1. New-Onset IgG Autoantibodies in Hospitalized Patients with COVID-19
- Author
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Rong Mao, William H. Robinson, Sarah Greib, Kari C. Nadeau, Judith A. James, Iris Chang, Peggie Cheung, Andrew Gaano, Richard Wittman, Prasanna Jagannathan, Maja Artandi, Andreas Neubauer, Peter S. Kim, Monali Manohar, Payton A. Weidenbacher, Paul J. Utz, Chrysanthi Skevaki, Joyce Gonzalez, Kate Bennett, Shaurya Dhingra, Harald Renz, Wenzhao Meng, Taia T. Wang, Indira Neeli, Nuala J. Meyer, Alex J. Kuo, Sharon Chinthrajah, Neera Ahuja, Upinder Singh, Margrit Gündisch, Elisabeth Mack, Rajan Puri, Linda Barman, Allan Feng, Saborni Chakraborty, Marko Z. Radic, Abigail E. Powell, Ho-Ryun Chung, Sarah Esther Chang, Alex Ren Hsu, Sokratis A. Apostolidis, E. John Wherry, Heather M. Giannini, Jeffrey M. Schapiro, Reinhard Geßner, Amanda Finck, Evan Do, Eline T. Luning Prak, and Oluwatosin Oniyide
- Subjects
Male ,Methyltransferase ,Coronavirus disease 2019 (COVID-19) ,Science ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,viruses ,General Physics and Astronomy ,Connective tissue ,Autoimmunity ,Antibodies, Viral ,Autoantigens ,General Biochemistry, Genetics and Molecular Biology ,Immunoglobulin G ,Article ,Antibodies ,Viral Proteins ,Immune system ,Humans ,Medicine ,Respiratory system ,Connective Tissue Diseases ,skin and connective tissue diseases ,Myositis ,Aged ,Autoantibodies ,NSP1 ,Multidisciplinary ,biology ,business.industry ,SARS-CoV-2 ,fungi ,Autoantibody ,COVID-19 ,General Chemistry ,Middle Aged ,medicine.disease ,Hospitalization ,body regions ,medicine.anatomical_structure ,Viral infection ,Antibodies, Antinuclear ,Immunology ,biology.protein ,Cytokines ,Female ,Antibody ,business - Abstract
COVID-19 is associated with a wide range of clinical manifestations, including autoimmune features and autoantibody production. Here we develop three protein arrays to measure IgG autoantibodies associated with connective tissue diseases, anti-cytokine antibodies, and anti-viral antibody responses in serum from 147 hospitalized COVID-19 patients. Autoantibodies are identified in approximately 50% of patients but in less than 15% of healthy controls. When present, autoantibodies largely target autoantigens associated with rare disorders such as myositis, systemic sclerosis and overlap syndromes. A subset of autoantibodies targeting traditional autoantigens or cytokines develop de novo following SARS-CoV-2 infection. Autoantibodies track with longitudinal development of IgG antibodies recognizing SARS-CoV-2 structural proteins and a subset of non-structural proteins, but not proteins from influenza, seasonal coronaviruses or other pathogenic viruses. We conclude that SARS-CoV-2 causes development of new-onset IgG autoantibodies in a significant proportion of hospitalized COVID-19 patients and are positively correlated with immune responses to SARS-CoV-2 proteins., Infection with SARS-CoV2 and the development of Coronavirus disease 2019 (COVID-19) has been linked to induction of autoimmunity and autoantibody production. Here the authors characterise the new-onset IgG autoantibody response in hospitalised patients with COVID-19 which they correlate to the magnitude of the SARS-CoV2 response.
- Published
- 2021