Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patients

Some individuals do not return to baseline health following SARS-CoV-2 infection, leading to a condition known as long COVID. The underlying pathophysiology of long COVID remains unknown. Given that autoantibodies have been found to play a role in severity of SARS-CoV-2 infection and certain other p...

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Main Authors: Aaron Bodansky, Chung-Yu Wang, Aditi Saxena, Anthea Mitchell, Andrew F. Kung, Saki Takahashi, Khamal Anglin, Beatrice Huang, Rebecca Hoh, Scott Lu, Sarah A. Goldberg, Justin Romero, Brandon Tran, Raushun Kirtikar, Halle Grebe, Matthew So, Bryan Greenhouse, Matthew S. Durstenfeld, Priscilla Y. Hsue, Joanna Hellmuth, J. Daniel Kelly, Jeffrey N. Martin, Mark S. Anderson, Steven G. Deeks, Timothy J. Henrich, Joseph L. DeRisi, Michael J. Peluso
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-06-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.169515
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author Aaron Bodansky
Chung-Yu Wang
Aditi Saxena
Anthea Mitchell
Andrew F. Kung
Saki Takahashi
Khamal Anglin
Beatrice Huang
Rebecca Hoh
Scott Lu
Sarah A. Goldberg
Justin Romero
Brandon Tran
Raushun Kirtikar
Halle Grebe
Matthew So
Bryan Greenhouse
Matthew S. Durstenfeld
Priscilla Y. Hsue
Joanna Hellmuth
J. Daniel Kelly
Jeffrey N. Martin
Mark S. Anderson
Steven G. Deeks
Timothy J. Henrich
Joseph L. DeRisi
Michael J. Peluso
author_facet Aaron Bodansky
Chung-Yu Wang
Aditi Saxena
Anthea Mitchell
Andrew F. Kung
Saki Takahashi
Khamal Anglin
Beatrice Huang
Rebecca Hoh
Scott Lu
Sarah A. Goldberg
Justin Romero
Brandon Tran
Raushun Kirtikar
Halle Grebe
Matthew So
Bryan Greenhouse
Matthew S. Durstenfeld
Priscilla Y. Hsue
Joanna Hellmuth
J. Daniel Kelly
Jeffrey N. Martin
Mark S. Anderson
Steven G. Deeks
Timothy J. Henrich
Joseph L. DeRisi
Michael J. Peluso
author_sort Aaron Bodansky
collection DOAJ
description Some individuals do not return to baseline health following SARS-CoV-2 infection, leading to a condition known as long COVID. The underlying pathophysiology of long COVID remains unknown. Given that autoantibodies have been found to play a role in severity of SARS-CoV-2 infection and certain other post-COVID sequelae, their potential role in long COVID is important to investigate. Here, we apply a well-established, unbiased, proteome-wide autoantibody detection technology (T7 phage-display assay with immunoprecipitation and next-generation sequencing, PhIP-Seq) to a robustly phenotyped cohort of 121 individuals with long COVID, 64 individuals with prior COVID-19 who reported full recovery, and 57 pre-COVID controls. While a distinct autoreactive signature was detected that separated individuals with prior SARS-CoV-2 infection from those never exposed to SARS-CoV-2, we did not detect patterns of autoreactivity that separated individuals with long COVID from individuals fully recovered from COVID-19. These data suggest that there are robust alterations in autoreactive antibody profiles due to infection; however, no association of autoreactive antibodies and long COVID was apparent by this assay.
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spelling doaj.art-1714be604dc64b8c836e37862b1624a62023-11-07T16:25:42ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-06-01811Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patientsAaron BodanskyChung-Yu WangAditi SaxenaAnthea MitchellAndrew F. KungSaki TakahashiKhamal AnglinBeatrice HuangRebecca HohScott LuSarah A. GoldbergJustin RomeroBrandon TranRaushun KirtikarHalle GrebeMatthew SoBryan GreenhouseMatthew S. DurstenfeldPriscilla Y. HsueJoanna HellmuthJ. Daniel KellyJeffrey N. MartinMark S. AndersonSteven G. DeeksTimothy J. HenrichJoseph L. DeRisiMichael J. PelusoSome individuals do not return to baseline health following SARS-CoV-2 infection, leading to a condition known as long COVID. The underlying pathophysiology of long COVID remains unknown. Given that autoantibodies have been found to play a role in severity of SARS-CoV-2 infection and certain other post-COVID sequelae, their potential role in long COVID is important to investigate. Here, we apply a well-established, unbiased, proteome-wide autoantibody detection technology (T7 phage-display assay with immunoprecipitation and next-generation sequencing, PhIP-Seq) to a robustly phenotyped cohort of 121 individuals with long COVID, 64 individuals with prior COVID-19 who reported full recovery, and 57 pre-COVID controls. While a distinct autoreactive signature was detected that separated individuals with prior SARS-CoV-2 infection from those never exposed to SARS-CoV-2, we did not detect patterns of autoreactivity that separated individuals with long COVID from individuals fully recovered from COVID-19. These data suggest that there are robust alterations in autoreactive antibody profiles due to infection; however, no association of autoreactive antibodies and long COVID was apparent by this assay.https://doi.org/10.1172/jci.insight.169515COVID-19
spellingShingle Aaron Bodansky
Chung-Yu Wang
Aditi Saxena
Anthea Mitchell
Andrew F. Kung
Saki Takahashi
Khamal Anglin
Beatrice Huang
Rebecca Hoh
Scott Lu
Sarah A. Goldberg
Justin Romero
Brandon Tran
Raushun Kirtikar
Halle Grebe
Matthew So
Bryan Greenhouse
Matthew S. Durstenfeld
Priscilla Y. Hsue
Joanna Hellmuth
J. Daniel Kelly
Jeffrey N. Martin
Mark S. Anderson
Steven G. Deeks
Timothy J. Henrich
Joseph L. DeRisi
Michael J. Peluso
Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patients
JCI Insight
COVID-19
title Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patients
title_full Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patients
title_fullStr Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patients
title_full_unstemmed Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patients
title_short Autoantigen profiling reveals a shared post-COVID signature in fully recovered and long COVID patients
title_sort autoantigen profiling reveals a shared post covid signature in fully recovered and long covid patients
topic COVID-19
url https://doi.org/10.1172/jci.insight.169515
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