Persistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort study

Abstract Understanding the development of humoral immune responses of children and adolescents to SARS-CoV-2 is essential for designing effective public health measures. Here we examine the changes of humoral immune response in school-aged children and adolescents during the COVID-19 pandemic (June...

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Main Authors: Alessia Raineri, Thomas Radtke, Sonja Rueegg, Sarah R. Haile, Dominik Menges, Tala Ballouz, Agne Ulyte, Jan Fehr, Daniel L. Cornejo, Giuseppe Pantaleo, Céline Pellaton, Craig Fenwick, Milo A. Puhan, Susi Kriemler
Format: Article
Language:English
Published: Nature Portfolio 2023-11-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-43330-y
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author Alessia Raineri
Thomas Radtke
Sonja Rueegg
Sarah R. Haile
Dominik Menges
Tala Ballouz
Agne Ulyte
Jan Fehr
Daniel L. Cornejo
Giuseppe Pantaleo
Céline Pellaton
Craig Fenwick
Milo A. Puhan
Susi Kriemler
author_facet Alessia Raineri
Thomas Radtke
Sonja Rueegg
Sarah R. Haile
Dominik Menges
Tala Ballouz
Agne Ulyte
Jan Fehr
Daniel L. Cornejo
Giuseppe Pantaleo
Céline Pellaton
Craig Fenwick
Milo A. Puhan
Susi Kriemler
author_sort Alessia Raineri
collection DOAJ
description Abstract Understanding the development of humoral immune responses of children and adolescents to SARS-CoV-2 is essential for designing effective public health measures. Here we examine the changes of humoral immune response in school-aged children and adolescents during the COVID-19 pandemic (June 2020 to July 2022), with a specific interest in the Omicron variant (beginning of 2022). In our study “Ciao Corona”, we assess in each of the five testing rounds between 1874 and 2500 children and adolescents from 55 schools in the canton of Zurich with a particular focus on a longitudinal cohort (n=751). By July 2022, 96.9% (95% credible interval 95.3–98.1%) of children and adolescents have SARS-CoV-2 anti-spike IgG (S-IgG) antibodies. Those with hybrid immunity or vaccination have higher S-IgG titres and stronger neutralising responses against Wildtype, Delta and Omicron BA.1 variants compared to those infected but unvaccinated. S-IgG persist over 18 months in 93% of children and adolescents. During the study period one adolescent was hospitalised for less than 24 hours possibly related to an acute SARS-CoV-2 infection. These findings show that the Omicron wave and the rollout of vaccines boosted S-IgG titres and neutralising capacity. Trial registration number: NCT04448717. https://clinicaltrials.gov/ct2/show/NCT04448717 .
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spelling doaj.art-24b201b0fb244e8a901b71b1c2f253e22023-12-03T12:29:47ZengNature PortfolioNature Communications2041-17232023-11-0114111310.1038/s41467-023-43330-yPersistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort studyAlessia Raineri0Thomas Radtke1Sonja Rueegg2Sarah R. Haile3Dominik Menges4Tala Ballouz5Agne Ulyte6Jan Fehr7Daniel L. Cornejo8Giuseppe Pantaleo9Céline Pellaton10Craig Fenwick11Milo A. Puhan12Susi Kriemler13Epidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichService of Immunology and Allergy, Lausanne University Hospital (CHUV), University of Lausanne (UNIL)Service of Immunology and Allergy, Lausanne University Hospital (CHUV), University of Lausanne (UNIL)Service of Immunology and Allergy, Lausanne University Hospital (CHUV), University of Lausanne (UNIL)Epidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichEpidemiology, Biostatistics and Prevention Institute (EBPI), University of ZurichAbstract Understanding the development of humoral immune responses of children and adolescents to SARS-CoV-2 is essential for designing effective public health measures. Here we examine the changes of humoral immune response in school-aged children and adolescents during the COVID-19 pandemic (June 2020 to July 2022), with a specific interest in the Omicron variant (beginning of 2022). In our study “Ciao Corona”, we assess in each of the five testing rounds between 1874 and 2500 children and adolescents from 55 schools in the canton of Zurich with a particular focus on a longitudinal cohort (n=751). By July 2022, 96.9% (95% credible interval 95.3–98.1%) of children and adolescents have SARS-CoV-2 anti-spike IgG (S-IgG) antibodies. Those with hybrid immunity or vaccination have higher S-IgG titres and stronger neutralising responses against Wildtype, Delta and Omicron BA.1 variants compared to those infected but unvaccinated. S-IgG persist over 18 months in 93% of children and adolescents. During the study period one adolescent was hospitalised for less than 24 hours possibly related to an acute SARS-CoV-2 infection. These findings show that the Omicron wave and the rollout of vaccines boosted S-IgG titres and neutralising capacity. Trial registration number: NCT04448717. https://clinicaltrials.gov/ct2/show/NCT04448717 .https://doi.org/10.1038/s41467-023-43330-y
spellingShingle Alessia Raineri
Thomas Radtke
Sonja Rueegg
Sarah R. Haile
Dominik Menges
Tala Ballouz
Agne Ulyte
Jan Fehr
Daniel L. Cornejo
Giuseppe Pantaleo
Céline Pellaton
Craig Fenwick
Milo A. Puhan
Susi Kriemler
Persistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort study
Nature Communications
title Persistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort study
title_full Persistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort study
title_fullStr Persistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort study
title_full_unstemmed Persistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort study
title_short Persistent humoral immune response in youth throughout the COVID-19 pandemic: prospective school-based cohort study
title_sort persistent humoral immune response in youth throughout the covid 19 pandemic prospective school based cohort study
url https://doi.org/10.1038/s41467-023-43330-y
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