SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement Activation

Antibodies specific for the spike glycoprotein (S) and nucleocapsid (N) SARS-CoV-2 proteins are typically present during severe COVID-19, and induced to S after vaccination. The binding of viral antigens by antibody can initiate the classical complement pathway. Since complement could play pathologi...

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Main Authors: Rachel E. Lamerton, Edith Marcial-Juarez, Sian E. Faustini, Marisol Perez-Toledo, Margaret Goodall, Siân E. Jossi, Maddy L. Newby, Iain Chapple, Thomas Dietrich, Tonny Veenith, Adrian M. Shields, Lorraine Harper, Ian R. Henderson, Julie Rayes, David C. Wraith, Steve P. Watson, Max Crispin, Mark T. Drayson, Alex G. Richter, Adam F. Cunningham
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.838780/full
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author Rachel E. Lamerton
Rachel E. Lamerton
Edith Marcial-Juarez
Sian E. Faustini
Marisol Perez-Toledo
Margaret Goodall
Siân E. Jossi
Maddy L. Newby
Iain Chapple
Thomas Dietrich
Tonny Veenith
Adrian M. Shields
Lorraine Harper
Ian R. Henderson
Julie Rayes
David C. Wraith
Steve P. Watson
Max Crispin
Mark T. Drayson
Alex G. Richter
Adam F. Cunningham
author_facet Rachel E. Lamerton
Rachel E. Lamerton
Edith Marcial-Juarez
Sian E. Faustini
Marisol Perez-Toledo
Margaret Goodall
Siân E. Jossi
Maddy L. Newby
Iain Chapple
Thomas Dietrich
Tonny Veenith
Adrian M. Shields
Lorraine Harper
Ian R. Henderson
Julie Rayes
David C. Wraith
Steve P. Watson
Max Crispin
Mark T. Drayson
Alex G. Richter
Adam F. Cunningham
author_sort Rachel E. Lamerton
collection DOAJ
description Antibodies specific for the spike glycoprotein (S) and nucleocapsid (N) SARS-CoV-2 proteins are typically present during severe COVID-19, and induced to S after vaccination. The binding of viral antigens by antibody can initiate the classical complement pathway. Since complement could play pathological or protective roles at distinct times during SARS-CoV-2 infection we determined levels of antibody-dependent complement activation along the complement cascade. Here, we used an ELISA assay to assess complement protein binding (C1q) and the deposition of C4b, C3b, and C5b to S and N antigens in the presence of antibodies to SARS-CoV-2 from different test groups: non-infected, single and double vaccinees, non-hospitalised convalescent (NHC) COVID-19 patients and convalescent hospitalised (ITU-CONV) COVID-19 patients. C1q binding correlates strongly with antibody responses, especially IgG1 levels. However, detection of downstream complement components, C4b, C3b and C5b shows some variability associated with the subject group from whom the sera were obtained. In the ITU-CONV, detection of C3b-C5b to S was observed consistently, but this was not the case in the NHC group. This is in contrast to responses to N, where median levels of complement deposition did not differ between the NHC and ITU-CONV groups. Moreover, for S but not N, downstream complement components were only detected in sera with higher IgG1 levels. Therefore, the classical pathway is activated by antibodies to multiple SARS-CoV-2 antigens, but the downstream effects of this activation may differ depending the disease status of the subject and on the specific antigen targeted.
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spelling doaj.art-e96e183f4c0140d195866a01fcba32202022-12-22T02:44:00ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-07-011310.3389/fimmu.2022.838780838780SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement ActivationRachel E. Lamerton0Rachel E. Lamerton1Edith Marcial-Juarez2Sian E. Faustini3Marisol Perez-Toledo4Margaret Goodall5Siân E. Jossi6Maddy L. Newby7Iain Chapple8Thomas Dietrich9Tonny Veenith10Adrian M. Shields11Lorraine Harper12Ian R. Henderson13Julie Rayes14David C. Wraith15Steve P. Watson16Max Crispin17Mark T. Drayson18Alex G. Richter19Adam F. Cunningham20Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomSchool of Biological Sciences, University of Southampton, Southampton, United KingdomPeriodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, and Birmingham Community Healthcare National Health Service Trust, Birmingham, United KingdomPeriodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, and Birmingham Community Healthcare National Health Service Trust, Birmingham, United KingdomDepartment of Critical Care Medicine, University Hospitals Birmingham National Health Service (NHS) Trust, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Applied Health Research, University of Birmingham, Birmingham, United KingdomInstitute for Molecular Bioscience, University of Queensland, St Lucia, QLD, AustraliaInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United KingdomSchool of Biological Sciences, University of Southampton, Southampton, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United KingdomAntibodies specific for the spike glycoprotein (S) and nucleocapsid (N) SARS-CoV-2 proteins are typically present during severe COVID-19, and induced to S after vaccination. The binding of viral antigens by antibody can initiate the classical complement pathway. Since complement could play pathological or protective roles at distinct times during SARS-CoV-2 infection we determined levels of antibody-dependent complement activation along the complement cascade. Here, we used an ELISA assay to assess complement protein binding (C1q) and the deposition of C4b, C3b, and C5b to S and N antigens in the presence of antibodies to SARS-CoV-2 from different test groups: non-infected, single and double vaccinees, non-hospitalised convalescent (NHC) COVID-19 patients and convalescent hospitalised (ITU-CONV) COVID-19 patients. C1q binding correlates strongly with antibody responses, especially IgG1 levels. However, detection of downstream complement components, C4b, C3b and C5b shows some variability associated with the subject group from whom the sera were obtained. In the ITU-CONV, detection of C3b-C5b to S was observed consistently, but this was not the case in the NHC group. This is in contrast to responses to N, where median levels of complement deposition did not differ between the NHC and ITU-CONV groups. Moreover, for S but not N, downstream complement components were only detected in sera with higher IgG1 levels. Therefore, the classical pathway is activated by antibodies to multiple SARS-CoV-2 antigens, but the downstream effects of this activation may differ depending the disease status of the subject and on the specific antigen targeted.https://www.frontiersin.org/articles/10.3389/fimmu.2022.838780/fullcomplementCOVID-19SARS-CoV-2vaccineantibodies
spellingShingle Rachel E. Lamerton
Rachel E. Lamerton
Edith Marcial-Juarez
Sian E. Faustini
Marisol Perez-Toledo
Margaret Goodall
Siân E. Jossi
Maddy L. Newby
Iain Chapple
Thomas Dietrich
Tonny Veenith
Adrian M. Shields
Lorraine Harper
Ian R. Henderson
Julie Rayes
David C. Wraith
Steve P. Watson
Max Crispin
Mark T. Drayson
Alex G. Richter
Adam F. Cunningham
SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement Activation
Frontiers in Immunology
complement
COVID-19
SARS-CoV-2
vaccine
antibodies
title SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement Activation
title_full SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement Activation
title_fullStr SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement Activation
title_full_unstemmed SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement Activation
title_short SARS-CoV-2 Spike- and Nucleoprotein-Specific Antibodies Induced After Vaccination or Infection Promote Classical Complement Activation
title_sort sars cov 2 spike and nucleoprotein specific antibodies induced after vaccination or infection promote classical complement activation
topic complement
COVID-19
SARS-CoV-2
vaccine
antibodies
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.838780/full
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