Immune Response after SARS-CoV-2 Infection with Residual Post-COVID Symptoms

Many patients develop post-acute COVID syndrome (long COVID (LC)). We compared the immune response of LC and individuals with post-COVID full recovery (HC) during the Omicron pandemic. Two hundred ninety-two patients with confirmed COVID infections from January to May 2022 were enrolled. We observed...

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Main Authors: Tanyaporn Pongkunakorn, Thamonwan Manosan, Apinya Surawit, Suphawan Ophakas, Pichanun Mongkolsucharitkul, Sureeporn Pumeiam, Sophida Suta, Bonggochpass Pinsawas, Nitat Sookrung, Nawannaporn Saelim, Kodchakorn Mahasongkram, Pannathee Prangtaworn, Anchalee Tungtrongchitr, Watip Tangjittipokin, Suthee Mangmee, Kobporn Boonnak, Tassanee Narkdontri, Nipaporn Teerawattanapong, Rungsima Wanitphadeedecha, Korapat Mayurasakorn
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/9/1413
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author Tanyaporn Pongkunakorn
Thamonwan Manosan
Apinya Surawit
Suphawan Ophakas
Pichanun Mongkolsucharitkul
Sureeporn Pumeiam
Sophida Suta
Bonggochpass Pinsawas
Nitat Sookrung
Nawannaporn Saelim
Kodchakorn Mahasongkram
Pannathee Prangtaworn
Anchalee Tungtrongchitr
Watip Tangjittipokin
Suthee Mangmee
Kobporn Boonnak
Tassanee Narkdontri
Nipaporn Teerawattanapong
Rungsima Wanitphadeedecha
Korapat Mayurasakorn
author_facet Tanyaporn Pongkunakorn
Thamonwan Manosan
Apinya Surawit
Suphawan Ophakas
Pichanun Mongkolsucharitkul
Sureeporn Pumeiam
Sophida Suta
Bonggochpass Pinsawas
Nitat Sookrung
Nawannaporn Saelim
Kodchakorn Mahasongkram
Pannathee Prangtaworn
Anchalee Tungtrongchitr
Watip Tangjittipokin
Suthee Mangmee
Kobporn Boonnak
Tassanee Narkdontri
Nipaporn Teerawattanapong
Rungsima Wanitphadeedecha
Korapat Mayurasakorn
author_sort Tanyaporn Pongkunakorn
collection DOAJ
description Many patients develop post-acute COVID syndrome (long COVID (LC)). We compared the immune response of LC and individuals with post-COVID full recovery (HC) during the Omicron pandemic. Two hundred ninety-two patients with confirmed COVID infections from January to May 2022 were enrolled. We observed anti-SARS-CoV-2 receptor-binding domain immunoglobulin G, surrogate virus neutralization test, T cell subsets, and neutralizing antibodies against Wuhan, BA.1, and BA.5 viruses (NeuT). NeuT was markedly reduced against BA.1 and BA.5 in HC and LC groups, while antibodies were more sustained with three doses and an updated booster shot than ≤2-dose vaccinations. The viral neutralization ability declined at >84-days after COVID-19 onset (PC) in both groups. PD1-expressed central and effector memory CD4<sup>+</sup> T cells, and central memory CD8<sup>+</sup> T cells were reduced in the first months PC in LC. Therefore, booster vaccines may be required sooner after the most recent infection to rescue T cell function for people with symptomatic LC.
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spelling doaj.art-9ab6ef7af2b74f00828fb8652989ed882023-11-19T13:18:37ZengMDPI AGVaccines2076-393X2023-08-01119141310.3390/vaccines11091413Immune Response after SARS-CoV-2 Infection with Residual Post-COVID SymptomsTanyaporn Pongkunakorn0Thamonwan Manosan1Apinya Surawit2Suphawan Ophakas3Pichanun Mongkolsucharitkul4Sureeporn Pumeiam5Sophida Suta6Bonggochpass Pinsawas7Nitat Sookrung8Nawannaporn Saelim9Kodchakorn Mahasongkram10Pannathee Prangtaworn11Anchalee Tungtrongchitr12Watip Tangjittipokin13Suthee Mangmee14Kobporn Boonnak15Tassanee Narkdontri16Nipaporn Teerawattanapong17Rungsima Wanitphadeedecha18Korapat Mayurasakorn19Siriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandCenter of Research Excellence on Therapeutic Proteins and Antibody Engineering, Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandCenter of Research Excellence on Therapeutic Proteins and Antibody Engineering, Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandCenter of Research Excellence on Therapeutic Proteins and Antibody Engineering, Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandCenter of Research Excellence on Therapeutic Proteins and Antibody Engineering, Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandCenter of Research Excellence on Therapeutic Proteins and Antibody Engineering, Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandResearch Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandResearch Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandSiriraj Population Health and Nutrition Research Group, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandMany patients develop post-acute COVID syndrome (long COVID (LC)). We compared the immune response of LC and individuals with post-COVID full recovery (HC) during the Omicron pandemic. Two hundred ninety-two patients with confirmed COVID infections from January to May 2022 were enrolled. We observed anti-SARS-CoV-2 receptor-binding domain immunoglobulin G, surrogate virus neutralization test, T cell subsets, and neutralizing antibodies against Wuhan, BA.1, and BA.5 viruses (NeuT). NeuT was markedly reduced against BA.1 and BA.5 in HC and LC groups, while antibodies were more sustained with three doses and an updated booster shot than ≤2-dose vaccinations. The viral neutralization ability declined at >84-days after COVID-19 onset (PC) in both groups. PD1-expressed central and effector memory CD4<sup>+</sup> T cells, and central memory CD8<sup>+</sup> T cells were reduced in the first months PC in LC. Therefore, booster vaccines may be required sooner after the most recent infection to rescue T cell function for people with symptomatic LC.https://www.mdpi.com/2076-393X/11/9/1413long COVIDneutralizing antibodybreakthrough infectionimmunogenicityOmicron
spellingShingle Tanyaporn Pongkunakorn
Thamonwan Manosan
Apinya Surawit
Suphawan Ophakas
Pichanun Mongkolsucharitkul
Sureeporn Pumeiam
Sophida Suta
Bonggochpass Pinsawas
Nitat Sookrung
Nawannaporn Saelim
Kodchakorn Mahasongkram
Pannathee Prangtaworn
Anchalee Tungtrongchitr
Watip Tangjittipokin
Suthee Mangmee
Kobporn Boonnak
Tassanee Narkdontri
Nipaporn Teerawattanapong
Rungsima Wanitphadeedecha
Korapat Mayurasakorn
Immune Response after SARS-CoV-2 Infection with Residual Post-COVID Symptoms
Vaccines
long COVID
neutralizing antibody
breakthrough infection
immunogenicity
Omicron
title Immune Response after SARS-CoV-2 Infection with Residual Post-COVID Symptoms
title_full Immune Response after SARS-CoV-2 Infection with Residual Post-COVID Symptoms
title_fullStr Immune Response after SARS-CoV-2 Infection with Residual Post-COVID Symptoms
title_full_unstemmed Immune Response after SARS-CoV-2 Infection with Residual Post-COVID Symptoms
title_short Immune Response after SARS-CoV-2 Infection with Residual Post-COVID Symptoms
title_sort immune response after sars cov 2 infection with residual post covid symptoms
topic long COVID
neutralizing antibody
breakthrough infection
immunogenicity
Omicron
url https://www.mdpi.com/2076-393X/11/9/1413
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