23 results on '"Hasler, Sara'
Search Results
2. Immunoglobulin signature predicts risk of post-acute COVID-19 syndrome
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Carlo Cervia, Yves Zurbuchen, Patrick Taeschler, Tala Ballouz, Dominik Menges, Sara Hasler, Sarah Adamo, Miro E. Raeber, Esther Bächli, Alain Rudiger, Melina Stüssi-Helbling, Lars C. Huber, Jakob Nilsson, Ulrike Held, Milo A. Puhan, and Onur Boyman
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Science - Abstract
Studying a prospective cohort, the authors develop and validate a predictive score for post-acute COVID-19 syndrome, also known as long-COVID. This score relies on an immunoglobulin signature and is independent of timepoint of blood sampling.
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- 2022
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3. Persistent complement dysregulation with signs of thromboinflammation in active Long Covid
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Cervia-Hasler, Carlo, primary, Brüningk, Sarah C., additional, Hoch, Tobias, additional, Fan, Bowen, additional, Muzio, Giulia, additional, Thompson, Ryan C., additional, Ceglarek, Laura, additional, Meledin, Roman, additional, Westermann, Patrick, additional, Emmenegger, Marc, additional, Taeschler, Patrick, additional, Zurbuchen, Yves, additional, Pons, Michele, additional, Menges, Dominik, additional, Ballouz, Tala, additional, Cervia-Hasler, Sara, additional, Adamo, Sarah, additional, Merad, Miriam, additional, Charney, Alexander W., additional, Puhan, Milo, additional, Brodin, Petter, additional, Nilsson, Jakob, additional, Aguzzi, Adriano, additional, Raeber, Miro E., additional, Messner, Christoph B., additional, Beckmann, Noam D., additional, Borgwardt, Karsten, additional, and Boyman, Onur, additional
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- 2024
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4. T‐cell recovery and evidence of persistent immune activation 12 months after severe COVID ‐19
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Taeschler, Patrick, primary, Adamo, Sarah, additional, Deng, Yun, additional, Cervia, Carlo, additional, Zurbuchen, Yves, additional, Chevrier, Stéphane, additional, Raeber, Miro E., additional, Hasler, Sara, additional, Bächli, Esther, additional, Rudiger, Alain, additional, Stüssi‐Helbling, Melina, additional, Huber, Lars C., additional, Bodenmiller, Bernd, additional, Boyman, Onur, additional, and Nilsson, Jakob, additional
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- 2022
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5. Autoantibodies in COVID-19 correlate with antiviral humoral responses and distinct immune signatures
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Patrick Taeschler, Carlo Cervia, Yves Zurbuchen, Sara Hasler, Christian Pou, Ziyang Tan, Sarah Adamo, Miro E. Raeber, Esther Bächli, Alain Rudiger, Melina Stüssi‐Helbling, Lars C. Huber, Petter Brodin, Jakob Nilsson, Elsbeth Probst‐Müller, Onur Boyman, University of Zurich, and Boyman, Onur
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2403 Immunology ,SARS-CoV-2 ,Immunology ,COVID-19 ,610 Medicine & health ,Antiviral Agents ,Antibodies, Antineutrophil Cytoplasmic ,Immunity, Humoral ,Antibodies, Antinuclear ,10033 Clinic for Immunology ,2723 Immunology and Allergy ,Immunology and Allergy ,Humans ,Autoantibodies - Abstract
BackgroundSeveral autoimmune features occur during coronavirus disease 2019 (COVID-19), with possible implications for disease course, immunity, and autoimmune pathology. In this study, we longitudinally screened for clinically relevant systemic autoantibodies to assess their prevalence, temporal trajectory, and association with immunity, comorbidities, and severity of COVID-19.MethodsWe performed highly sensitive indirect immunofluorescence assays to detect anti-nuclear antibodies (ANA) and anti-neutrophil cytoplasmic antibodies (ANCA), along with serum proteomics and virome-wide serological profiling in a multicentric cohort of 175 COVID-19 patients followed-up to one year after infection, eleven vaccinated individuals, and 41 unexposed controls.ResultsCompared to healthy controls, similar prevalence and patterns of ANA were present in patients during acute COVID-19 and recovery. However, paired analysis revealed a subgroup of patients with transient presence of certain ANA patterns during acute COVID-19. Furthermore, patients with severe COVID-19 exhibited a high prevalence of ANCA during acute disease. These autoantibodies were quantitatively associated with higher SARS-CoV-2-specific antibody titers in COVID-19 patients and in vaccinated individuals, thus linking autoantibody production to increased antigen-specific humoral responses. Notably, the qualitative breadth of antibodies cross-reactive with other coronaviruses was comparable in ANA-positive and ANA- negative individuals during acute COVID-19. In autoantibody-positive patients, multiparametric characterization demonstrated an inflammatory signature during acute COVID-19 and alterations of the B cell compartment after recovery.ConclusionHighly sensitive indirect immunofluorescence assays revealed transient autoantibody production during acute SARS-CoV-2 infection, while the presence of autoantibodies in COVID-19 patients correlated with increased anti-viral humoral immune responses and inflammatory immune signatures.
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- 2022
6. T-cell recovery and evidence of persistent immune activation 12 months after severe COVID-19
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Taeschler, Patrick; https://orcid.org/0000-0003-0522-7629, Adamo, Sarah; https://orcid.org/0000-0002-6161-3156, Deng, Yun; https://orcid.org/0000-0002-8204-9021, Cervia, Carlo; https://orcid.org/0000-0001-7120-8739, Zurbuchen, Yves; https://orcid.org/0000-0001-5387-9950, Chevrier, Stéphane; https://orcid.org/0000-0002-9216-7910, Raeber, Miro E; https://orcid.org/0000-0003-2609-0246, Hasler, Sara; https://orcid.org/0000-0001-7357-9090, Bächli, Esther; https://orcid.org/0000-0003-4887-7576, Rudiger, Alain; https://orcid.org/0000-0001-7943-7624, Stüssi-Helbling, Melina; https://orcid.org/0000-0002-7896-6644, Huber, Lars C; https://orcid.org/0000-0001-5378-4716, Bodenmiller, Bernd; https://orcid.org/0000-0002-6325-7861, Boyman, Onur; https://orcid.org/0000-0001-8279-5545, Nilsson, Jakob; https://orcid.org/0000-0001-5091-8133, Taeschler, Patrick; https://orcid.org/0000-0003-0522-7629, Adamo, Sarah; https://orcid.org/0000-0002-6161-3156, Deng, Yun; https://orcid.org/0000-0002-8204-9021, Cervia, Carlo; https://orcid.org/0000-0001-7120-8739, Zurbuchen, Yves; https://orcid.org/0000-0001-5387-9950, Chevrier, Stéphane; https://orcid.org/0000-0002-9216-7910, Raeber, Miro E; https://orcid.org/0000-0003-2609-0246, Hasler, Sara; https://orcid.org/0000-0001-7357-9090, Bächli, Esther; https://orcid.org/0000-0003-4887-7576, Rudiger, Alain; https://orcid.org/0000-0001-7943-7624, Stüssi-Helbling, Melina; https://orcid.org/0000-0002-7896-6644, Huber, Lars C; https://orcid.org/0000-0001-5378-4716, Bodenmiller, Bernd; https://orcid.org/0000-0002-6325-7861, Boyman, Onur; https://orcid.org/0000-0001-8279-5545, and Nilsson, Jakob; https://orcid.org/0000-0001-5091-8133
- Abstract
BACKGROUND: T-cell lymphopenia and functional impairment is a hallmark of severe acute coronavirus disease 2019 (COVID-19). How T-cell numbers and function evolve at later timepoints after clinical recovery remains poorly investigated. METHODS: We prospectively enrolled and longitudinally sampled 173 individuals with asymptomatic to critical COVID-19 and analyzed phenotypic and functional characteristics of T cells using flow cytometry, 40-parameter mass cytometry, targeted proteomics, and functional assays. RESULTS: The extensive T-cell lymphopenia observed particularly in patients with severe COVID-19 during acute infection had recovered 6 months after infection, which was accompanied by a normalization of functional T-cell responses to common viral antigens. We detected persisting CD4$^{+}$ and CD8$^{+}$ T-cell activation up to 12 months after infection, in patients with mild and severe COVID-19, as measured by increased HLA-DR and CD38 expression on these cells. Persistent T-cell activation after COVID-19 was independent of administration of a COVID-19 vaccine post-infection. Furthermore, we identified a subgroup of patients with severe COVID-19 that presented with persistently low CD8$^{+}$ T-cell counts at follow-up and exhibited a distinct phenotype during acute infection consisting of a dysfunctional T-cell response and signs of excessive pro-inflammatory cytokine production. CONCLUSION: Our study suggests that T-cell numbers and function recover in most patients after COVID-19. However, we find evidence of persistent T-cell activation up to 12 months after infection and describe a subgroup of severe COVID-19 patients with persistently low CD8$^{+}$ T-cell counts exhibiting a dysregulated immune response during acute infection.
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- 2022
7. Autoantibodies in COVID-19 correlate with antiviral humoral responses and distinct immune signatures
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Taeschler, Patrick; https://orcid.org/0000-0003-0522-7629, Cervia, Carlo; https://orcid.org/0000-0001-7120-8739, Zurbuchen, Yves; https://orcid.org/0000-0001-5387-9950, Hasler, Sara; https://orcid.org/0000-0001-7357-9090, Pou, Christian; https://orcid.org/0000-0003-3932-788X, Tan, Ziyang; https://orcid.org/0000-0002-7205-4978, Adamo, Sarah; https://orcid.org/0000-0002-6161-3156, Raeber, Miro E; https://orcid.org/0000-0003-2609-0246, Bächli, Esther; https://orcid.org/0000-0003-4887-7576, Rudiger, Alain; https://orcid.org/0000-0001-7943-7624, Stüssi‐Helbling, Melina; https://orcid.org/0000-0002-7896-6644, Huber, Lars C; https://orcid.org/0000-0001-5378-4716, Brodin, Petter; https://orcid.org/0000-0002-8103-0046, Nilsson, Jakob; https://orcid.org/0000-0001-5091-8133, Probst‐Müller, Elsbeth; https://orcid.org/0000-0002-9046-4196, Boyman, Onur; https://orcid.org/0000-0001-8279-5545, Taeschler, Patrick; https://orcid.org/0000-0003-0522-7629, Cervia, Carlo; https://orcid.org/0000-0001-7120-8739, Zurbuchen, Yves; https://orcid.org/0000-0001-5387-9950, Hasler, Sara; https://orcid.org/0000-0001-7357-9090, Pou, Christian; https://orcid.org/0000-0003-3932-788X, Tan, Ziyang; https://orcid.org/0000-0002-7205-4978, Adamo, Sarah; https://orcid.org/0000-0002-6161-3156, Raeber, Miro E; https://orcid.org/0000-0003-2609-0246, Bächli, Esther; https://orcid.org/0000-0003-4887-7576, Rudiger, Alain; https://orcid.org/0000-0001-7943-7624, Stüssi‐Helbling, Melina; https://orcid.org/0000-0002-7896-6644, Huber, Lars C; https://orcid.org/0000-0001-5378-4716, Brodin, Petter; https://orcid.org/0000-0002-8103-0046, Nilsson, Jakob; https://orcid.org/0000-0001-5091-8133, Probst‐Müller, Elsbeth; https://orcid.org/0000-0002-9046-4196, and Boyman, Onur; https://orcid.org/0000-0001-8279-5545
- Abstract
Background Several autoimmune features occur during coronavirus disease 2019 (COVID-19), with possible implications for disease course, immunity, and autoimmune pathology. In this study, we longitudinally screened for clinically relevant systemic autoantibodies to assess their prevalence, temporal trajectory, and association with immunity, comorbidities, and severity of COVID-19. Methods We performed highly sensitive indirect immunofluorescence assays to detect antinuclear antibodies (ANA) and antineutrophil cytoplasmic antibodies (ANCA), along with serum proteomics and virome-wide serological profiling in a multicentric cohort of 175 COVID-19 patients followed up to 1 year after infection, eleven vaccinated individuals, and 41 unexposed controls. Results Compared with healthy controls, similar prevalence and patterns of ANA were present in patients during acute COVID-19 and recovery. However, the paired analysis revealed a subgroup of patients with transient presence of certain ANA patterns during acute COVID-19. Furthermore, patients with severe COVID-19 exhibited a high prevalence of ANCA during acute disease. These autoantibodies were quantitatively associated with higher SARS-CoV-2-specific antibody titers in COVID-19 patients and in vaccinated individuals, thus linking autoantibody production to increased antigen-specific humoral responses. Notably, the qualitative breadth of antibodies cross-reactive with other coronaviruses was comparable in ANA-positive and ANA-negative individuals during acute COVID-19. In autoantibody-positive patients, multiparametric characterization demonstrated an inflammatory signature during acute COVID-19 and alterations of the B-cell compartment after recovery. Conclusion Highly sensitive indirect immunofluorescence assays revealed transient autoantibody production during acute SARS-CoV-2 infection, while the presence of autoantibodies in COVID-19 patients correlated with increased antiviral humoral immune responses and inflammato
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- 2022
8. Immunoglobulin signature predicts risk of post-acute COVID-19 syndrome
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Cervia, Carlo; https://orcid.org/0000-0001-7120-8739, Zurbuchen, Yves; https://orcid.org/0000-0001-5387-9950, Taeschler, Patrick, Ballouz, Tala, Menges, Dominik; https://orcid.org/0000-0001-5970-1846, Hasler, Sara; https://orcid.org/0000-0001-7357-9090, Adamo, Sarah; https://orcid.org/0000-0002-6161-3156, Raeber, Miro E; https://orcid.org/0000-0003-2609-0246, Bächli, Esther, Rudiger, Alain, Stüssi-Helbling, Melina, Huber, Lars C, Nilsson, Jakob, Held, Ulrike; https://orcid.org/0000-0003-3105-5840, Puhan, Milo A; https://orcid.org/0000-0003-4721-1879, Boyman, Onur; https://orcid.org/0000-0001-8279-5545, Cervia, Carlo; https://orcid.org/0000-0001-7120-8739, Zurbuchen, Yves; https://orcid.org/0000-0001-5387-9950, Taeschler, Patrick, Ballouz, Tala, Menges, Dominik; https://orcid.org/0000-0001-5970-1846, Hasler, Sara; https://orcid.org/0000-0001-7357-9090, Adamo, Sarah; https://orcid.org/0000-0002-6161-3156, Raeber, Miro E; https://orcid.org/0000-0003-2609-0246, Bächli, Esther, Rudiger, Alain, Stüssi-Helbling, Melina, Huber, Lars C, Nilsson, Jakob, Held, Ulrike; https://orcid.org/0000-0003-3105-5840, Puhan, Milo A; https://orcid.org/0000-0003-4721-1879, and Boyman, Onur; https://orcid.org/0000-0001-8279-5545
- Abstract
Following acute infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) a significant proportion of individuals develop prolonged symptoms, a serious condition termed post-acute coronavirus disease 2019 (COVID-19) syndrome (PACS) or long COVID. Predictors of PACS are needed. In a prospective multicentric cohort study of 215 individuals, we study COVID-19 patients during primary infection and up to one year later, compared to healthy subjects. We discover an immunoglobulin (Ig) signature, based on total IgM and IgG3 levels, which – combined with age, history of asthma bronchiale, and five symptoms during primary infection – is able to predict the risk of PACS independently of timepoint of blood sampling. We validate the score in an independent cohort of 395 individuals with COVID-19. Our results highlight the benefit of measuring Igs for the early identification of patients at high risk for PACS, which facilitates the study of targeted treatment and pathomechanisms of PACS.
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- 2022
9. Autoantibodies in COVID‐19 correlate with antiviral humoral responses and distinct immune signatures
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Taeschler, Patrick, primary, Cervia, Carlo, additional, Zurbuchen, Yves, additional, Hasler, Sara, additional, Pou, Christian, additional, Tan, Ziyang, additional, Adamo, Sarah, additional, Raeber, Miro E., additional, Bächli, Esther, additional, Rudiger, Alain, additional, Stüssi‐Helbling, Melina, additional, Huber, Lars C., additional, Brodin, Petter, additional, Nilsson, Jakob, additional, Probst‐Müller, Elsbeth, additional, and Boyman, Onur, additional
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- 2022
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10. Autoantibodies in COVID-19 correlate with anti-viral humoral responses and distinct immune signatures
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Taeschler, Patrick, primary, Cervia, Carlo, additional, Zurbuchen, Yves, additional, Hasler, Sara, additional, Pou, Christian, additional, Tan, Ziyang, additional, Adamo, Sarah, additional, Raeber, Miro E., additional, Bächli, Esther, additional, Rudiger, Alain, additional, Stüssi-Helbling, Melina, additional, Huber, Lars C., additional, Brodin, Petter, additional, Nilsson, Jakob, additional, Probst-Müller, Elsbeth, additional, and Boyman, Onur, additional
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- 2022
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11. Timing of drought in the growing season and strong legacy effects determine the annual productivity of temperate grasses in a changing climate
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Matthias Suter, Claudia Hahn, Sara Ernst-Hasler, Andreas Lüscher, and Ansgar Kahmen
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0106 biological sciences ,010504 meteorology & atmospheric sciences ,Perennial plant ,lcsh:Life ,Growing season ,Biology ,010603 evolutionary biology ,01 natural sciences ,Grassland ,lcsh:QH540-549.5 ,parasitic diseases ,Temperate climate ,Ecology, Evolution, Behavior and Systematics ,0105 earth and related environmental sciences ,Earth-Surface Processes ,2. Zero hunger ,geography ,Biomass (ecology) ,geography.geographical_feature_category ,Phenology ,lcsh:QE1-996.5 ,fungi ,Primary production ,food and beverages ,15. Life on land ,lcsh:Geology ,lcsh:QH501-531 ,Productivity (ecology) ,Agronomy ,13. Climate action ,lcsh:Ecology - Abstract
The frequency of extreme weather events, such as droughts, is assumed to increase and lead to alterations in ecosystem productivity and thus the terrestrial carbon cycle. Although grasslands typically show reduced productivity in response to drought, the effects of drought on grassland productivity have been shown to vary strongly. Here we tested, in a 2-year field experiment, if the resistance and the recovery of grasses to drought varies throughout a growing season and if the timing of the drought influences drought-induced reductions in annual aboveground net primary production (ANPP) of grasses. For the experiment we grew six temperate and perennial C3 grass species and cultivars in a field as pure stands. The grasses were cut six times during the growing season and subject to 10 week drought treatments that occurred either in the spring, the summer or the fall. Averaged across all grasses, drought-induced losses in productivity in spring were smaller (−20 % to −51 %) than in summer and fall (−77 % to −87 %). This suggests a higher resistance to drought in spring when plants are in their reproductive stage and their productivity is the highest. After the release from drought, we found no prolonged suppression in growth. In contrast, post-drought growth rates of formerly drought-stressed swards outperformed the growth rates of the control swards. The strong overcompensation in growth after the drought release resulted in relatively small overall drought-induced losses in annual ANPP that ranged from −4 % to −14 % and were not affected by the timing of the drought event. In summary, our results show that (i) the resistance in growth rates of grasses to drought varies across the season and is increased during the reproductive phenological stage when growth rates are highest; (ii) that the positive legacy effects of drought indicate a high recovery potential of temperate grasses to drought; and (iii) that the high recovery can compensate for immediate drought effects on total annual biomass production to a significant extent.
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- 2021
12. Immunoglobulin Signature Predicts Risk of Post-Acute Covid-19 Syndrome
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Carlo Cervia, Yves Zurbuchen, Patrick Taeschler, Sarah Adamo, Sara Hasler, Miro E Raeber, Esther Bächli, Alain Rudiger, Melina Stüssi-Helbling, Lars C. Huber, Ulrike Held, Jakob Nilsson, and Onur Boyman
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- 2021
13. Systemic and mucosal antibody responses specific to SARS-CoV-2 during mild versus severe COVID-19.
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Cervia, Carlo, Nilsson, Jakob, Zurbuchen, Yves, Valaperti, Alan, Schreiner, Jens, Wolfensberger, Aline, Raeber, Miro E, Adamo, Sarah, Weigang, Sebastian, Emmenegger, Marc, Hasler, Sara, Bosshard, Philipp P, De Cecco, Elena, Bächli, Esther, Rudiger, Alain, Stüssi-Helbling, Melina, Huber, Lars C, Zinkernagel, Annelies S, Schaer, Dominik J, Aguzzi, Adriano; https://orcid.org/0000-0002-0344-6708, Kochs, Georg, Held, Ulrike, Probst-Müller, Elsbeth, Rampini, Silvana K, Boyman, Onur, Cervia, Carlo, Nilsson, Jakob, Zurbuchen, Yves, Valaperti, Alan, Schreiner, Jens, Wolfensberger, Aline, Raeber, Miro E, Adamo, Sarah, Weigang, Sebastian, Emmenegger, Marc, Hasler, Sara, Bosshard, Philipp P, De Cecco, Elena, Bächli, Esther, Rudiger, Alain, Stüssi-Helbling, Melina, Huber, Lars C, Zinkernagel, Annelies S, Schaer, Dominik J, Aguzzi, Adriano; https://orcid.org/0000-0002-0344-6708, Kochs, Georg, Held, Ulrike, Probst-Müller, Elsbeth, Rampini, Silvana K, and Boyman, Onur
- Abstract
BACKGROUND Whereas severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific antibody tests are increasingly used to estimate the prevalence of SARS-CoV-2 infection, the determinants of these antibody responses remain unclear. OBJECTIVES To evaluate systemic and mucosal antibody responses toward SARS-CoV-2 in mild versus severe coronavirus disease 2019 (COVID-19) cases. METHODS Using immunoassays specific for SARS-CoV-2 spike proteins, we determined SARS-CoV-2-specific immunoglobulin A (IgA) and immunoglobulin G (IgG) in sera and mucosal fluids of two cohorts, including SARS-CoV-2 polymerase chain reaction (PCR)$^{+}$ patients (n = 64) as well as PCR$^{+}$ and PCR$^{-}$ healthcare workers (n = 109). RESULTS SARS-CoV-2-specific serum IgA titers in mild COVID-19 cases were often transiently positive, whereas serum IgG titers remained negative or became positive 12-14 days after symptom onset. Conversely, patients with severe COVID-19 showed a highly significant increase of SARS-CoV-2-specific serum IgA and IgG titers after symptom onset. Very high titers of SARS-CoV-2-specific serum IgA correlated with severe acute respiratory distress syndrome (ARDS). Interestingly, some healthcare workers with negative SARS-CoV-2-specific serum antibody titers showed SARS-CoV-2-specific IgA in mucosal fluids with virus-neutralizing capacity in some cases. SARS-CoV-2-specific IgA titers in nasal fluids inversely correlated with age. CONCLUSIONS Systemic antibody production against SARS-CoV-2 develops mainly in severe COVID-19, with very high IgA titers seen in patients with severe ARDS, whereas mild disease may be associated with transient production of SARS-CoV-2-specific antibodies but stimulate mucosal SARS-CoV-2-specific IgA secretion.
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- 2021
14. Systemic and mucosal antibody responses specific to SARS-CoV-2 during mild versus severe COVID-19
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Alan Valaperti, Philipp P. Bosshard, Annelies S. Zinkernagel, Carlo Cervia, Ulrike Held, Elena De Cecco, Jakob Nilsson, Alain Rudiger, Silvana K. Rampini, Jens Schreiner, Elsbeth Probst-Müller, Adriano Aguzzi, Melina Stüssi-Helbling, Lars C. Huber, Onur Boyman, Georg Kochs, Sarah Adamo, Aline Wolfensberger, Miro E. Raeber, Yves Zurbuchen, Esther B. Bachli, Dominik J. Schaer, Sara Hasler, Marc Emmenegger, Sebastian Weigang, and University of Zurich
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0301 basic medicine ,Male ,ARDS ,viruses ,Antibodies, Viral ,Severity of Illness Index ,10234 Clinic for Infectious Diseases ,0302 clinical medicine ,Interquartile range ,Medicine ,Immunology and Allergy ,HCW cohort, healthcare worker cohort ,030212 general & internal medicine ,Humoral immune response ,skin and connective tissue diseases ,COVID ,COVID-19, coronavirus disease 2019 ,SARS-CoV-2-specific IgG ,biology ,SARS-CoV-2-specific IgA ,10177 Dermatology Clinic ,virus diseases ,RBD, receptor-binding domain ,MERS-CoV, Middle East respiratory syndrome coronavirus ,ELISA, enzyme-linked immunosorbent assay ,Middle Aged ,COVID-19 severity ,COVID-19 seroprevalence ,Titer ,Angiotensin-converting enzyme 2 ,Female ,Mucosal antibodies ,Antibody ,RT-qPCR, quantitative reverse-transcriptase polymerase chain reaction ,Mucosal immune response ,Adult ,S, spike ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Immunology ,SARS-CoV, severe acute respiratory syndrome coronavirus ,10208 Institute of Neuropathology ,IgG, immunoglobulin G ,610 Medicine & health ,ACE2, angiotensin-converting enzyme 2 ,IgA, immunoglobulin A ,SARS-CoV-2, severe acute respiratory syndrome coronavirus 2 ,Article ,WHO, World Health Organization ,03 medical and health sciences ,Humans ,Saliva ,ARDS, acute respiratory distress syndrome ,IQR, interquartile range ,Aged ,HCW, healthcare worker ,Mucous Membrane ,business.industry ,SARS-CoV-2 ,fungi ,COVID-19 ,10060 Epidemiology, Biostatistics and Prevention Institute (EBPI) ,medicine.disease ,ECD, extracellular domain ,Immunoglobulin A ,body regions ,SARS-CoV-2-specific antibodies ,IgM, immunoglobulin M ,OD, optical density ,030104 developmental biology ,NC, nucleocapsid ,Immunoglobulin G ,Tears ,Ct, cycle threshold ,10033 Clinic for Immunology ,biology.protein ,10029 Clinic and Policlinic for Internal Medicine ,business - Abstract
Background Whereas severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific antibody tests are increasingly used to estimate the prevalence of SARS-CoV-2 infection, the determinants of these antibody responses remain unclear. Objectives To evaluate systemic and mucosal antibody responses toward SARS-CoV-2 in mild versus severe coronavirus disease 2019 (COVID-19) cases. Methods Using immunoassays specific for SARS-CoV-2 spike proteins, we determined SARS-CoV-2-specific immunoglobulin A (IgA) and immunoglobulin G (IgG) in sera and mucosal fluids of two cohorts, including SARS-CoV-2 polymerase chain reaction (PCR)+ patients (n = 64) as well as PCR+ and PCR– healthcare workers (n = 109). Results SARS-CoV-2-specific serum IgA titers in mild COVID-19 cases were often transiently positive, whereas serum IgG titers remained negative or became positive 12–14 days after symptom onset. Conversely, patients with severe COVID-19 showed a highly significant increase of SARS-CoV-2-specific serum IgA and IgG titers after symptom onset. Very high titers of SARS-CoV-2-specific serum IgA correlated with severe acute respiratory distress syndrome (ARDS). Interestingly, some healthcare workers with negative SARS-CoV-2-specific serum antibody titers showed SARS-CoV-2-specific IgA in mucosal fluids with virus-neutralizing capacity in some cases. SARS-CoV-2-specific IgA titers in nasal fluids inversely correlated with age. Conclusions Systemic antibody production against SARS-CoV-2 develops mainly in severe COVID-19, with very high IgA titers seen in patients with severe ARDS, whereas mild disease may be associated with transient production of SARS-CoV-2-specific antibodies but stimulate mucosal SARS-CoV-2-specific IgA secretion., Graphical abstract, Our study suggests a model where the extent and duration of SARS-CoV-2-related clinical symptoms correlates with the systemic and mucosal virus-specific humoral immune responses, with implications for seroprevalence studies.
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- 2020
15. Systemic and mucosal antibody secretion specific to SARS-CoV-2 during mild versus severe COVID-19
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Miro E. Raeber, Elena De Cecco, Marc Emmenegger, Annelies S. Zinkernagel, Yves Zurbuchen, Silvana K. Rampini, Adriano Aguzzi, Jens Schreiner, Ulrike Held, Sarah Adamo, Aline Wolfensberger, Elsbeth Probst-Müller, Melina Stüssi-Helbling, Dominik J. Schaer, Philipp P. Bosshard, Jakob Nilsson, Onur Boyman, Esther B. Bachli, Alain Rudiger, Alan Valaperti, Carlo Cervia, Lars C. Huber, and Sara Hasler
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Immunoglobulin A ,ARDS ,biology ,business.industry ,fungi ,medicine.disease ,Immunoglobulin G ,law.invention ,body regions ,Titer ,Immune system ,law ,Immunology ,biology.protein ,Tears ,Medicine ,Antibody ,skin and connective tissue diseases ,business ,Polymerase chain reaction - Abstract
BackgroundInfection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes an acute illness termed coronavirus disease 2019 (COVID-19). Humoral immune responses likely play an important role in containing SARS-CoV-2, however, the determinants of SARS-CoV-2-specific antibody responses are unclear.MethodsUsing immunoassays specific for the SARS-CoV-2 spike protein, we determined SARS-CoV-2-specific immunoglobulin A (IgA) and immunoglobulin G (IgG) in sera and mucosal fluids of two cohorts, including patients with quantitative reverse-transcriptase polymerase chain reaction (RT-qPCR)-confirmed SARS-CoV-2 infection (n = 56; median age 61 years) with mild versus severe COVID-19, and SARS-CoV-2-exposed healthcare workers (n = 109; median age 36 years) with or without symptoms and tested negative or positive by RT-qPCR.FindingsOn average, SARS-CoV-2-specific serum IgA titers in mild COVID-19 cases became positive eight days after symptom onset and were often transient, whereas serum IgG levels remained negative or reached positive values 9–10 days after symptom onset. Conversely, patients with severe COVID-19 showed a highly significant increase of SARS-CoV-2-specific serum IgA and IgG titers as a function of duration since symptom onset, independent of patient age and comorbidities. Very high levels of SARS-CoV-2-specific serum IgA correlated with severe acute respiratory distress syndrome (ARDS). Interestingly, some of the SARS-CoV-2-exposed healthcare workers with negative SARS-CoV-2-specific IgA and IgG serum titers had detectable SARS-CoV-2-specific IgA antibodies in their nasal fluids and tears. Moreover, SARS-CoV-2-specific IgA levels in nasal fluids of these healthcare workers were inversely correlated with patient age.InterpretationThese data show that systemic IgA and IgG production against SARS-CoV-2 develops mainly in severe COVID-19, with very high IgA levels seen in patients with severe ARDS, whereas mild disease may be associated with transient serum titers of SARS-CoV-2-specific antibodies but stimulate mucosal SARS-CoV-2-specific IgA secretion. The findings suggest four grades of antibody responses dependent on COVID-19 severity.
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- 2020
16. Timing of drought in the growing season and strong legacy effects determine the annual productivity of temperate grasses in a changing climate
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Claudia Hahn, Sara Ernst-Hasler, Andreas Lüscher, and Ansgar Kahmen
- Subjects
parasitic diseases ,fungi ,food and beverages - Abstract
The frequency of extreme weather events, such as droughts, is assumed to increase leading to alterations of ecosystem productivity and thus the terrestrial carbon cycle. Although grasslands typically show reduced productivity in response to drought, their effects have been shown to vary quite dramatically. Here we tested in a two-year field experiment, if the resistance and the resilience of grasses towards drought varies throughout a growing season and if the timing of drought, thus, influences drought-induced reductions in annual net primary production (NPP) of grasses. For the experiment we grew six temperate and perennial C3 grass species in a field as monocultures. The grasses were cut six times during the growing season and subject to 10-week drought treatments that occurred either in the spring, the summer or the fall. Across all species, drought-induced losses of productivity were smaller (−20 % to −51 %) than in summer and fall (−77 % to −87 %). This suggests a higher resistance to drought in spring when the productivity of the grasses is the highest and plants are in their reproductive stage. After the release of drought, we found no prolonged suppression of growth. In contrast, post-drought growth rates of formerly drought-stressed swards outperformed the growth rates of the control swards. In 2014, the overcompensation after drought release was similar in all seasons, but differed in 2015. The strong overcompensation of growth after drought release resulted in relatively small overall drought-induced losses of annual ANPP that ranged between −4 % to −14 % and were not affected by the timing of the drought event. Our results show that (i) the resistance of growth rates in grasses to drought varies across the season and is positively correlated with growth rates in the control, (ii) that positive legacy effects of drought indicate a high resilience of temperate grasses to drought, and (iii) that the high resilience can compensate immediate drought effects on total annual biomass production to a large extent.
- Published
- 2020
17. Systemic and mucosal antibody responses specific to SARS-CoV-2 during mild versus severe COVID-19
- Author
-
Cervia, Carlo, primary, Nilsson, Jakob, additional, Zurbuchen, Yves, additional, Valaperti, Alan, additional, Schreiner, Jens, additional, Wolfensberger, Aline, additional, Raeber, Miro E., additional, Adamo, Sarah, additional, Weigang, Sebastian, additional, Emmenegger, Marc, additional, Hasler, Sara, additional, Bosshard, Philipp P., additional, De Cecco, Elena, additional, Bächli, Esther, additional, Rudiger, Alain, additional, Stüssi-Helbling, Melina, additional, Huber, Lars C., additional, Zinkernagel, Annelies S., additional, Schaer, Dominik J., additional, Aguzzi, Adriano, additional, Kochs, Georg, additional, Held, Ulrike, additional, Probst-Müller, Elsbeth, additional, Rampini, Silvana K., additional, and Boyman, Onur, additional
- Published
- 2021
- Full Text
- View/download PDF
18. Timing of drought in the growing season and strong legacy effects determine the annual productivity of temperate grasses in a changing climate
- Author
-
Hahn, Claudia, primary, Lüscher, Andreas, additional, Ernst-Hasler, Sara, additional, Suter, Matthias, additional, and Kahmen, Ansgar, additional
- Published
- 2021
- Full Text
- View/download PDF
19. Immunoglobulin Signature Predicts Risk of Post-Acute Covid-19 Syndrome
- Author
-
Cervia, Carlo, primary, Zurbuchen, Yves, additional, Taeschler, Patrick, additional, Adamo, Sarah, additional, Hasler, Sara, additional, Raeber, Miro E, additional, Bächli, Esther, additional, Rudiger, Alain, additional, Stüssi-Helbling, Melina, additional, Huber, Lars C., additional, Held, Ulrike, additional, Nilsson, Jakob, additional, and Boyman, Onur, additional
- Published
- 2021
- Full Text
- View/download PDF
20. Systemic and mucosal antibody secretion specific to SARS-CoV-2 during mild versus severe COVID-19
- Author
-
Cervia, Carlo, primary, Nilsson, Jakob, additional, Zurbuchen, Yves, additional, Valaperti, Alan, additional, Schreiner, Jens, additional, Wolfensberger, Aline, additional, Raeber, Miro E., additional, Adamo, Sarah, additional, Emmenegger, Marc, additional, Hasler, Sara, additional, Bosshard, Philipp P., additional, De Cecco, Elena, additional, Bächli, Esther, additional, Rudiger, Alain, additional, Stüssi-Helbling, Melina, additional, Huber, Lars C., additional, Zinkernagel, Annelies S., additional, Schaer, Dominik J., additional, Aguzzi, Adriano, additional, Held, Ulrike, additional, Probst-Müller, Elsbeth, additional, Rampini, Silvana K., additional, and Boyman, Onur, additional
- Published
- 2020
- Full Text
- View/download PDF
21. Timing of drought in the growing season and strong legacy effects determine the annual productivity of temperate grasses in a changing climate
- Author
-
Hahn, Claudia, primary, Ernst-Hasler, Sara, additional, Lüscher, Andreas, additional, and Kahmen, Ansgar, additional
- Published
- 2020
- Full Text
- View/download PDF
22. Systemic and mucosal antibody secretion specific to SARS-CoV-2 during mild versus severe COVID-19.
- Author
-
Cervia, Carlo, Nilsson, Jakob, Zurbuchen, Yves, Valaperti, Alan, Schreiner, Jens, Wolfensberger, Aline, Raeber, Miro E., Adamo, Sarah, Emmenegger, Marc, Hasler, Sara, Bosshard, Philipp P., De Cecco, Elena, Bächli, Esther, Rudiger, Alain, Stüssi-Helbling, Melina, Huber, Lars C., Zinkernagel, Annelies S., Schaer, Dominik J., Aguzzi, Adriano, and Held, Ulrike
- Subjects
IMMUNOGLOBULINS ,SECRETION ,SARS disease ,COVID-19 - Abstract
Background Infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes an acute illness termed coronavirus disease 2019 (COVID-19). Humoral immune responses likely play an important role in containing SARS-CoV-2, however, the determinants of SARS-CoV-2-specific antibody responses are unclear. Methods Using immunoassays specific for the SARS-CoV-2 spike protein, we determined SARS-CoV-2-specific immunoglobulin A (IgA) and immunoglobulin G (IgG) in sera and mucosal fluids of two cohorts, including patients with quantitative reverse-transcriptase polymerase chain reaction (RT-qPCR)-confirmed SARS-CoV-2 infection (n = 56; median age 61 years) with mild versus severe COVID-19, and SARS-CoV-2-exposed healthcare workers (n = 109; median age 36 years) with or without symptoms and tested negative or positive by RT-qPCR. Findings On average, SARS-CoV-2-specific serum IgA titers in mild COVID-19 cases became positive eight days after symptom onset and were often transient, whereas serum IgG levels remained negative or reached positive values 9--10 days after symptom onset. Conversely, patients with severe COVID-19 showed a highly significant increase of SARS-CoV-2-specific serum IgA and IgG titers as a function of duration since symptom onset, independent of patient age and comorbidities. Very high levels of SARS-CoV-2-specific serum IgA correlated with severe acute respiratory distress syndrome (ARDS). Interestingly, some of the SARS-CoV-2-exposed healthcare workers with negative SARS-CoV-2-specific IgA and IgG serum titers had detectable SARS-CoV-2-specific IgA antibodies in their nasal fluids and tears. Moreover, SARS-CoV-2-specific IgA levels in nasal fluids of these healthcare workers were inversely correlated with patient age. Interpretation These data show that systemic IgA and IgG production against SARS-CoV-2 develops mainly in severe COVID-19, with very high IgA levels seen in patients with severe ARDS, whereas mild disease may be associated with transient serum titers of SARS-CoV-2-specific antibodies but stimulate mucosal SARS-CoV-2-specific IgA secretion. The findings suggest four grades of antibody responses dependent on COVID-19 severity. [ABSTRACT FROM AUTHOR]
- Published
- 2020
23. Timing of drought in the growing season and strong legacy effects determine the annual productivity of temperate grasses in a changing climate.
- Author
-
Hahn, Claudia, Ernst-Hasler, Sara, Lüscher, Andreas, and Kahmen, Ansgar
- Subjects
GROWING season ,DROUGHTS ,CLIMATE change ,CARBON cycle ,BIOMASS production ,TEMPERATE climate - Abstract
The frequency of extreme weather events, such as droughts, is assumed to increase leading to alterations of ecosystem productivity and thus the terrestrial carbon cycle. Although grasslands typically show reduced productivity in response to drought, their effects have been shown to vary quite dramatically. Here we tested in a two-year field experiment, if the resistance and the resilience of grasses towards drought varies throughout a growing season and if the timing of drought, thus, influences drought-induced reductions in annual net primary production (NPP) of grasses. For the experiment we grew six temperate and perennial C3 grass species in a field as monocultures. The grasses were cut six times during the growing season and subject to 10-week drought treatments that occurred either in the spring, the summer or the fall. Across all species, drought-induced losses of productivity were smaller (-20 % to -51 %) than in summer and fall (-77 % to -87 %). This suggests a higher resistance to drought in spring when the productivity of the grasses is the highest and plants are in their reproductive stage. After the release of drought, we found no prolonged suppression of growth. In contrast, post-drought growth rates of formerly drought-stressed swards outperformed the growth rates of the control swards. In 2014, the overcompensation after drought release was similar in all seasons, but differed in 2015. The strong overcompensation of growth after drought release resulted in relatively small overall drought-induced losses of annual ANPP that ranged between -4 % to -14 % and were not affected by the timing of the drought event. Our results show that (i) the resistance of growth rates in grasses to drought varies across the season and is positively correlated with growth rates in the control, (ii) that positive legacy effects of drought indicate a high resilience of temperate grasses to drought, and (iii) that the high resilience can compensate immediate drought effects on total annual biomass production to a large extent. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
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