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Front Immunol . Seroreactivity of the Severe Acute Respiratory Syndrome Coronavirus 2 Recombinant S Protein, Receptor-Binding Domain, and Its Recep

tetano

Editor, Senior Moderator
Front Immunol


. 2022 Apr 27;13:856033.
doi: 10.3389/fimmu.2022.856033. eCollection 2022.
Seroreactivity of the Severe Acute Respiratory Syndrome Coronavirus 2 Recombinant S Protein, Receptor-Binding Domain, and Its Receptor-Binding Motif in COVID-19 Patients and Their Cross-Reactivity With Pre-COVID-19 Samples From Malaria-Endemic Areas


Abdouramane Traoré[SUP] 1 [/SUP], Merepen A Guindo[SUP] 1 [/SUP], Drissa Konaté[SUP] 1 [/SUP], Bourama Traoré[SUP] 2 [/SUP], Seidina A Diakité[SUP] 1 [/SUP], Salimata Kanté[SUP] 1 [/SUP], Assitan Dembélé[SUP] 1 [/SUP], Abdourhamane Cissé[SUP] 1 [/SUP], Nathan C Incandela[SUP] 3 [/SUP], Mamoudou Kodio[SUP] 2 [/SUP], Yaya I Coulibaly[SUP] 2 [/SUP], Ousmane Faye[SUP] 2 [/SUP], Andrey V Kajava[SUP] 4 [/SUP], Federico Pratesi[SUP] 5 [/SUP], Paola Migliorini[SUP] 5 [/SUP], Anna Maria Papini[SUP] 6 [/SUP], Lorenzo Pacini[SUP] 6 [/SUP], Paolo Rovero[SUP] 7 [/SUP], Fosca Errante[SUP] 7 [/SUP], Mahamadou Diakité[SUP] 1 [/SUP], Myriam Arevalo-Herrera[SUP] 8 9 [/SUP], Socrates Herrera[SUP] 9 8 [/SUP], Giampietro Corradin[SUP] 10 [/SUP], Saidou Balam[SUP] 1 11 [/SUP]



Affiliations

Abstract

Despite the global interest and the unprecedented number of scientific studies triggered by the COVID-19 pandemic, few data are available from developing and low-income countries. In these regions, communities live under the threat of various transmissible diseases aside from COVID-19, including malaria. This study aims to determine the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) seroreactivity of antibodies from COVID-19 and pre-COVID-19 samples of individuals in Mali (West Africa). Blood samples from COVID-19 patients (n = 266) at Bamako Dermatology Hospital (HDB) and pre-COVID-19 donors (n = 283) from a previous malaria survey conducted in Dangassa village were tested by ELISA to assess IgG antibodies specific to the full-length spike (S) protein, the receptor-binding domain (RBD), and the receptor-binding motif (RBM[SUB]436-507[/SUB]). Study participants were categorized by age, gender, treatment duration for COVID-19, and comorbidities. In addition, the cross-seroreactivity of samples from pre-COVID-19, malaria-positive patients against the three antigens was assessed. Recognition of the SARS-CoV-2 proteins by sera from COVID-19 patients was 80.5% for S, 71.1% for RBD, and 31.9% for RBM (p < 0.001). While antibody responses to S and RBD tended to be age-dependent, responses to RBM were not. Responses were not gender-dependent for any of the antigens. Higher antibody levels to S, RBD, and RBM at hospital entry were associated with shorter treatment durations, particularly for RBD (p < 0.01). In contrast, higher body weights negatively influenced the anti-S antibody response, and asthma and diabetes weakened the anti-RBM antibody responses. Although lower, a significant cross-reactive antibody response to S (21.9%), RBD (6.7%), and RBM (8.8%) was detected in the pre-COVID-19 and malaria samples. Cross-reactive antibody responses to RBM were mostly associated (p < 0.01) with the absence of current Plasmodium falciparum infection, warranting further study.

Keywords: COVID-19 samples; Pre-COVID-19 samples; SARS-CoV-2 S protein; cross-reactivity; malaria endemic-area; seroreactivity.
 
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