在大流行前筛查 SARS-CoV-2 抗体,并在确诊为爆发性发烧的儿童中检测病毒。

IF 3.5 3区 医学
Nouhaila Najimi, Latifa Tajount, Zakia Regragui, Chaimae Remz, Rokaya Ait-Lhaj-Mhand, Chaimae Kadi, Lamiae Belayachi, Fouad Seghrouchni, Nadia Dakka, Rabii Ameziane El Hassani, Elmir Elharti, Hicham Oumzil, Youssef Bakri
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引用次数: 0

摘要

研究目的本研究旨在评估严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)针对尖峰蛋白(S)和核壳蛋白(NP)的 IgG 抗体以及针对受体结合域(RBD)的中和抗体的血清流行率。此外,该研究还旨在检测在 2020 年 3 月 20 日摩洛哥宣布 COVID-19 大流行传播之前采集的大流行前儿科档案标本中的 SARS-CoV-2 病毒 RNA。目的是调查大流行前是否存在对 SARS-CoV-2 的免疫力:我们进行了一项横断面研究,分析了一组 106 名大流行前儿童参与者的 IgG 抗体水平。我们使用间接酶联免疫吸附试验(ELISA)测定了针对 SARS-CoV-2 的 S 蛋白和 NP 蛋白的 IgG 水平。此外,我们还进行了竞争性 ELISA 试验,以评估这些抗体的中和能力。我们使用反转录聚合酶链反应(rRT-PCR)检测口咽拭子中的 SARS-CoV-2 病毒 NP 和 ORF1ab 基因。此外,我们还对同一标本进行了多重 RT-PCR 检测,以检测下呼吸道感染中最常见的 27 种病原体的 RNA:结果:在 106 份血清样本中,13%(nn = 14)的 SARS-CoV-2 IgG 抗体在 ELISA 检测中呈阳性。时间分析表明,2019 年的 IgG 阳性水平各不相同。在分析的 28 份样本中,21% 发现了中和抗体,其中两份样本的抑制率很高(93%)。在 14 份样本中,使用 rRT-PCR 检测到了 SARS-CoV-2 RNA。使用多重 RT-PCR 技术检测与下呼吸道感染相关的其他 27 种病原体,没有一个样本呈阳性:结论:我们的研究证实了一种可能性,即 COVID-19 感染在摩洛哥爆发之前就已存在。另一方面,部分病例可能反映了与其他冠状病毒的交叉反应,或受到之前病毒暴露或疫苗接种的影响。了解这些因素对于理解儿科对新发传染病的免疫反应至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pre-pandemic antibodies screening against SARS-CoV-2 and virus detection among children diagnosed with eruptive fevers.

Objectives: This study aims to assess the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) IgG antibodies against the spike (S) and nucleocapsid (NP) proteins, as well as neutralizing antibodies against the receptor-binding domain (RBD). Additionally, it aims to detect viral RNA of SARS-CoV-2 in pre-pandemic archival pediatric specimens collected before the announcement of the COVID-19 pandemic spread on March 20th, 2020, in Morocco. The objective is to investigate the existence of pre-pandemic immunity to SARS-CoV-2.

Methods: We conducted a cross-sectional study, to analyze IgG antibody levels in a cohort of 106 pre-pandemic pediatric participants. Using an indirect enzyme-linked immunosorbent assay (ELISA), we measured the IgG levels against the S and NP proteins of SARS-CoV-2. Additionally, we staged a competitive ELISA assay to evaluate the neutralizing capability of these antibodies. We used reverse transcription polymerase chain reaction (rRT-PCR) to detect viral NP and ORF1ab genes of SARS-CoV-2 in oropharyngeal swabs. Moreover, we conducted on the same specimens a multiplexed RT-PCR to detect RNA of the most common 27 pathogens involved in lower respiratory tract infections.

Results: Among the 106 serum samples, 13% (nn = =14) tested positive for SARS-CoV-2 IgG antibodies using ELISA. Temporal analysis indicated varying IgG positivity levels across 2019. Neutralizing antibodies were found in 21% of the 28 samples analyzed, including two with high inhibition rates (93%). The SARS-CoV-2 RNA was detected using rRT-PCR in 14 samples. None of the samples tested positive for the other 27 pathogens associated with lower respiratory tract infections, using multiplexed RT-PCR.

Conclusion: Our study addresses the possibility, that COVID-19 infections occurred in Morocco before the recognized outbreak. On the other hand, some of the cases might reflect cross-reactivity with other coronaviruses or be influenced by previous viral exposures or vaccinations. Understanding these factors is crucial to comprehending pediatric immune responses to newly emerging infectious diseases.

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来源期刊
International Journal of Immunopathology and Pharmacology
International Journal of Immunopathology and Pharmacology Immunology and Microbiology-Immunology
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0.00%
发文量
88
期刊介绍: International Journal of Immunopathology and Pharmacology is an Open Access peer-reviewed journal publishing original papers describing research in the fields of immunology, pathology and pharmacology. The intention is that the journal should reflect both the experimental and clinical aspects of immunology as well as advances in the understanding of the pathology and pharmacology of the immune system.
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