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SARS-COV-2 antibody responses to AZD1222 vaccination in West Africa

Abstract:
BACKGROUND: The COVID-19 pandemic had a severe impact globally, yet African populations exhibited unexpectedly lower rates of severe disease and mortality. We investigated the potential role of pre-existing immunity in shaping the epidemiology of COVID-19 in Africa. METHODS: Plasma collected from Senegalese female sex workers prior to the COVID-19 pandemic was screened for SARS-CoV-2 and human coronavirus (hCoV) antibodies by virion immunoblots. For antibody-reactive plasma, paired peripheral blood mononuclear cells were stimulated by fusion proteins and IFN-γ cellular responses were assessed via ELISPOT. RESULTS: We observed substantial levels of pre-existing cross-reactive immunity to SARS-CoV-2, stemming from prior exposure to seasonal hCoVs. Our antibody analysis revealed a 23.5% (47/200) seroprevalence rate against SARS-CoV-2 nucleocapsid (N). These samples were then probed for antibodies against hCoV spike (S) and/or N antigens; 85.1% (40/47), 70.2% (33/47), and 95.7% (45/47) were antibody reactive against hCoV-229E, hCoV-OC43, or hCoV-HKU1, respectively. Our analysis of cellular responses also demonstrated cross-reactivity to SARS-CoV-2 with 80.0% (36/45) and 82.2% (37/45) showing IFN-γ responses against S and N, respectively. A unique pre-pandemic subject had cross-reactive SARS-CoV-2 S antibodies with detectable neutralization and cross-reactive cellular responses. CONCLUSION: These findings suggest that prior hCoV exposure may induce cross-reactive adaptive immunity, potentially contributing to protection against COVID-19. Our study provides unique data on the dynamics of hCoV and SARS-CoV-2 immunity in Senegal and underscores the importance of understanding the role of pre-existing immunity in shaping COVID-19 outcomes globally
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41467-022-33792-x

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Role:
Author
ORCID:
0000-0001-9703-8264
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Role:
Author
ORCID:
0000-0003-1913-8934
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Role:
Author
ORCID:
0000-0001-5066-150X
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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0001-7077-6793
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Role:
Author
ORCID:
0000-0003-3693-1096


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Funder identifier:
10.13039/100004440
Grant:
WT108082AIA


Publisher:
Nature Research
Journal:
Nature Communications More from this journal
Volume:
13
Issue:
1
Pages:
6131-6131
Article number:
6131
Publication date:
2022-10-17
DOI:
EISSN:
2041-1723
ISSN:
2041-1723


Language:
English
Keywords:
Pubs id:
1577723
Local pid:
pubs:1577723
Source identifiers:
W4306407174
Deposit date:
2026-06-04
ARK identifier:
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