Immunity & Ageing (Nov 2022)

The oldest unvaccinated Covid-19 survivors in South America

  • Mateus V. de Castro,
  • Monize V. R. Silva,
  • Michel S. Naslavsky,
  • Marilia O. Scliar,
  • Kelly Nunes,
  • Maria Rita Passos-Bueno,
  • Erick C. Castelli,
  • Jhosiene Y. Magawa,
  • Flávia L. Adami,
  • Ana I. S. Moretti,
  • Vivian L. de Oliveira,
  • Silvia B. Boscardin,
  • Edecio Cunha-Neto,
  • Jorge Kalil,
  • Emmanuelle Jouanguy,
  • Paul Bastard,
  • Jean-Laurent Casanova,
  • Mauricio Quiñones-Vega,
  • Patricia Sosa-Acosta,
  • Jéssica S. de Guedes,
  • Natália P. de Almeida,
  • Fábio C. S. Nogueira,
  • Gilberto B. Domont,
  • Keity S. Santos,
  • Mayana Zatz

DOI
https://doi.org/10.1186/s12979-022-00310-y
Journal volume & issue
Vol. 19, no. 1
pp. 1 – 9

Abstract

Read online

Abstract Background Although older adults are at a high risk of severe or critical Covid-19, there are many cases of unvaccinated centenarians who had a silent infection or recovered from mild or moderate Covid-19. We studied three Brazilian supercentenarians, older than 110 years, who survived Covid-19 in 2020 before being vaccinated. Results Despite their advanced age, humoral immune response analysis showed that these individuals displayed robust levels of IgG and neutralizing antibodies (NAbs) against SARS-CoV-2. Enrichment of plasma proteins and metabolites related to innate immune response and host defense was also observed. None presented autoantibodies (auto-Abs) to type I interferon (IFN). Furthermore, these supercentenarians do not carry rare variants in genes underlying the known inborn errors of immunity, including particular inborn errors of type I IFN. Conclusion These observations suggest that their Covid-19 resilience might be a combination of their genetic background and their innate and adaptive immunity.

Keywords