Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico Hypothesis

BackgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for COVID-19 disease which is known to have a broad clinical spectrum, from asymptomatic to critical presentation leading to death. Many researchers have investigated the factors impacting the course of the disease...

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Main Authors: Mariem Gdoura, Raoua Touati, Sana Kalthoum, Rania Ben Slama, Nouel Fatnassi, Mehdi Mrad, Lamia Ammari, Nozha Brahmi, Amira Ben Jazia, Nahed Hogga, Henda Triki, Sondes Haddad-Boubaker
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.909660/full
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author Mariem Gdoura
Mariem Gdoura
Mariem Gdoura
Raoua Touati
Raoua Touati
Sana Kalthoum
Rania Ben Slama
Rania Ben Slama
Nouel Fatnassi
Nouel Fatnassi
Mehdi Mrad
Lamia Ammari
Lamia Ammari
Nozha Brahmi
Amira Ben Jazia
Nahed Hogga
Nahed Hogga
Henda Triki
Henda Triki
Sondes Haddad-Boubaker
Sondes Haddad-Boubaker
author_facet Mariem Gdoura
Mariem Gdoura
Mariem Gdoura
Raoua Touati
Raoua Touati
Sana Kalthoum
Rania Ben Slama
Rania Ben Slama
Nouel Fatnassi
Nouel Fatnassi
Mehdi Mrad
Lamia Ammari
Lamia Ammari
Nozha Brahmi
Amira Ben Jazia
Nahed Hogga
Nahed Hogga
Henda Triki
Henda Triki
Sondes Haddad-Boubaker
Sondes Haddad-Boubaker
author_sort Mariem Gdoura
collection DOAJ
description BackgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for COVID-19 disease which is known to have a broad clinical spectrum, from asymptomatic to critical presentation leading to death. Many researchers have investigated the factors impacting the course of the disease. Our previous in silico study suggested a possible protective effect of Hepatitis B, Tetanus and Measles vaccines against COVID-19. In continuity, we conducted a cross-sectional clinical study in order to confirm our in silico assumptions regarding the HBs-Ag antibodies.MethodsA representative sex- and age-matched sample of patients with confirmed COVID-19 was selected (n = 340). All clinical presentations were equally represented. Using an ELISA test, each patient benefited of a serology for the detection and measurement of the anti-HBs specific IgG antibodies. The obtained results allowed determining the different correlations between these antibody titers and the disease severity. The R® software and the MedCalc® software served to calculate the Spearman's coefficient of rank correlation (rho) for the obtained titers per severity group as well as the different other calculations and figure representations.ResultsA significant positive correlation was found with the anti-HBs titers (rho = 0.107; p = 0.04). High anti-HBs titers were significantly associated with the mild presentation of COVID-19. A significant difference was found between the obtained titers per severity class (chi-2 test, p = 0.03).Discussion/ConclusionOur findings demonstrated that anti-HBs titers were significantly higher for patients having mild COVID-19 presentations. We presume that being immunized against the HB may play a protective role in the course of the disease. Our study provided more key elements in understanding the disparity of the clinical spectrum among regions.
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spelling doaj.art-3e260408cc7447508523574e618253572022-12-22T02:27:51ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-07-01910.3389/fmed.2022.909660909660Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico HypothesisMariem Gdoura0Mariem Gdoura1Mariem Gdoura2Raoua Touati3Raoua Touati4Sana Kalthoum5Rania Ben Slama6Rania Ben Slama7Nouel Fatnassi8Nouel Fatnassi9Mehdi Mrad10Lamia Ammari11Lamia Ammari12Nozha Brahmi13Amira Ben Jazia14Nahed Hogga15Nahed Hogga16Henda Triki17Henda Triki18Sondes Haddad-Boubaker19Sondes Haddad-Boubaker20Laboratory of Clinical Virology, WHO Regional Reference Laboratory for Poliomyelitis and Measles for the EMR, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Clinical Biology, Faculty of Pharmacy of Monastir, University of Monastir, Monastir, TunisiaLaboratory of Clinical Virology, WHO Regional Reference Laboratory for Poliomyelitis and Measles for the EMR, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaCentre National de Veille Zoosanitaire, Tunis, TunisiaLaboratory of Clinical Virology, WHO Regional Reference Laboratory for Poliomyelitis and Measles for the EMR, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaCentre National de Veille Zoosanitaire, Tunis, TunisiaLaboratory of Biochemistry, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaInfectious Diseases Departement, Rabta Hospital, Tunis, TunisiaIntensive Care Service, Emergence Medical Assistance Center, Tunis, TunisiaIntensive Care Service, Emergence Medical Assistance Center, Tunis, TunisiaLaboratory of Clinical Virology, WHO Regional Reference Laboratory for Poliomyelitis and Measles for the EMR, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLaboratory of Clinical Virology, WHO Regional Reference Laboratory for Poliomyelitis and Measles for the EMR, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLaboratory of Clinical Virology, WHO Regional Reference Laboratory for Poliomyelitis and Measles for the EMR, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaLR20IPT10 Laboratory of Virus, Host and Vectors, Institut Pasteur de Tunis, University of Tunis El Manar, Tunis, TunisiaBackgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for COVID-19 disease which is known to have a broad clinical spectrum, from asymptomatic to critical presentation leading to death. Many researchers have investigated the factors impacting the course of the disease. Our previous in silico study suggested a possible protective effect of Hepatitis B, Tetanus and Measles vaccines against COVID-19. In continuity, we conducted a cross-sectional clinical study in order to confirm our in silico assumptions regarding the HBs-Ag antibodies.MethodsA representative sex- and age-matched sample of patients with confirmed COVID-19 was selected (n = 340). All clinical presentations were equally represented. Using an ELISA test, each patient benefited of a serology for the detection and measurement of the anti-HBs specific IgG antibodies. The obtained results allowed determining the different correlations between these antibody titers and the disease severity. The R® software and the MedCalc® software served to calculate the Spearman's coefficient of rank correlation (rho) for the obtained titers per severity group as well as the different other calculations and figure representations.ResultsA significant positive correlation was found with the anti-HBs titers (rho = 0.107; p = 0.04). High anti-HBs titers were significantly associated with the mild presentation of COVID-19. A significant difference was found between the obtained titers per severity class (chi-2 test, p = 0.03).Discussion/ConclusionOur findings demonstrated that anti-HBs titers were significantly higher for patients having mild COVID-19 presentations. We presume that being immunized against the HB may play a protective role in the course of the disease. Our study provided more key elements in understanding the disparity of the clinical spectrum among regions.https://www.frontiersin.org/articles/10.3389/fmed.2022.909660/fullCOVID-19correlationantibody titerHepatitis BSARS-CoV-2
spellingShingle Mariem Gdoura
Mariem Gdoura
Mariem Gdoura
Raoua Touati
Raoua Touati
Sana Kalthoum
Rania Ben Slama
Rania Ben Slama
Nouel Fatnassi
Nouel Fatnassi
Mehdi Mrad
Lamia Ammari
Lamia Ammari
Nozha Brahmi
Amira Ben Jazia
Nahed Hogga
Nahed Hogga
Henda Triki
Henda Triki
Sondes Haddad-Boubaker
Sondes Haddad-Boubaker
Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico Hypothesis
Frontiers in Medicine
COVID-19
correlation
antibody titer
Hepatitis B
SARS-CoV-2
title Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico Hypothesis
title_full Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico Hypothesis
title_fullStr Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico Hypothesis
title_full_unstemmed Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico Hypothesis
title_short Presumed Protective Role for Anti-Hepatitis B Virus Antibodies Against COVID-19 Severe Cases: A Clinical Study Confirming in silico Hypothesis
title_sort presumed protective role for anti hepatitis b virus antibodies against covid 19 severe cases a clinical study confirming in silico hypothesis
topic COVID-19
correlation
antibody titer
Hepatitis B
SARS-CoV-2
url https://www.frontiersin.org/articles/10.3389/fmed.2022.909660/full
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