COVID-19 in Tunisia (North Africa): IgG and IgG subclass antibody responses to SARS-CoV-2 according to disease severity
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Abstract
Coronavirus disease 2019 (COVID-19) expresses a wide spectrum of disease severity. We investigated the profile of IgG and IgG subclass antibody responses to SARS– CoV-2 in Tunisian patients with COVID-19 according to disease severity (86 patients with severe disease and 63 with mild to moderate disease). Two in house developed ELISA with excellent performance were used to test for antibodies to the nucleocapsid (N) protein and the receptor-binding domain of the spike antigen (S-RBD) of SARS-CoV-2. IgG, IgG1 and IgG3 antibodies were significantly higher in patients with severe disease compared to non-severe disease. Antibodies to S-RBD or the N protein were dominated by IgG1 and IgG3 or IgG1/IgG3 and IgG2 subclasses respectively. In patients with severe disease, IgG antibodies ‘ appearance to S-RBD was delayed compared to the N protein. IgG subclass imbalance may reflect the pathophysiology of COVID-19 and may herald disease aggravation. This study brings information on the immune responses to SARS-CoV-2 in North African patients and completes the picture drawn on COVID-19 in different African populations and worldwide.
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SciScore for 10.1101/2022.03.01.22271696: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IACUC: The study protocol was approved by the Institut Pasteur de Tunis ethical committee (2020/21/I/LR16IPT/V2).
Consent: Patients were included after written informed consent.Sex as a biological variable Non-inclusion criteria were as follows: presence of a mental handicap, pregnant women and patients on immunosuppressive therapy. Randomization not detected. Blinding not detected. Power Analysis not detected. Cell Line Authentication not detected. Table 2: Resources
Antibodies Sentences Resources The quality control of the produced recombinant proteins was performed using several tests including western blot and MALDI-TOF. 2.3 Indirect ELISA for IgG antibodies to S-RBD and N SARS COV 2 proteins: … SciScore for 10.1101/2022.03.01.22271696: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IACUC: The study protocol was approved by the Institut Pasteur de Tunis ethical committee (2020/21/I/LR16IPT/V2).
Consent: Patients were included after written informed consent.Sex as a biological variable Non-inclusion criteria were as follows: presence of a mental handicap, pregnant women and patients on immunosuppressive therapy. Randomization not detected. Blinding not detected. Power Analysis not detected. Cell Line Authentication not detected. Table 2: Resources
Antibodies Sentences Resources The quality control of the produced recombinant proteins was performed using several tests including western blot and MALDI-TOF. 2.3 Indirect ELISA for IgG antibodies to S-RBD and N SARS COV 2 proteins: Ninety-six–well ELISA plates were coated overnight with recombinant proteins in phosphate-buffered saline (PBS) (50 ng for N and 100 ng for S-RBD in a volume of 50 µl per well). IgGsuggested: None2.4 Indirect ELISA for IgG subclass antibodies to S-RBD and N SARS COV 2 proteins: Plates were coated overnight with recombinant N protein (1µg/ml) or S-RBD (2µg/ml). IgG subclasssuggested: NoneExperimental Models: Cell Lines Sentences Resources Sf-9 cells were then infected with the recombinant baculoviruses at an MOI of 3. Sf-9suggested: CLS Cat# 604328/p700_Sf9, RRID:CVCL_0549)Plates were then washed six times, incubated with 8000-fold diluted peroxidase-conjugated goat anti-human IgG (Sigma, AG029) for 1 hour at 37°C. AG029suggested: NoneRecombinant DNA Sentences Resources 2.2 Recombinant proteins production and purification: Recombinant N protein was produced in Escherichia coli BL21 (DE3) using the pETM11/N-nCov-(His)6-Nter plasmid as previously described (Grzelak et al. 2020b). pETM11/N-nCov-suggested: NoneThe S-RBD (residues 319–541) of the SARS-CoV-2 spike protein (Wang et al. 2020) was cloned into a customized pFastBac vector. pFastBacsuggested: RRID:Addgene_1925)Software and Algorithms Sentences Resources Statistical analyses using nonparametric tests were performed using GraphBad Prism version 5 and p<0.05 was considered to be statistically significant. GraphBad Prismsuggested: NoneResults from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Our study has some limitations. We did not evaluate the effects of gender and age on antibodies responses in association with COVID-19 severity nor did we test to what extent comorbidities may impact the immune response against SARS-CoV-2. Further longitudinal studies are needed to monitor how the immune responses of patients with COVID-19 evolve over time in order to assess the immune signatures that may herald either recovery or aggravation.
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
Results from scite Reference Check: We found no unreliable references.
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