Characteristics of innate, humoral and cellular immunity in children with non-severe SARS-CoV-2 infection - 03/02/24
Summary |
The symptoms of children infected with SARS-CoV-2 are mainly asymptomatic, mild, moderate, and a few severe cases. To understand the immune response characteristics of children infected with SARS-COV-2 who do not develop severe cases, 82 children infected with the SARS-CoV-2 delta strain were recruited in this study. Our results showed that high levels of IgG, IgM, and neutralization antibodies appeared in children infected with SARS-CoV-2. SARS-CoV-2 induced upregulation of both pro-inflammatory factors including TNF-α and anti-inflammatory factors including IL-4 and IL-13 in the children, even IL-10. The expression of INF-α in infected children also showed a significant increase compared to healthy children. However, IL-6, one of the important inflammatory factors, did not show an increase in infected children. It is worth noting that a large number of chemokines reduced in the SARS-CoV-2-infected children. Subsequently, TCR Repertoire, TCRβ bias, and preferential usage were analyzed on data of TCR next-generation sequencing from 8 SARS-CoV-2-infected children and 8 healthy controls. We found a significant decrease in TCR clonal diversity and a significant increase in TCR clonal expansion in SARS-CoV-2-infected children compared to healthy children. The most frequent V and J genes in SARS-CoV-2 children were TRBV28 and TRBJ2–1. The most frequently VβJ gene pairing in SARS-CoV-2 infected children was TRBV20-1-TRBJ2-1. The strong antiviral antibody levels, low expression of key pro-inflammatory factors, significant elevation of anti-inflammatory factors, and downregulation of many chemokines jointly determine that SARS-CoV-2-infected children rarely develop severe cases. Overall, our findings shed a light on the immune response of non-severe children infected with SARS-CoV-2.
Le texte complet de cet article est disponible en PDF.Highlights |
• | High antibody levels in non-severe cases of children infected with SARS-CoV-2. |
• | Balanced cytokines and chemokines response may be jointly responsible for non-severe children infected with SARS-CoV-2 |
• | Significant decrease in TCR clonal diversity and obvious increase in TCR clonal expansion in SARS-CoV-2-infected children. |
• | The most frequent V and J genes were TRBV28 and TRBJ2-1 in SARS-CoV-2 infected children. |
• | The most frequent VβJ gene pairings were TRBV20-1-TRBJ2-1 in SARS-CoV-2 infected children. |
Keywords : Children, SARS-CoV-2, Antibody protection, Cytokines and chemokines, TCR repertoire
Plan
Vol 88 - N° 2
P. 158-166 - février 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.