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Journal article

AstraZeneca COVID-19 vaccine induces robust broadly cross-reactive antibody responses in Malawian adults previously infected with SARS-CoV-2

Abstract:
Objectives: Many regions of Africa have experienced lower COVID-19 morbidity and mortality than Europe. Pre-existing humoral responses to endemic human coronaviruses (HCoV) may cross-protect against SARS-CoV-2. We investigated the neutralizing capacity of SARS-CoV-2 spike reactive and nonreactive immunoglobulin (Ig)G and IgA antibodies in prepandemic samples. Methods: To investigate the presence of pre-existing immunity, we performed enzyme-linked immunosorbent assay using spike antigens from reference SARS-CoV-2, HCoV HKU1, OC43, NL63, and 229E using prepandemic samples from Kilifi in coastal Kenya. In addition, we performed neutralization assays using pseudotyped reference SARS-CoV-2 to determine the functionality of the identified reactive antibodies. Results: We demonstrate the presence of HCoV serum IgG and mucosal IgA antibodies, which cross-react with the SARS-CoV-2 spike. We show pseudotyped reference SARS-CoV-2 neutralization by prepandemic serum, with a mean infective dose 50 of 1: 251, which is 10-fold less than that of the pooled convalescent sera from patients with COVID-19 but still within predicted protection levels. The prepandemic naso-oropharyngeal fluid neutralized pseudo-SARS-CoV-2 at a mean infective dose 50 of 1: 5.9 in the neutralization assay. Conclusion: Our data provide evidence for pre-existing functional humoral responses to SARS-CoV-2 in Kilifi, coastal Kenya and adds to data showing pre-existing immunity for COVID-19 from other regions
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1186/s12916-022-02342-z

Authors

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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0002-8940-3855
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Role:
Author
ORCID:
0000-0002-4269-9281
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Role:
Author
ORCID:
0000-0003-0143-7469


Publisher:
BioMed Central
Journal:
BMC Medicine More from this journal
Volume:
20
Issue:
1
Pages:
128-128
Publication date:
2022-03-28
DOI:
EISSN:
1741-7015
ISSN:
1741-7015


Language:
English
Keywords:
Pubs id:
2370727
Local pid:
pubs:2370727
Source identifiers:
W4220869197
Deposit date:
2026-02-13
ARK identifier:
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