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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  1. 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

    EthicsIACUC: 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 variableNon-inclusion criteria were as follows: presence of a mental handicap, pregnant women and patients on immunosuppressive therapy.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    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).
    IgG
    suggested: None
    2.4 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 subclass
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Sf-9 cells were then infected with the recombinant baculoviruses at an MOI of 3.
    Sf-9
    suggested: 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.
    AG029
    suggested: None
    Recombinant DNA
    SentencesResources
    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: None
    The S-RBD (residues 319–541) of the SARS-CoV-2 spike protein (Wang et al. 2020) was cloned into a customized pFastBac vector.
    pFastBac
    suggested: RRID:Addgene_1925)
    Software and Algorithms
    SentencesResources
    Statistical analyses using nonparametric tests were performed using GraphBad Prism version 5 and p<0.05 was considered to be statistically significant.
    GraphBad Prism
    suggested: None

    Results 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.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.