2021
DOI: 10.1084/jem.20210281
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Immunodominant antibody germlines in COVID-19

Abstract: The neutralizing antibody response to SARS-CoV-2 is dominated by antibodies deriving from germlines IGHV3-53/IGHV3-66, which are also associated with self-reacting antibodies. Could vaccines avoid the expansion of this immunodominant response, decrease the risk of autoimmunity, and still protect against emerging SARS-CoV-2 variants?

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Cited by 30 publications
(30 citation statements)
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“…The hCoV-2IG antibodies most frequently bound to sites in the NTD, S1/S2 cleavage site, fusion peptide and heptad repeat domains in S2. In recent studies with monoclonal antibodies isolated from SARS-CoV-2 memory cells from COVID-19 patients, multiple neutralizing antibodies were identified that targeted the RBD, S1-NTD, S2, and S protein trimer (Andreano and Rappuoli, 2021;Fagiani et al, 2020;Wrapp et al, 2020). The most potent neutralizing antibodies that target directly the RBM/ACE2 interface were isolated at low frequency (Andreano et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
“…The hCoV-2IG antibodies most frequently bound to sites in the NTD, S1/S2 cleavage site, fusion peptide and heptad repeat domains in S2. In recent studies with monoclonal antibodies isolated from SARS-CoV-2 memory cells from COVID-19 patients, multiple neutralizing antibodies were identified that targeted the RBD, S1-NTD, S2, and S protein trimer (Andreano and Rappuoli, 2021;Fagiani et al, 2020;Wrapp et al, 2020). The most potent neutralizing antibodies that target directly the RBM/ACE2 interface were isolated at low frequency (Andreano et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
“…The resulting data set presented here is comprised of a representative subset of a diverse panel of candidate antibodies spanning multiple epitopes with high affinity and both receptor blocking and non-blocking activity. Interestingly, all candidate antibodies identified from the Alloy mice fell within a similar non-blocking bin, likely indicative of epitope immunodominance [ 17 ], which has been reported as a common result from COVID-19 infection [ 18 , 19 ]. However, the extended immunization strategy employed for the Alloy mice resulted in high-affinity antibodies, including the top four highest affinity candidates presented here.…”
Section: Discussionmentioning
confidence: 98%
“…Interestingly, all candidate antibodies identified from the Alloy mice fell within a similar nonblocking bin, likely indicative of epitope immunodominance, 14 which has been reported as a common result from COVID-19 infection. 15,16 However, the extended immunization strategy employed for the Alloy mice resulted in high affinity antibodies, including the top four highest affinity candidates presented here. The balance between diversity and affinity is a challenge for in vivo immunization models:…”
mentioning
confidence: 89%