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Hallmarks of immune response in COVID-19: Exploring dysregulation and exhaustion

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Methylprednisolone as Adjunctive Therapy for Patients Hospitalized With Coronavirus Disease 2019 (COVID-19; Metcovid): A Randomized, Double-blind, Phase IIb, Placebo-controlled Trial

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Summary: This study evaluated the efficacy of methylprednisolone (MP) among hospitalized patients with suspected COVID-19 and found that a short course of MP did not reduce mortality in the overall population. However, patients over 60 years old in the MP group had a lower mortality rate, suggesting potential benefits for this age group.

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Summary: The rapid spread of COVID-19 has led to an unprecedented global public health crisis with recent studies suggesting that the hyperinflammatory syndrome induced by SARS-CoV-2 is a contributing factor to disease severity and mortality. Pathophysiological research shows that the hyperinflammatory syndrome in severe COVID-19 results from a dysregulated innate immune response. Current potential therapeutic approaches are being investigated to modulate the immune response and mitigate lung injury in severe COVID-19.

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Unique immunological profile in patients with COVID-19

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Characterization of the cytokine storm reflects hyperinflammatory endothelial dysfunction in COVID-19

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Association Between Early Treatment With Tocilizumab and Mortality Among Critically Ill Patients With COVID-19

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Effect of Tocilizumab vs Standard Care on Clinical Worsening in Patients Hospitalized With COVID-19 Pneumonia A Randomized Clinical Trial

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JAMA INTERNAL MEDICINE (2021)

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COVID-19 vaccines: where we stand and challenges ahead

Guido Forni et al.

Summary: The development of vaccines has made significant progress, but still faces various challenges, including different target populations, immunological adaptability of vaccines, and production and distribution issues. To ensure equitable access, protection of diverse subjects, and immunity against viral variants, multiple vaccines may be needed in the long run.

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Oreste Gallo et al.

Summary: This study critically reviews the latest molecular and cellular findings on the mucosal response to SARS-CoV-2 in the nasal cavity and in NALT, and analyzes its impact on the subsequent course of COVID-19. The possibility of modulating the systemic inflammatory network against the virus starting from the initial phases of the nasal and nasopharyngeal response is explored, with potential clinical and epidemiological implications for mucosal vaccine development.

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Circuits between infected macrophages and T cells in SARS-CoV-2 pneumonia

Rogan A. Grant et al.

Summary: The study found that patients infected with SARS-CoV-2 have enriched T cells and monocytes in the alveolar space, suggesting that the virus infects alveolar macrophages and induces T cell production of interferon-, leading to inflammation and persistent alveolitis.

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Baricitinib plus Remdesivir for Hospitalized Adults with Covid-19

A. C. Kalil et al.

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Early induction of functional SARS-CoV-2-specific T cells associates with rapid viral clearance and mild disease in COVID-19 patients

Anthony T. Tan et al.

Summary: This study found that early induction of interferon-gamma (IFN-gamma) secreting SARS-CoV-2-specific T cells was present in patients with mild disease and accelerated viral clearance, while rapid induction and quantity of humoral responses were associated with an increase in disease severity. These findings highlight the importance of early functional SARS-CoV-2-specific T cells in both vaccine design and immune monitoring.

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Disease severity-specific neutrophil signatures in blood transcriptomes stratify COVID-19 patients

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Summary: This study provides novel insights into distinct molecular subgroups or phenotypes that are not simply explained by clinical parameters. Whole blood transcriptomes are shown to be extremely informative for COVID-19 as they capture the major drivers of disease severity, granulocytes.

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Lymphopenia as a Biological Predictor of Outcomes in COVID-19 Patients: A Nationwide Cohort Study

Jongmin Lee et al.

Summary: This study from a Korean nationwide cohort suggests that lymphopenia and its severity levels can serve as reliable predictive factors for COVID-19 clinical outcomes, including mortality, need for intensive care, and oxygen requirements. Lymphopenia at the initial presentation of COVID-19 is associated with poor prognosis, and the intensity of lymphopenia is independently associated with higher COVID-19 mortality.

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Chemokines and chemokine receptors during COVID-19 infection

Bariaa A. Khalil et al.

Summary: Chemokines play a crucial role in the immune response by clearing pathogens, but their excessive release can lead to hyperinflammation and severe complications. In COVID-19, chemokines may directly cause acute respiratory distress syndrome, increasing the risk of death. Understanding the role of chemokines in COVID-19 pathogenesis is important for developing potential therapeutic targets.

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Seasonal human coronavirus antibodies are boosted upon SARS-CoV-2 infection but not associated with protection

Elizabeth M. Anderson et al.

Summary: Our research indicates that most individuals had antibodies against other seasonal human coronaviruses before the COVID-19 pandemic. Around 20% of these individuals also had antibodies that cross-reacted with SARS-CoV-2, but these antibodies did not offer protection against SARS-CoV-2 infections or hospitalizations.
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Anakinra for patients with COVID-19: a meta-analysis of non-randomized cohort studies.

Laura Pasin et al.

Summary: Meta-analysis of studies on anakinra in COVID-19 patients suggests that its use may be associated with reduced mortality and need for mechanical ventilation, with no observed increase in adverse events. Further randomized clinical trials are needed to confirm these findings.

EUROPEAN JOURNAL OF INTERNAL MEDICINE (2021)

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Longitudinal profiling of respiratory and systemic immune responses reveals myeloid cell-driven lung inflammation in severe COVID-19

Peter A. Szabo et al.

Summary: This study investigated the immune responses in the respiratory tract and blood of severe COVID-19 patients, revealing that T cells in the airways showed protective profiles while myeloid cells exhibited hyperinflammatory signatures. These findings provide important insights for understanding and treating COVID-19 lung pathology.

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Characteristics and Outcomes of US Children and Adolescents With Multisystem Inflammatory Syndrome in Children (MIS-C) Compared With Severe Acute COVID-19

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Summary: Comparing the clinical characteristics and outcomes of patients with MIS-C and COVID-19 can help distinguish between the two conditions and improve health outcomes. Patterns of clinical presentation and organ system involvement were identified in this case series, providing valuable information for differentiation of MIS-C and COVID-19.

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SARS-CoV-2 induces human plasmacytoid predendritic cell diversification via UNC93B and IRAK4

Fanny Onodi et al.

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Highly functional virus-specific cellular immune response in asymptomatic SARS-CoV-2 infection

Nina Le Bert et al.

Summary: The efficacy of virus-specific T cells in clearing pathogens involves a delicate balance between antiviral and inflammatory responses. Asymptomatic individuals clearing SARS-CoV-2 showed increased production of IFN-gamma and IL-2, along with a proportional secretion of IL-10 and proinflammatory cytokines, while symptomatic individuals displayed a disproportionate secretion of inflammatory cytokines triggered by SARS-CoV-2-specific T cell activation.

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Robust SARS-CoV-2-specific T cell immunity is maintained at 6 months following primary infection

Jianmin Zuo et al.

Summary: The study shows that functional SARS-CoV-2-specific T cell responses are retained and robust at 6 months following infection, with higher T cell responses observed in donors who had experienced symptomatic infection. Levels of nucleoprotein-specific T cells were correlated with nucleoprotein-specific antibody levels, providing insights into the persistence and correlation of immune responses.

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Baricitinib Therapy in Covid-19 Pneumonia - An Unmet Need Fulfilled

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Interleukin-6 Receptor Inhibition in Covid-19-Cooling the Inflammatory Soup

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Tocilizumab in Hospitalized Patients with Severe Covid-19 Pneumonia

I. O. Rosas et al.

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Anthony C. Gordon et al.

Summary: Interleukin-6 receptor antagonists tocilizumab and sarilumab were found to improve outcomes, including survival, in critically ill patients with Covid-19 receiving organ support in ICUs according to an ongoing international trial. The efficacy of these treatments has been confirmed, with patients benefiting from the therapy.

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Dual Nature of Type I Interferons in SARS-CoV-2-Induced Inflammation

Cecile King et al.

Summary: Inhibition of IFN-I by SARS-CoV-2 can worsen the disease and affect the immune response, but therapeutic boosting of IFN-I has a narrow time window for efficacy. Further research is needed to explore therapeutic approaches and vaccine design to counteract this limitation.

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Deciphering the state of immune silence in fatal COVID-19 patients

Pierre Bost et al.

Summary: COVID-19 patients show unique immune features, including lung accumulation of naive lymphoid cells, systemic expansion and activation of myeloid cells, and immune suppression. Loss of monocyte-driven and neutrophil-driven immune suppression may lead to fatal outcomes in severe patients. On the other hand, a lung CXCR6(+) effector memory T cell subset may be associated with better prognosis in severe COVID-19 patients.

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Sarbecovirus ORF6 proteins hamper induction of interferon signaling

Izumi Kimura et al.

Summary: The presence of ORF6 gene in sarbecoviruses like SARS-CoV and SARS-CoV-2 inhibits innate immune signaling, including interference with type I interferon upregulation. ORF6 proteins from SARS-CoV-2 lineages are more efficient antagonists of innate immunity than those from SARS-CoV lineages, with key determinants identified as residues E46 and Q56. Additionally, ORF6's anti-innate immune activity relies on its C-terminal region and involves inhibition of IRF3 nuclear translocation, with some SARS-CoV-2 isolates showing inactivating mutations in ORF6.

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Metabolomic/lipidomic profiling of COVID-19 and individual response to tocilizumab

Gaia Meoni et al.

Summary: The research analyzed the metabolites of COVID-19 patients and controls using NMR, finding common plasma metabolomic and lipidomic signatures in COVID-19 patients. Tocilizumab treatment was shown to partially reverse the metabolic alterations caused by SARS-CoV-2 infection.

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Sarilumab in patients admitted to hospital with severe or critical COVID-19: a randomised, double-blind, placebo-controlled, phase 3 trial

Francois-Xavier Lescure et al.

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LANCET RESPIRATORY MEDICINE (2021)

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Immune Memory in Mild COVID-19 Patients and Unexposed Donors Reveals Persistent T Cell Responses After SARS-CoV-2 Infection

Asgar Ansari et al.

Summary: The study found cross-reactive CD4(+) T cells against SARS-CoV-2 in unexposed individuals, and detected immune memory in mild COVID-19 patients several months after recovery, particularly targeting the Spike glycoprotein of SARS-CoV-2.

FRONTIERS IN IMMUNOLOGY (2021)

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Clonal expansion and activation of tissue-resident memory-like T(H)17 cells expressing GM-CSF in the lungs of patients with severe COVID-19

Yu Zhao et al.

Summary: Hyperinflammation contributes to lung injury in severe COVID-19, with T-RM 17 cells identified as potential orchestrators of this process. High levels of IL-17A and GM-CSF were associated with a more severe clinical course in patients with COVID-19.

SCIENCE IMMUNOLOGY (2021)

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A neutrophil activation signature predicts critical illness and mortality in COVID-19

Matthew L. Meizlish et al.

Summary: Pathologic immune hyperactivation, particularly neutrophil activation, plays a central role in severe COVID-19, with early markers predicting clinical decompensation and higher mortality rates. These findings highlight the importance of understanding immune responses in critically ill COVID-19 patients.

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Functional monocytic myeloid-derived suppressor cells increase in blood but not airways and predict COVID-19 severity

Sara Falck-Jones et al.

Summary: The frequency of M-MDSCs is elevated in the blood of patients with COVID-19, suppressing T cells and strongly associated with disease severity.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Article Medicine, Research & Experimental

Similarities and differences between the immunopathogenesis of COVID-19-related pediatric multisystem inflammatory syndrome and Kawasaki disease

Ana Esteve-Sole et al.

Summary: Research findings suggest that circulating cytokines are significantly elevated in patients with MIS-C and KD, with IFN-gamma-induced response markers and inflammatory monocyte activation markers being the main triggers of inflammation. A subgroup of MIS-C patients (MIS-C-plus) showed differentiation from other MIS-C patients in certain cytokines, indicating incipient signs of macrophage activation syndrome.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Article Immunology

Pronounce expression of Tim-3 and CD39 but not PD1 defines CD8 T cells in critical Covid-19 patients

Mehdi Shahbazi et al.

Summary: The study found that the percentage of CD8+ cells in COVID-19 patients was significantly lower, and patients were more likely to have an increased frequency of CD8+ TIM-3+, CD8+ CD39+, and CD8+ TIM-3+ CD39+ cells. There were no significant differences between groups in terms of CD8+ PD-1+ cell counts.

MICROBIAL PATHOGENESIS (2021)

Article Cell Biology

Single-cell RNA sequencing of blood antigen-presenting cells in severe COVID-19 reveals multi-process defects in antiviral immunity

Melissa Saichi et al.

Summary: Saichi et al. conducted single-cell RNA-seq analysis on APCs isolated from COVID-19 patients, revealing defects in antiviral immune response in specific APC subsets. The study identified multiple mechanisms contributing to these defects, such as increased pro-apoptotic pathways, decreased innate sensor expression, downregulation of antiviral interferon-stimulated genes, and inhibition of antigen presentation. These findings may explain disease progression in severe patients and suggest potential strategies to restore immune defense.

NATURE CELL BIOLOGY (2021)

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Single-cell multi-omics analysis of the immune response in COVID-19

Emily Stephenson et al.

Summary: Transcriptomic and proteomic profiling of blood samples from individuals with COVID-19 reveals immune cell and hematopoietic progenitor cell alterations that are differentially associated with disease severity.

NATURE MEDICINE (2021)

Review Rheumatology

Effect of anakinra on mortality in patients with COVID-19: a systematic review and patient-level meta-analysis

Evdoxia Kyriazopoulou et al.

Summary: Anakinra may reduce mortality in hospitalized COVID-19 patients, particularly in those with signs of high inflammation, showing significant survival benefits.

LANCET RHEUMATOLOGY (2021)

Article Microbiology

Extensive activation, tissue trafficking, turnover and functional impairment of NK cells in COVID-19 patients at disease onset associates with subsequent disease severity

Federica Bozzano et al.

Summary: The SARS-CoV-2 infection can lead to severe respiratory involvement (COVID-19) in 5-20% of patients due to initial immune dysregulation, intense cytokine production, and vascular leakage. NK cells play a crucial role in controlling early virus replication and regulating adaptive responses, but their dysregulation in COVID-19 is not well understood. This study found that NK cell activation, trafficking, and the presence of certain cell subsets are associated with disease progression and may offer insights for future therapeutic strategies.

PLOS PATHOGENS (2021)

Article Immunology

Immune Profile in Patients With COVID-19: Lymphocytes Exhaustion Markers in Relationship to Clinical Outcome

Anna Bobcakova et al.

Summary: Immune parameters such as lymphocyte depletion and exhaustion of immune cell subsets can help predict the outcomes and severity of COVID-19. Certain markers like CD38 and PD-1 expression levels on specific immune cells may serve as potential biomarkers for poor outcomes in patients with COVID-19.

FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY (2021)

Article Immunology

SARS-CoV-2 Induces Lymphocytopenia by Promoting Inflammation and Decimates Secondary Lymphoid Organs

Qun Xiang et al.

Summary: The study retrospectively reviewed clinical and immunological data from fatal COVID-19 cases and found severe lymphocytopenia with high levels of inflammatory cytokines. Post-mortem examinations of additional cases showed severe tissue damage and lymphocyte apoptosis in spleens and lymph nodes, where SARS-CoV-2 viral RNA accumulates, leading to lymphocytopenia. Overall, the results suggest that SARS-CoV-2 induces lymphocytopenia by promoting systemic inflammation and direct damage to human spleen and lymph nodes.

FRONTIERS IN IMMUNOLOGY (2021)

Article Medicine, General & Internal

Dexamethasone in Patients Hospitalized with COVID-19: Whether, When and to Whom

Luigino Calzetta et al.

Summary: Dexamethasone shows varying effectiveness in COVID-19 patients, with considerations needed for specific patient groups based on factors such as age, gender, and duration of symptoms. It should be avoided in patients not requiring respiratory support.

JOURNAL OF CLINICAL MEDICINE (2021)

Article Immunology

Distinct antibody and memory B cell responses in SARS-CoV-2 naive and recovered individuals after mRNA vaccination

Rishi R. Goel et al.

Summary: mRNA vaccines exhibit robust serological and cellular priming, with naïve individuals requiring two doses for optimal antibody responses, especially against the B.1.351 variant. Memory B cells specific for spike protein and RBD were efficiently primed by vaccination, while recovered individuals showed significant boosting after the first dose, correlating with preexisting memory B cell levels. Identifying distinct responses based on prior SARS-CoV-2 exposure suggests that recovered subjects may only need one vaccine dose for peak responses, which can inform vaccine distribution strategies in resource-limited settings.

SCIENCE IMMUNOLOGY (2021)

Article Medicine, Research & Experimental

A specific low-density neutrophil population correlates with hypercoagulation and disease severity in hospitalized COVID-19 patients

Samantha M. Morrissey et al.

Summary: COVID-19 patients exhibit a population of low-density inflammatory neutrophils expressing intermediate levels of CD16, which play a role in the associated coagulopathy, systemic inflammation, and ARDS. Monitoring the frequency of this LDN subset in the circulation may serve as an adjunct clinical marker for disease status and progression, as it is associated with D-dimer, ferritin, IL-6, and TNF-alpha levels.

JCI INSIGHT (2021)

Article Immunology

Rapid induction of antigen-specific CD4+ T cells is associated with coordinated humoral and cellular immunity to SARS-CoV-2 mRNA vaccination

Mark M. Painter et al.

Summary: The study found that after SARS-CoV-2 mRNA vaccination, CD4(+) T cell responses in naïve individuals were fast, while CD8(+) T cell responses developed gradually. Th1 and Tfh cell responses after the first dose were correlated with post-boost CD8(+) T cells and neutralizing antibodies.

IMMUNITY (2021)

Review Immunology

The effect of tocilizumab on COVID-19 patient mortality: A systematic review and meta-analysis of randomized controlled trials

Wei-Ting Lin et al.

Summary: Tocilizumab does not provide a survival benefit for patients with COVID-19, but it may help reduce the risk of mechanical ventilation and intensive care unit admission. Additionally, tocilizumab has been shown to be a safe agent for the treatment of COVID-19.

INTERNATIONAL IMMUNOPHARMACOLOGY (2021)

Article Medicine, General & Internal

Effect of Canakinumab vs Placebo on Survival Without Invasive Mechanical Ventilation in Patients Hospitalized With Severe COVID-19 A Randomized Clinical Trial

Roberto Caricchio et al.

Summary: This clinical trial compared the efficacy of canakinumab vs placebo on survival without invasive mechanical ventilation (IMV) in hospitalized patients with severe COVID-19. The results showed that treatment with canakinumab did not significantly increase the likelihood of survival without IMV compared to placebo.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2021)

Article Biochemistry & Molecular Biology

Early treatment of COVID-19 with anakinra guided by soluble urokinase plasminogen receptor plasma levels: a double-blind, randomized controlled phase 3 trial

Evdoxia Kyriazopoulou et al.

Summary: The SAVE-MORE phase 3 study demonstrated the efficacy of anakinra, an IL-1 alpha/beta inhibitor, in patients with COVID-19 and high serum levels of soluble plasminogen activator receptor, showing significant reduction in clinical deterioration and decreased 28-day mortality.

NATURE MEDICINE (2021)

Article Medicine, General & Internal

Treatment of Multisystem Inflammatory Syndrome in Children

Andrew J. McArdle et al.

Summary: This international observational cohort study found no significant difference in the recovery from MIS-C after primary treatment with IVIG alone, IVIG plus glucocorticoids, or glucocorticoids alone, although significant differences may emerge as more data accrue.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Editorial Material Medicine, General & Internal

Immunotherapy for MIS-C - IVIG, Glucocorticoids, and Biologics

Roberta L. DeBiasi

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Article Medicine, General & Internal

Multisystem Inflammatory Syndrome in Children - Initial Therapy and Outcomes

Mary Beth F. Son et al.

Summary: Initial treatment with IVIG plus glucocorticoids was associated with a lower risk of cardiovascular dysfunction compared to IVIG alone in children with MIS-C.

NEW ENGLAND JOURNAL OF MEDICINE (2021)

Article Multidisciplinary Sciences

SARS-CoV-2 specific T cell responses are lower in children and increase with age and time after infection

Carolyn A. Cohen et al.

Summary: This study shows that infected children have lower CD4(+) and CD8(+) T cell responses to SARS-CoV-2 proteins compared to infected adults. Children also have reduced CD4(+) T cell effector memory but comparable T cell polyfunctionality.

NATURE COMMUNICATIONS (2021)

Article Multidisciplinary Sciences

SARS-CoV-2-specific T cell memory is sustained in COVID-19 convalescent patients for 10 months with successful development of stem cell-like memory T cells

Jae Hyung Jung et al.

Summary: The study reveals that memory T cell responses can be detected in convalescent COVID-19 patients up to 317 days post-symptom onset, indicating potential long-lasting immunity, especially with the presence of stem cell-like memory T cells.

NATURE COMMUNICATIONS (2021)

Article Cell Biology

Antibody landscape against SARS-CoV-2 reveals significant differences between non-structural/accessory and structural proteins

Yang Li et al.

Summary: This study found that non-structural/accessory proteins of SARS-CoV-2 elicit prevalent IgG responses, which are associated with disease severity and clinical outcome, declining sharply about 20 days after symptom onset. Global antibody responses to these proteins may facilitate a deeper understanding of SARS-CoV-2 immunology.

CELL REPORTS (2021)

Article Immunology

PD-L1 Dysregulation in COVID-19 Patients

Francesco Sabbatino et al.

Summary: The COVID-19 pandemic has led to severe social and medical consequences, including a subset of patients with rapidly worsening severe-critical manifestations. Prognostic biomarkers and therapeutic approaches are urgently needed to address this issue. Dysregulated immune response, particularly involving immune checkpoint molecules like PD-1 and PD-L1, play a significant role in COVID-19 pathogenesis. Serum levels of PD-L1 have shown to have a prognostic role in COVID-19 patients, indicating the potential for PD-1/PD-L1 inhibitors in clinical studies.

FRONTIERS IN IMMUNOLOGY (2021)

Review Immunology

Myeloid-Derived Suppressor Cells as a Potential Biomarker and Therapeutic Target in COVID-19

Marianna Rowlands et al.

Summary: The clinical presentations of COVID-19 are highly variable, and the pathophysiological mechanisms that govern different disease courses are still poorly understood. Severity of COVID-19 may be associated with dysregulation of myeloid-derived suppressor cells (MDSCs). MDSCs play a crucial role in COVID-19 infection by modulating T-cell responses and promoting an inflammatory state through secretion of mediators.

FRONTIERS IN IMMUNOLOGY (2021)

Article Immunology

SARS-CoV-2 variants of concern partially escape humoral but not T- cell responses in COVID-19 convalescent donors and vaccinees

Daryl Geers et al.

Summary: This study suggests that some variants might partially escape humoral immunity induced by SARS-CoV-2 infection or BNT162b2 vaccination, but the S-specific CD4(+) T-cell activation is not affected by the mutations in the B.1.1.7 and B.1.351 variants.

SCIENCE IMMUNOLOGY (2021)

Article Immunology

SARS-CoV-2-specific humoral and cellular immunity persists through 9 months irrespective of COVID-19 severity at hospitalisation

John Tyler Sandberg et al.

Summary: The study observed an increase in germinal centre activity, substantial expansion of antibody-secreting cells, and generation of neutralizing antibodies during acute COVID-19. Despite decreasing antibody levels, persistent neutralizing antibody titres and specific memory B cell responses along with polyfunctional T cell responses were still observed at 5 and 9 months after symptom onset in both moderate and severe COVID-19 patients.

CLINICAL & TRANSLATIONAL IMMUNOLOGY (2021)

Article Cell Biology

Longitudinal analysis shows durable and broad immune memory after SARS-CoV-2 infection with persisting antibody responses and memory B and T cells

Kristen W. Cohen et al.

Summary: The study reveals that COVID-19 patients have durable broad-based immune responses, including the continuous generation of antibodies, memory B cells, and polyfunctional T cells, which help to rapidly generate antibody responses against virus re-exposure or vaccination.

CELL REPORTS MEDICINE (2021)

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Impact of SARS-CoV-2 variants on the total CD4+ and CD8+ T cell reactivity in infected or vaccinated individuals

Alison Tarke et al.

Summary: The study showed that SARS-CoV-2 variants do not significantly disrupt total T cell reactivity, although decreases in response frequency of 10%-22% were observed under certain assay/VOC combinations. This underscores the importance of actively monitoring T cell responses in the context of SARS-CoV-2 evolution.

CELL REPORTS MEDICINE (2021)

Article Medicine, Research & Experimental

One dose of SARS-CoV-2 vaccine exponentially increases antibodies in individuals who have recovered from symptomatic COVID-19

Riccardo Levi et al.

Summary: A study showed that individuals with prior exposure to SARS-CoV-2 had a significant increase in antibody response within 5 to 18 days after receiving the Pfizer/BioNTech vaccine. Symptomatic individuals reached a high titer of antibodies with just one dose, suggesting that a second dose may not be necessary.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Article Medicine, General & Internal

Antibody Responses One Year after Mild SARS-CoV-2 Infection

Pyoeng Gyun Choe et al.

Summary: Despite declining immunity, SARS-CoV-2 antibodies can still be detected up to one year after infection, even in mild COVID-19 patients, as shown in this study.

JOURNAL OF KOREAN MEDICAL SCIENCE (2021)

Article Medicine, Research & Experimental

First-dose mRNA vaccination is sufficient to reactivate immunological memory to SARS-CoV-2 in subjects who have recovered from COVID-19

Alessio Mazzoni et al.

Summary: The study suggests that COVID-19-recovered individuals may not need a second vaccine dose to further enhance immune response, while naive individuals require a second dose for increased immunity. This indicates that redirecting vaccine doses from COVID-19-recovered individuals to naive individuals could shorten the time to achieve herd immunity.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Review Public, Environmental & Occupational Health

The dynamics of inflammatory markers in coronavirus disease-2019 (COVID-19) patients: A systematic review and meta-analysis

Roshan Kumar Mahat et al.

Summary: This paper conducted a systematic review and meta-analysis on the association of inflammatory parameters with severity and mortality in COVID-19 patients. The results showed significant differences in levels of certain inflammatory parameters between severe and non-severe COVID-19 patients, as well as between non-survivor and survivor groups.

CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH (2021)

Review Immunology

Viral targets for vaccines against COVID-19

Lianpan Dai et al.

Summary: The urgent need for vaccines to control the COVID-19 pandemic has led to the rapid development of multiple vaccine candidates, with some showing positive results in late-stage clinical trials. This article discusses the viral elements used in these candidates, the reasons why they are good targets for the immune system, and their implications for protective immunity. Dai and Gao highlight the importance of selecting the right viral targets in vaccine development to ensure an effective immune response and the overall safety and efficacy of the vaccine.

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