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Nat Commun . Elevated binding and functional antibody responses to SARS-CoV-2 in infants versus mothers

tetano

Editor, Senior Moderator
Nat Commun


. 2023 Aug 11;14(1):4864.
doi: 10.1038/s41467-023-40554-w. Elevated binding and functional antibody responses to SARS-CoV-2 in infants versus mothers

Caitlin I Stoddard[SUP] 1 [/SUP], Kevin Sung[SUP] 2 [/SUP], Zak A Yaffe[SUP] 1 3 [/SUP], Haidyn Weight[SUP] 1 [/SUP], Guillaume Beaudoin-Bussières[SUP] 4 5 [/SUP], Jared Galloway[SUP] 2 [/SUP], Soren Gantt[SUP] 5 6 [/SUP], Judith Adhiambo[SUP] 7 [/SUP], Emily R Begnel[SUP] 8 [/SUP], Ednah Ojee[SUP] 7 [/SUP], Jennifer Slyker[SUP] 8 [/SUP], Dalton Wamalwa[SUP] 7 [/SUP], John Kinuthia[SUP] 8 9 [/SUP], Andrés Finzi[SUP] 4 5 [/SUP], Frederick A Matsen 4th[SUP] 2 10 [/SUP], Dara A Lehman[SUP] 11 12 [/SUP], Julie Overbaugh[SUP] 13 14 [/SUP]



Affiliations
Abstract

Infant antibody responses to viral infection can differ from those in adults. However, data on the specificity and function of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies in infants, and direct comparisons between infants and adults are limited. Here, we characterize antibody binding and functionality against Wuhan-Hu-1 (B lineage) strain SARS-CoV-2 in convalescent plasma from 36 postpartum women and 14 of their infants infected with SARS-CoV-2 from a vaccine-naïve prospective cohort in Nairobi, Kenya. We find significantly higher antibody titers against SARS-CoV-2 Spike, receptor binding domain and N-terminal domain, and Spike-expressing cell-surface staining levels in infants versus mothers. Plasma antibodies from mothers and infants bind to similar regions of the Spike S2 subunit, including the fusion peptide (FP) and stem helix-heptad repeat 2. However, infants display higher antibody levels and more consistent antibody escape pathways in the FP region compared to mothers. Finally, infants have significantly higher levels of antibody-dependent cellular cytotoxicity (ADCC), though, surprisingly, Spike pseudovirus neutralization titers between infants and mothers are similar. These results suggest infants develop distinct SARS-CoV-2 binding and functional antibody activities and reveal age-related differences in humoral immunity to SARS-CoV-2 infection that could be relevant to protection and COVID-19 disease outcomes.


 
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