Frontiers in Immunology (Mar 2022)

Distinct Immune Response at 1 Year Post-COVID-19 According to Disease Severity

  • Chang Kyung Kang,
  • Minji Kim,
  • Minji Kim,
  • Minji Kim,
  • Jisu Hong,
  • Jisu Hong,
  • Jisu Hong,
  • Gwanghun Kim,
  • Gwanghun Kim,
  • Gwanghun Kim,
  • Soojin Lee,
  • Soojin Lee,
  • Soojin Lee,
  • Euijin Chang,
  • Pyoeng Gyun Choe,
  • Nam Joong Kim,
  • Ik Soo Kim,
  • Jun-Young Seo,
  • Jun-Young Seo,
  • Daesub Song,
  • Dong-Sup Lee,
  • Dong-Sup Lee,
  • Dong-Sup Lee,
  • Dong-Sup Lee,
  • Dong-Sup Lee,
  • Hyun Mu Shin,
  • Hyun Mu Shin,
  • Hyun Mu Shin,
  • Yong-Woo Kim,
  • Chang-Han Lee,
  • Chang-Han Lee,
  • Chang-Han Lee,
  • Chang-Han Lee,
  • Wan Beom Park,
  • Hang-Rae Kim,
  • Hang-Rae Kim,
  • Hang-Rae Kim,
  • Hang-Rae Kim,
  • Hang-Rae Kim,
  • Myoung-don Oh

DOI
https://doi.org/10.3389/fimmu.2022.830433
Journal volume & issue
Vol. 13

Abstract

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BackgroundDespite the fact of ongoing worldwide vaccination programs for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), understanding longevity, breadth, and type of immune response to coronavirus disease-19 (COVID-19) is still important to optimize the vaccination strategy and estimate the risk of reinfection. Therefore, we performed thorough immunological assessments 1 year post-COVID-19 with different severity.MethodsWe analyzed peripheral blood mononuclear cells and plasma samples at 1 year post-COVID-19 in patients who experienced asymptomatic, mild, and severe illness to assess titers of various isotypes of antibodies (Abs) against SARS-CoV-2 antigens, phagocytic capability, and memory B- and T-cell responses.FindingsA total of 24 patients (7, 9, and 8 asymptomatic, mild, and severe patients, respectively) and eight healthy volunteers were included in this study. We firstly showed that disease severity is correlated with parameters of immune responses at 1 year post-COVID-19 that play an important role in protecting against reinfection with SARS-CoV-2, namely, the phagocytic capacity of Abs and memory B-cell responses.InterpretationVarious immune responses at 1 year post-COVID-19, particularly the phagocytic capacity and memory B-cell responses, were dependent on the severity of the prior COVID-19. Our data could provide a clue for a tailored vaccination strategy after natural infection according to the severity of COVID-19.

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