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Characteristics of innate, humoral and cellular immunity in children with non-severe SARS-CoV-2 infection - 03/02/24

Doi : 10.1016/j.jinf.2023.12.003 
Kexin Zong a, 1, Ping Yuan b, 1, Ruifang Wang a, Qin Luo a, Yanqing Yang a, Xiaohong Zhang b, Qinqin Song a, Haijun Du a, Chen Gao a, Juan Song a, Weihua Zhan c, Mengjie Zhang c, Yanhai Wang a, Qunying Lin d, Hailan Yao e, , Baosong Xie f, , Jun Han a,
a National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai Rd, Beijing 102206, China 
b Fujian Provincial Key Laboratory of Zoonosis Research (Fujian Center for Disease Control and Prevention); The Practice Base on the School of Public Health, Fujian Medical University, Fuzhou, Fujian 350011, China 
c Putian Center for Disease Control and Prevention, Putian, Fujian 351106, China 
d Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Putian University, Putian, Fujian 351100, China 
e Department of Biochemistry & Immunology, Capital Institute of Pediatrics, YaBao Rd, Beijing 100020, China 
f Department of Pulmonary and Critical Care Medicine, Fujian Provincial Hospital; Fujian Shengli Medical College, Fujian Medical University, Fuzhou, Fujian 350001, China 

Corresponding authors.

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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.

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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.

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Keywords : Children, SARS-CoV-2, Antibody protection, Cytokines and chemokines, TCR repertoire


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Vol 88 - N° 2

P. 158-166 - février 2024 Retour au numéro
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