA 水平进行了评估。在使用 Seraph 100 后的 1 小时和 4 小时,还从使用过滤器前和使用过滤器后的人群中采集了血清样本,以评估过滤器对循环抗体水平的直接影响。在重症监护室接受治疗的 COVID-19 重症患者中,使用 Seraph 100 不会改变循环抗体或粘膜抗体的水平。
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引用次数: 0
Knowledge of the Serological Response to the Third BNT162b2 Vaccination May Influence Compliance of Healthcare Workers to Booster Dose. 对第三次 BNT162b2 疫苗接种血清反应的了解可能会影响医护人员对加强剂量的依从性。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-01 DOI: 10.3390/antib13030063
Avi Magid, Khetam Hussein, Halima Dabaja-Younis, Moran Szwarcwort-Cohen, Ronit Almog, Michal Mekel, Avi Weissman, Gila Hyams, Vardit Gepstein, Netanel A Horowitz, Hagar Cohen Saban, Jalal Tarabeia, Michael Halberthal, Yael Shachor-Meyouhas

Background: Previous studies showed that the fourth SARS-CoV-2 vaccine dose has a protective effect against infection, as well as against severe disease and death. This study aimed to examine whether knowledge of a high-level antibody after the third dose may reduce compliance to the fourth booster dose among healthcare workers (HCWs).

Methods: We conducted a prospective cohort study among HCWs vaccinated with the first three doses at Rambam Healthcare Campus, a tertiary hospital in northern Israel. Participants underwent a serological test before the fourth booster vaccine was offered to all of them, with results provided to participants. The population was divided into two groups, namely those with antibodies below 955 AU/mL and those with 955 AU/mL and higher, a cutoff found protective in a previous study. Multiple logistic regression was carried out to compare the compliance to the fourth booster between the two groups, adjusted for demographic and clinical variables.

Results: After adjusting for the confounding variables, the compliance was higher in those with antibody levels below 955 AU/mL (OR = 1.41, p = 0.05, 95% CI 1.10-1.96). In addition, male sex and age of 60 years and above were also associated with higher vaccination rates (OR = 2.28, p < 0.001, 95% CI 1.64-3.17), (OR = 1.14, p = 0.043, 95% CI 1.06-1.75), respectively.

Conclusions: Knowledge of the antibody status may affect compliance with the booster dose. Considering waning immunity over time, reduced compliance may affect the protection of HCWs who declined the fourth dose.

背景:以前的研究表明,第四剂SARS-CoV-2疫苗对感染、严重疾病和死亡有保护作用。本研究旨在探讨在接种第三剂疫苗后了解高水平抗体是否会降低医护人员对第四剂加强免疫的依从性:我们在以色列北部的一家三甲医院兰巴姆医疗中心对接种了前三剂疫苗的医护人员进行了一项前瞻性队列研究。在为所有参与者接种第四针加强疫苗之前,我们对他们进行了血清学检测,并向参与者提供了检测结果。人群被分为两组,即抗体低于 955 AU/mL 的人群和抗体高于 955 AU/mL 的人群。在对人口统计学和临床变量进行调整后,进行了多元逻辑回归,以比较两组患者对第四次加强治疗的依从性:结果:在调整了混杂变量后,抗体水平低于 955 AU/mL 的人群依从性更高(OR = 1.41,P = 0.05,95% CI 1.10-1.96)。此外,男性和 60 岁及以上年龄也分别与较高的疫苗接种率相关(OR = 2.28,p < 0.001,95% CI 1.64-3.17)和(OR = 1.14,p = 0.043,95% CI 1.06-1.75):对抗体状况的了解可能会影响对加强剂量的依从性。考虑到免疫力会随着时间的推移而减弱,依从性的降低可能会影响对拒绝接受第四剂的高危工人的保护。
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引用次数: 0
Novel Flow Cytometry Method Detecting Complement C1q Bound to Blood Type A/B IgG Antibody for Preventing Severe Antibody-Mediated Rejection in ABO-Incompatible Kidney Transplantation. 新型流式细胞术检测补体C1q与血型A/B IgG抗体结合的方法,用于预防ABO血型不相容肾移植中严重的抗体介导排斥反应。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-01 DOI: 10.3390/antib13030062
Tsutomu Ishizuka, Kazuhiro Iwadoh, Hiroshi Kataoka, Junichi Hoshino, Kosaku Nitta, Hideki Ishida

We aimed to develop a novel method for measuring the complement-binding ability of anti-blood type antibodies (ab-Abs), the flow cytometry method for the complement C1q test (FCM-C1q) for detecting antibody-mediated rejection (AMR) caused by ab-Abs in ABO-incompatible kidney transplantation (ABOI-KTx). FCM-C1q distribution was surveyed in 44 healthy participants and 43 dialysis patients (Cohort A). The relationship between AMR and FCM-C1q levels was examined along with ab-Ab titers by the flow cytometry method for the IgG test (FCM-IgG) in 62 ABOI-KTx patients (Cohort B). FCM-IgG and C1q levels were significantly higher in type O participants than in A/B participants in Cohort A. There were minimal differences in the distribution of FCM-IgG and C1q between dialysis and healthy participants. Sixteen cases were suspected of acute rejections (ARs) in Cohort B, of whom nine had AR clinically. One patient with severe AMR was highly suspected of hyperacute rejection along with another patient with severe AMR. Their postoperative FCM-C1q and FCM-IgG levels were elevated. Another two patients showed high FCM-IgG and C1q levels before KTx, and these levels remained low after KTx with no or mild rejection. In conclusion, our results suggest that a high positivity rate for FCM-C1q may predict moderate to severe AMR caused by ab-Abs and poor prognosis in ABOI-KTx.

我们旨在开发一种测量抗血型抗体(ab-Abs)补体结合能力的新方法--补体C1q检测流式细胞仪法(FCM-C1q),用于检测ABO血型不相容肾移植(ABOI-KTx)中由ab-Abs引起的抗体介导的排斥反应(AMR)。调查了 44 名健康参与者和 43 名透析患者(队列 A)的 FCM-C1q 分布情况。在 62 名 ABOI-KTx 患者(队列 B)中,采用流式细胞术方法进行 IgG 测试(FCM-IgG),同时检测 AMR 与 FCM-C1q 水平以及 ab-Ab 滴度之间的关系。透析患者和健康患者的 FCM-IgG 和 C1q 分布差异很小。B 组中有 16 例疑似急性排斥反应(AR),其中 9 例临床表现为 AR。一名严重急性排斥反应患者与另一名严重急性排斥反应患者被高度怀疑为超急性排斥反应。他们术后的 FCM-C1q 和 FCM-IgG 水平升高。另外两名患者在 KTx 术前 FCM-IgG 和 C1q 水平较高,KTx 术后这些水平保持在较低水平,无排斥反应或排斥反应轻微。总之,我们的研究结果表明,FCM-C1q 的高阳性率可能预示着由 ab-Abs 引起的中度至重度 AMR 以及 ABOI-KTx 的不良预后。
{"title":"Novel Flow Cytometry Method Detecting Complement C1q Bound to Blood Type A/B IgG Antibody for Preventing Severe Antibody-Mediated Rejection in ABO-Incompatible Kidney Transplantation.","authors":"Tsutomu Ishizuka, Kazuhiro Iwadoh, Hiroshi Kataoka, Junichi Hoshino, Kosaku Nitta, Hideki Ishida","doi":"10.3390/antib13030062","DOIUrl":"10.3390/antib13030062","url":null,"abstract":"<p><p>We aimed to develop a novel method for measuring the complement-binding ability of anti-blood type antibodies (ab-Abs), the flow cytometry method for the complement C1q test (FCM-C1q) for detecting antibody-mediated rejection (AMR) caused by ab-Abs in ABO-incompatible kidney transplantation (ABOI-KTx). FCM-C1q distribution was surveyed in 44 healthy participants and 43 dialysis patients (Cohort A). The relationship between AMR and FCM-C1q levels was examined along with ab-Ab titers by the flow cytometry method for the IgG test (FCM-IgG) in 62 ABOI-KTx patients (Cohort B). FCM-IgG and C1q levels were significantly higher in type O participants than in A/B participants in Cohort A. There were minimal differences in the distribution of FCM-IgG and C1q between dialysis and healthy participants. Sixteen cases were suspected of acute rejections (ARs) in Cohort B, of whom nine had AR clinically. One patient with severe AMR was highly suspected of hyperacute rejection along with another patient with severe AMR. Their postoperative FCM-C1q and FCM-IgG levels were elevated. Another two patients showed high FCM-IgG and C1q levels before KTx, and these levels remained low after KTx with no or mild rejection. In conclusion, our results suggest that a high positivity rate for FCM-C1q may predict moderate to severe AMR caused by ab-Abs and poor prognosis in ABOI-KTx.</p>","PeriodicalId":8188,"journal":{"name":"Antibodies","volume":"13 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention of Blood Incompatibility Related Hemagglutination: Blocking of Antigen A on Red Blood Cells Using In Silico Designed Recombinant Anti-A scFv. 预防与血液不相容有关的血凝现象:使用 In Silico 设计的重组抗 A scFv 阻断红细胞上的抗原 A。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-08-01 DOI: 10.3390/antib13030064
Saleha Hafeez, Najam Us Sahar Sadaf Zaidi

Critical blood shortages plague healthcare systems, particularly in lower-income and middle-income countries. This affects patients requiring regular transfusions and creates challenges during emergencies where universal blood is vital. To address these shortages and support blood banks during emergencies, this study reports a method for increasing the compatibility of blood group A red blood cells (RBCs) by blocking surface antigen-A using anti-A single chain fragment variable (scFv). To enhance stability, the scFv was first modified with the addition of interdomain disulfide bonds. The most effective location for this modification was found to be H44-L232 of mutant-1a scFv. ScFv was then produced from E.coli BL21(DE3) and purified using a three-step process. Purified scFvs were then used to block maximum number of antigens-A on RBCs, and it was found that only monomers were functional, while dimers formed through incorrect domain-swapping were non-functional. These antigen-blocked RBCs displayed no clumping in hemagglutination testing with incompatible blood plasma. The dissociation constant KD was found to be 0.724 μM. Antigen-blocked RBCs have the potential to be given to other blood groups during emergencies. This innovative approach could significantly increase the pool of usable blood, potentially saving countless lives.

血液严重短缺困扰着医疗系统,尤其是在低收入和中等收入国家。这不仅影响了需要定期输血的患者,而且在紧急情况下也带来了挑战,因为在紧急情况下,通用血液至关重要。为了解决这些短缺问题并在紧急情况下为血库提供支持,本研究报告了一种通过使用抗 A 单链片段变量(scFv)阻断表面抗原-A 来提高 A 型血红细胞(RBC)相容性的方法。为了提高稳定性,首先通过添加链间二硫键对 scFv 进行了修饰。这种修饰的最有效位置是突变体-1a scFv 的 H44-L232。然后用大肠杆菌 BL21(DE3)生产 ScFv,并采用三步法进行纯化。纯化后的 scFv 被用来阻断 RBC 上最大数量的抗原-A,结果发现只有单体才有功能,而通过不正确的结构域交换形成的二聚体则没有功能。在与不相容血浆进行血凝试验时,这些被抗原阻断的 RBC 不会出现凝集现象。解离常数 KD 为 0.724 μM。抗原阻断型红细胞有可能在紧急情况下提供给其他血型。这种创新方法可以大大增加可用血库,从而挽救无数生命。
{"title":"Prevention of Blood Incompatibility Related Hemagglutination: Blocking of Antigen A on Red Blood Cells Using <i>In Silico</i> Designed Recombinant Anti-A scFv.","authors":"Saleha Hafeez, Najam Us Sahar Sadaf Zaidi","doi":"10.3390/antib13030064","DOIUrl":"10.3390/antib13030064","url":null,"abstract":"<p><p>Critical blood shortages plague healthcare systems, particularly in lower-income and middle-income countries. This affects patients requiring regular transfusions and creates challenges during emergencies where universal blood is vital. To address these shortages and support blood banks during emergencies, this study reports a method for increasing the compatibility of blood group A red blood cells (RBCs) by blocking surface antigen-A using anti-A single chain fragment variable (scFv). To enhance stability, the scFv was first modified with the addition of interdomain disulfide bonds. The most effective location for this modification was found to be H44-L232 of mutant-1a scFv. ScFv was then produced from <i>E.coli</i> BL21(DE3) and purified using a three-step process. Purified scFvs were then used to block maximum number of antigens-A on RBCs, and it was found that only monomers were functional, while dimers formed through incorrect domain-swapping were non-functional. These antigen-blocked RBCs displayed no clumping in hemagglutination testing with incompatible blood plasma. The dissociation constant K<sub>D</sub> was found to be 0.724 μM. Antigen-blocked RBCs have the potential to be given to other blood groups during emergencies. This innovative approach could significantly increase the pool of usable blood, potentially saving countless lives.</p>","PeriodicalId":8188,"journal":{"name":"Antibodies","volume":"13 3","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Antibodies
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