SARS-CoV-2 spike antibodies cross-react with dengue virus and enhance infection in vitro and in vivo

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Abstract

The presence of non-neutralizing antibodies of any dengue serotype, increase the severity of subsequent infection by other dengue serotypes. During SARS-CoV-2 pandemic, the number of symptomatic dengue cases increased in India. We describe that antibodies isolated from convalescent plasma from COVID-19 patients enhances DENV2 infection in vitro. CR3022, one antibody against SARS-CoV-2 spike protein, also showed elevated DENV2 infection in vitro. In silico protein-protein interactions between the spike antibodies and the DENV2 E-protein revealed significant interactions. Likewise, few monoclonal/polyclonal antibodies against SARS-CoV-2 showed increased dengue infection in vitro. Importantly, the AG129 mice infected with SARS-CoV-2 three-weeks prior to DENV2 infection, showed elevated dengue pathogenesis. Thus, highlighting the possibilities of elevated infection and symptomatic dengue disease in COVID-19 survivors.

Article activity feed

  1. Rosa Isela Gálvez, Ruben Diaz-Avalos, Theresa Gewering

    Review 3: "SARS-CoV-2 Antibodies Cross-React and Enhance Dengue Infection"

    Reviewers find the preprint's in vitro evidence for SARS-CoV-2 antibody enhancement of dengue infection potentially informative but advise corroborating with clinical and epidemiological data.

  2. Matthew Aliota

    Review 2: "SARS-CoV-2 Antibodies Cross-React and Enhance Dengue Infection"

    Reviewers find the preprint's in vitro evidence for SARS-CoV-2 antibody enhancement of dengue infection potentially informative but advise corroborating with clinical and epidemiological data.

  3. Eng-Eong Ooi

    Review 1: "SARS-CoV-2 Antibodies Cross-React and Enhance Dengue Infection"

    Reviewers find the preprint's in vitro evidence for SARS-CoV-2 antibody enhancement of dengue infection potentially informative but advise corroborating with clinical and epidemiological data.

  4. Strength of evidence

    Reviewers: E Ooi (Duke-NUS) | 📕 ◻️◻️◻️◻️
    M Aliota (University of Minnesota) | 📒📒📒◻️◻️
    R Gálvez, R Diaz-Avalos & T Gewering (La Jolla Institute for Immunology) | 📒📒📒◻️◻️