Evidence map›Paper›PMID 34611361›Full record

ArticleNature immunology2021

SARS-CoV-2 immune repertoire in MIS-C and pediatric COVID-19.

Supriya Ravichandran, Juanjie Tang, Gabrielle Grubbs, Youri Lee, Sara Pourhashemi, Laila Hussaini, Stacey A Lapp, Robert C Jerris, Vidisha Singh, Ann Chahroudi and 3 more

Open access · bronzeAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Nature immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 77 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Supriya Ravichandran *Division of Viral Products, Center for Biologics Evaluation and Research, FDA, Silver Spring, MD, USA.
Juanjie Tang *Division of Viral Products, Center for Biologics Evaluation and Research, FDA, Silver Spring, MD, USA.
Gabrielle Grubbs *Division of Viral Products, Center for Biologics Evaluation and Research, FDA, Silver Spring, MD, USA.ORCID http://orcid.org/0000-0003-4302-9535
Youri Lee *Division of Viral Products, Center for Biologics Evaluation and Research, FDA, Silver Spring, MD, USA.
Sara Pourhashemi *Division of Viral Products, Center for Biologics Evaluation and Research, FDA, Silver Spring, MD, USA.
Laila HussainiDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Stacey A LappDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Robert C JerrisDepartment of Pathology and Laboratory Medicine, Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, GA, USA.
Vidisha SinghDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Ann ChahroudiDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-7479-9546
Evan J AndersonDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-1576-4420
Christina A RostadDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Surender KhuranaDivision of Viral Products, Center for Biologics Evaluation and Research, FDA, Silver Spring, MD, USA. surender.khurana@fda.hhs.gov.ORCID http://orcid.org/0000-0002-0593-7965
Emory University · USCenter for Biologics Evaluation and Research · US

Funding

Emory University Pilot fundsU.S. Department of Health & Human Services | U.S. Food and Drug Administration (U.S. Food & Drug Administration) CBER COVID intramural fundsU.S. Department of Health & Human Services | U.S. Food and Drug Administration (U.S. Food & Drug Administration) FDA's Medical Countermeasures Initiative (MCMi) grant #OCET 2021-1565U.S. Department of Health & Human Services | U.S. Food and Drug Administration (U.S. Food & Drug Administration) FDA's Perinatal Health Center of Excellence (PHCE) project grant #GCBER005
6 · The paper itself

Abstract

There is limited understanding of the viral antibody fingerprint following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children. Herein, SARS-CoV-2 proteome-wide immunoprofiling of children with mild/moderate or severe coronavirus disease 2019 (COVID-19) versus multisystem inflammatory syndrome in children versus hospitalized control patients revealed differential cytokine responses, IgM/IgG/IgA epitope diversity, antibody binding and avidity. Apart from spike and nucleocapsid, IgG/IgA recognized epitopes in nonstructural protein (NSP) 2, NSP3, NSP12-NSP14 and open reading frame (ORF) 3a-ORF9. Peptides representing epitopes in NSP12, ORF3a and ORF8 demonstrated SARS-CoV-2 serodiagnosis. Antibody-binding kinetics with 24 SARS-CoV-2 proteins revealed antibody parameters that distinguish children with mild/moderate versus severe COVID-19 or multisystem inflammatory syndrome in children. Antibody avidity to prefusion spike correlated with decreased illness severity and served as a clinical disease indicator. The fusion peptide and heptad repeat 2 region induced SARS-CoV-2-neutralizing antibodies in rabbits. Thus, we identified SARS-CoV-2 antibody signatures in children associated with disease severity and delineate promising serodiagnostic and virus neutralization targets. These findings might guide the design of serodiagnostic assays, prognostic algorithms, therapeutics and vaccines in this important but understudied population.

Indexed as

AdolescentAntibodies, NeutralizingAntibodies, ViralChildChild, PreschoolCOVID-19COVID-19 Serological TestingDisease ProgressionEpitopesFemaleHospitalizationHumansImmunity, HumoralImmunoglobulin AImmunoglobulin GImmunoglobulin MAntibodies, NeutralizingAntibodies, ViralEpitopesImmunoglobulin AImmunoglobulin GImmunoglobulin MProteome

Identifiers

PMID34611361
OpenAlexW3203909981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.