The University of Southampton
University of Southampton Institutional Repository

Serum HCoV-spike specific antibodies do not protect against subsequent SARS-CoV-2 infection in children and adolescents

Serum HCoV-spike specific antibodies do not protect against subsequent SARS-CoV-2 infection in children and adolescents
Serum HCoV-spike specific antibodies do not protect against subsequent SARS-CoV-2 infection in children and adolescents
SARS-CoV-2 infections in children are generally asymptomatic or mild and rarely progress to severe disease and hospitalization. Why this is so remains unclear. Here we explore the potential for protection due to pre-existing cross-reactive seasonal coronavirus antibodies and compare the rate of antibody decline for nucleocapsid and spike protein in serum and oral fluid against SARS-CoV-2 within the pediatric population. No differences in seasonal coronaviruses antibody concentrations were found at baseline between cases and controls, suggesting no protective effect from pre-existing immunity against seasonal coronaviruses. Antibodies against seasonal betacoronaviruses were boosted in response to SARS-CoV-2 infection. In serum, anti-nucleocapsid antibodies fell below the threshold of positivity more quickly than anti-spike protein antibodies. These findings add to our understanding of protection against infection with SARS-CoV-2 within the pediatric population, which is important when considering pediatric SARS-CoV-2 immunization policies.
Health sciences, Immunology, Medical specialty, Medicine, Virology
2589-0042
Ratcliffe, Helen
27139474-1c31-4020-9462-4259cc609de0
Tiley, Karen S.
88211f3b-9002-4cd7-b88b-302c62508ffe
Longet, Stephanie
a77b6bba-f165-4e19-98e7-5fe0823d6a78
Tonry, Claire
d400ee20-a67f-4dcb-9487-22ec888eac18
Roarty, Cathal
8d130ca5-f793-46d3-8d09-15b0000646a7
Watson, Chris
901c8cb4-c9dc-466e-855e-5db7eb5c7360
Amirthalingam, Gayatri
483455da-eee7-43d0-9252-1acfad58aa2c
Vichos, Iason
1394031b-13e7-4e9c-8c0c-c7e16e41a5f8
Morey, Ella
4071de59-5d66-464e-b117-5b0369763e9f
Douglas, Naomi L.
65f39d6e-ec9e-4841-874b-08a7ff95311d
Marinou, Spyridoula
9e505da2-d260-42ac-bca9-239d02cf9d87
Plested, Emma
e8f30b83-f535-45ec-8b57-c74dd98474bb
Aley, Parvinder K.
47682c89-e7f3-481a-9176-23bb4053ba36
Galiza, Eva
d59c5e5e-fa7f-47a3-b7ca-ad38cd9b7b4f
Faust, Saul N.
f97df780-9f9b-418e-b349-7adf63e150c1
Hughes, Stephen
3e14ee79-db73-4e5a-8746-c7f3f30bfd84
Murray, Clare
afa681f7-2a47-417e-b379-02cdf695e3ae
Roderick, Marion R.
fa046362-8f5d-42e2-8f86-89beb557487f
Shackley, Fiona
5336e30d-b40a-40a0-b91b-83c8b9e533f6
Oddie, Sam
6a5511a3-e72e-4274-a120-aecde541f46b
Lee, Tim W.R.
ef34e549-4a64-4753-9bc1-9e1cc38a3932
Turner, David P.J.
a4e7fc88-1366-4961-a0d5-3954dba65889
Raman, Mala
90febe13-af6e-4059-8859-28858305d4a5
Owens, Stephen
1913f7fc-5ccd-4919-9ddd-29b6ae8c72fd
Turner, Paul J.
22cee218-a226-4300-aad1-b9a77ca65915
Cockerill, Helen
b4cbf815-afd6-4ae9-a0ab-3750f52c01db
Lopez Bernal, Jamie
145245b4-6e3a-473e-b042-54f0dbebbac1
Ijaz, Samreen
d4def4df-af08-48da-99c1-dcd4890872cd
Poh, John
db77282a-bf3f-4854-90c1-981cad546f99
Shute, Justin
87962d03-02b1-4354-ac63-447b197d248d
Linley, Ezra
2b77623a-67fe-436c-a0d6-11640b676d5f
Borrow, Ray
45e5fda9-8300-486e-89ca-323f3ae9c9a6
Hoschler, Katja
d5667e00-59ee-4723-8622-b851064deba8
Brown, Kevin E.
565b9ac6-ce97-4145-85f1-ab00c6124274
Carroll, Miles W.
7592a662-fce1-4e7e-abd6-17d8e88d041d
Klenerman, Paul
aa4c00a6-1a4d-4a4f-ac21-2131996344a7
Dunachie, Susanna J.
55a72256-0f90-4b8f-afe4-a4afb975e414
Ramsay, Mary
69ca3a9b-df7c-4ddb-9527-8c94adbf3880
Voysey, Merryn
fd433353-cd7b-41af-bc72-69781e8a0f81
Waterfield, Thomas
ea6cf9d4-b8a9-4303-b332-283a1a261aca
Snape, Matthew D.
ea21c8b9-e907-4914-9052-ae9eb56f54d7
Ratcliffe, Helen
27139474-1c31-4020-9462-4259cc609de0
Tiley, Karen S.
88211f3b-9002-4cd7-b88b-302c62508ffe
Longet, Stephanie
a77b6bba-f165-4e19-98e7-5fe0823d6a78
Tonry, Claire
d400ee20-a67f-4dcb-9487-22ec888eac18
Roarty, Cathal
8d130ca5-f793-46d3-8d09-15b0000646a7
Watson, Chris
901c8cb4-c9dc-466e-855e-5db7eb5c7360
Amirthalingam, Gayatri
483455da-eee7-43d0-9252-1acfad58aa2c
Vichos, Iason
1394031b-13e7-4e9c-8c0c-c7e16e41a5f8
Morey, Ella
4071de59-5d66-464e-b117-5b0369763e9f
Douglas, Naomi L.
65f39d6e-ec9e-4841-874b-08a7ff95311d
Marinou, Spyridoula
9e505da2-d260-42ac-bca9-239d02cf9d87
Plested, Emma
e8f30b83-f535-45ec-8b57-c74dd98474bb
Aley, Parvinder K.
47682c89-e7f3-481a-9176-23bb4053ba36
Galiza, Eva
d59c5e5e-fa7f-47a3-b7ca-ad38cd9b7b4f
Faust, Saul N.
f97df780-9f9b-418e-b349-7adf63e150c1
Hughes, Stephen
3e14ee79-db73-4e5a-8746-c7f3f30bfd84
Murray, Clare
afa681f7-2a47-417e-b379-02cdf695e3ae
Roderick, Marion R.
fa046362-8f5d-42e2-8f86-89beb557487f
Shackley, Fiona
5336e30d-b40a-40a0-b91b-83c8b9e533f6
Oddie, Sam
6a5511a3-e72e-4274-a120-aecde541f46b
Lee, Tim W.R.
ef34e549-4a64-4753-9bc1-9e1cc38a3932
Turner, David P.J.
a4e7fc88-1366-4961-a0d5-3954dba65889
Raman, Mala
90febe13-af6e-4059-8859-28858305d4a5
Owens, Stephen
1913f7fc-5ccd-4919-9ddd-29b6ae8c72fd
Turner, Paul J.
22cee218-a226-4300-aad1-b9a77ca65915
Cockerill, Helen
b4cbf815-afd6-4ae9-a0ab-3750f52c01db
Lopez Bernal, Jamie
145245b4-6e3a-473e-b042-54f0dbebbac1
Ijaz, Samreen
d4def4df-af08-48da-99c1-dcd4890872cd
Poh, John
db77282a-bf3f-4854-90c1-981cad546f99
Shute, Justin
87962d03-02b1-4354-ac63-447b197d248d
Linley, Ezra
2b77623a-67fe-436c-a0d6-11640b676d5f
Borrow, Ray
45e5fda9-8300-486e-89ca-323f3ae9c9a6
Hoschler, Katja
d5667e00-59ee-4723-8622-b851064deba8
Brown, Kevin E.
565b9ac6-ce97-4145-85f1-ab00c6124274
Carroll, Miles W.
7592a662-fce1-4e7e-abd6-17d8e88d041d
Klenerman, Paul
aa4c00a6-1a4d-4a4f-ac21-2131996344a7
Dunachie, Susanna J.
55a72256-0f90-4b8f-afe4-a4afb975e414
Ramsay, Mary
69ca3a9b-df7c-4ddb-9527-8c94adbf3880
Voysey, Merryn
fd433353-cd7b-41af-bc72-69781e8a0f81
Waterfield, Thomas
ea6cf9d4-b8a9-4303-b332-283a1a261aca
Snape, Matthew D.
ea21c8b9-e907-4914-9052-ae9eb56f54d7

Ratcliffe, Helen, Tiley, Karen S., Longet, Stephanie, Tonry, Claire, Roarty, Cathal, Watson, Chris, Amirthalingam, Gayatri, Vichos, Iason, Morey, Ella, Douglas, Naomi L., Marinou, Spyridoula, Plested, Emma, Aley, Parvinder K., Galiza, Eva, Faust, Saul N., Hughes, Stephen, Murray, Clare, Roderick, Marion R., Shackley, Fiona, Oddie, Sam, Lee, Tim W.R., Turner, David P.J., Raman, Mala, Owens, Stephen, Turner, Paul J., Cockerill, Helen, Lopez Bernal, Jamie, Ijaz, Samreen, Poh, John, Shute, Justin, Linley, Ezra, Borrow, Ray, Hoschler, Katja, Brown, Kevin E., Carroll, Miles W., Klenerman, Paul, Dunachie, Susanna J., Ramsay, Mary, Voysey, Merryn, Waterfield, Thomas and Snape, Matthew D. (2023) Serum HCoV-spike specific antibodies do not protect against subsequent SARS-CoV-2 infection in children and adolescents. iScience, 26 (12), [108500]. (doi:10.1016/j.isci.2023.108500).

Record type: Article

Abstract

SARS-CoV-2 infections in children are generally asymptomatic or mild and rarely progress to severe disease and hospitalization. Why this is so remains unclear. Here we explore the potential for protection due to pre-existing cross-reactive seasonal coronavirus antibodies and compare the rate of antibody decline for nucleocapsid and spike protein in serum and oral fluid against SARS-CoV-2 within the pediatric population. No differences in seasonal coronaviruses antibody concentrations were found at baseline between cases and controls, suggesting no protective effect from pre-existing immunity against seasonal coronaviruses. Antibodies against seasonal betacoronaviruses were boosted in response to SARS-CoV-2 infection. In serum, anti-nucleocapsid antibodies fell below the threshold of positivity more quickly than anti-spike protein antibodies. These findings add to our understanding of protection against infection with SARS-CoV-2 within the pediatric population, which is important when considering pediatric SARS-CoV-2 immunization policies.

Text
1-s2.0-S2589004223025774-main - Version of Record
Available under License Creative Commons Attribution.
Download (4MB)

More information

Accepted/In Press date: 17 November 2023
e-pub ahead of print date: 21 November 2023
Published date: 15 December 2023
Additional Information: Funding Information: M.D.S. acted on behalf of the University of Oxford as an investigator on studies funded or sponsored by vaccine manufacturers, including AstraZeneca, GlaxoSmithKline, Pfizer, Novavax, Janssen, Medimmune, and MCM. He received no personal financial payment for this work. Subsequent to this study MDS is employed by Moderna Biotech UK and holds equity in this company. S.N.F. acts on behalf of University Hospital Southampton National Health Service (NHS) Foundation Trust as an investigator or providing consultative advice, or both, on clinical trials and studies of COVID-19 and other vaccines funded or sponsored by vaccine manufacturers including Janssen, Pfizer, AstraZeneca, GlaxoSmithKline, Novavax, Seqirus, Sanofi, Medimmune, Merck, and Valneva. He receives no personal financial payment for this work. M.R. has provided post-marketing surveillance reports on vaccines for Pfizer and GlaxoSmithKline for which a cost recovery charge is made. All other authors declare no competing interests. M.C. and S.L. are funded by US Food and Drug Administration Medical Countermeasures Initiative, contract 75F40120C00085. Funding Information: This research is funded by the NIHR PRP (PR-R17-0916-22001, CV220-036) and HSC R&D Division, Public Health Agency Ref: COM/5596/20 with contributions from UKRI/NIHR through the UK Coronavirus Immunology Consortium (UK-CIC) and the Huo Family Foundation. The investigators express their gratitude for the contribution of all trial participants. This research is funded by the National Institute for Health Research (NIHR) Policy Research Program and the UK Research and Innovation (UKRI) Medical Research Council (PR-R17-0916-22001, CV220-036, CV220-036/1). The research is supported by the NIHR Oxford Clinical Research Facility and Biomedical Research Centre, the NIHR Clinical Research Network, and the NIHR funded National Immunisation Schedule Evaluation Consortium (PR-R17-0916-22001). The SARS-CoV2 S1 antigen used in the oral fluid assay was produced and gifted by Peter Cherepanov at The Francis Crick Institute. The study sponsor is the University of Oxford The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. M.D.S. N.A. G.A. and J.L.B. conceived the study and M.D.S. is the chief investigator. M.D.S. N.A. J.L.B. G.A. M.R. and H.R. contributed to the protocol and design of the study. P.K.A. E.P. I.V. E.M. N.L.D. S.M. and H.R. led the implementation of the study. E.G. S.N.F. S.H. C.M. M.R. F.S. S.O. T.L. D.P.J.T. M.R. S.O. P.J.T. H.C. S.J.D. and P.K. contributed to the adaptation of the STORY study design during the SARS-CoV-2 pandemic, to the implementation of the study in the context of the pandemic and acquisition of data. C.R. C.T. C.W. and T.W. provided data and assisted in sample selection from the COVID warriors study for additional testing. K.E.B. E.L. R.B. K.H. J.P. S.I. J.S. S.L. and M.C. were responsible for performing laboratory testing. K.T. and H.R. conducted the statistical analysis and verified the underlying data under the supervision of M.V. H.R. K.T. and M.D.S. drafted the initial version of the paper, which was critically reviewed by all other authors for important intellectual content. All other authors contributed to the implementation and data collection. All authors reviewed and approved the final report. M.D.S. acted on behalf of the University of Oxford as an investigator on studies funded or sponsored by vaccine manufacturers, including AstraZeneca, GlaxoSmithKline, Pfizer, Novavax, Janssen, Medimmune, and MCM. He received no personal financial payment for this work. Subsequent to this study MDS is employed by Moderna Biotech UK and holds equity in this company. S.N.F. acts on behalf of University Hospital Southampton National Health Service (NHS) Foundation Trust as an investigator or providing consultative advice, or both, on clinical trials and studies of COVID-19 and other vaccines funded or sponsored by vaccine manufacturers including Janssen, Pfizer, AstraZeneca, GlaxoSmithKline, Novavax, Seqirus, Sanofi, Medimmune, Merck, and Valneva. He receives no personal financial payment for this work. M.R. has provided post-marketing surveillance reports on vaccines for Pfizer and GlaxoSmithKline for which a cost recovery charge is made. All other authors declare no competing interests. M.C. and S.L. are funded by US Food and Drug Administration Medical Countermeasures Initiative, contract 75F40120C00085. Funding Information: This research is funded by the NIHR PRP ( PR-R17-0916-22001 , CV220-036 ) and HSC R&D Division , Public Health Agency Ref: COM/5596/20 with contributions from UKRI /NIHR through the UK Coronavirus Immunology Consortium (UK-CIC) and the Huo Family Foundation . Funding Information: The investigators express their gratitude for the contribution of all trial participants. This research is funded by the National Institute for Health Research (NIHR) Policy Research Program and the UK Research and Innovation (UKRI) Medical Research Council ( PR-R17-0916-22001 , CV220-036 , CV220-036/1 ). The research is supported by the NIHR Oxford Clinical Research Facility and Biomedical Research Centre , the NIHR Clinical Research Network, and the NIHR funded National Immunisation Schedule Evaluation Consortium ( PR-R17-0916-22001 ). The SARS-CoV2 S1 antigen used in the oral fluid assay was produced and gifted by Peter Cherepanov at The Francis Crick Institute. The study sponsor is the University of Oxford The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2023 The Authors
Keywords: Health sciences, Immunology, Medical specialty, Medicine, Virology

Identifiers

Local EPrints ID: 485787
URI: http://eprints.soton.ac.uk/id/eprint/485787
ISSN: 2589-0042
PURE UUID: 32500461-b99f-4c11-a6df-58afd8950693
ORCID for Saul N. Faust: ORCID iD orcid.org/0000-0003-3410-7642

Catalogue record

Date deposited: 19 Dec 2023 17:39
Last modified: 18 Mar 2024 03:04

Export record

Altmetrics

Contributors

Author: Helen Ratcliffe
Author: Karen S. Tiley
Author: Stephanie Longet
Author: Claire Tonry
Author: Cathal Roarty
Author: Chris Watson
Author: Gayatri Amirthalingam
Author: Iason Vichos
Author: Ella Morey
Author: Naomi L. Douglas
Author: Spyridoula Marinou
Author: Emma Plested
Author: Parvinder K. Aley
Author: Eva Galiza
Author: Saul N. Faust ORCID iD
Author: Stephen Hughes
Author: Clare Murray
Author: Marion R. Roderick
Author: Fiona Shackley
Author: Sam Oddie
Author: Tim W.R. Lee
Author: David P.J. Turner
Author: Mala Raman
Author: Stephen Owens
Author: Paul J. Turner
Author: Helen Cockerill
Author: Jamie Lopez Bernal
Author: Samreen Ijaz
Author: John Poh
Author: Justin Shute
Author: Ezra Linley
Author: Ray Borrow
Author: Katja Hoschler
Author: Kevin E. Brown
Author: Miles W. Carroll
Author: Paul Klenerman
Author: Susanna J. Dunachie
Author: Mary Ramsay
Author: Merryn Voysey
Author: Thomas Waterfield
Author: Matthew D. Snape

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×