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COVID-19 in children: Could pertussis vaccine play the protective role?
Mohamad Bachar Ismail1, Sarah Al Omari2, Rayane Rafei3
1Laboratoire Microbiologie, Santé et Environnement (LMSE), Doctoral School of Sciences and Technology, Faculty of Public Health, Lebanese University, Tripoli, Lebanon; Faculty of Sciences, Lebanese University, Tripoli, Lebanon.
Insights
Childhood vaccination against pertussis (whooping cough) may offer non-specific protection against COVID-19 in children. This hypothesis explores heterologous adaptive responses as a potential mechanism for this observed effect.
Area of Science:
- Immunology
- Infectious Diseases
- Pediatrics
Background:
- COVID-19 disproportionately affects adults, with children exhibiting milder symptoms, suggesting potential protective factors.
- Pertussis (whooping cough) shares respiratory transmission and clinical features with COVID-19, despite differing causative agents (bacterium vs. virus).
Purpose of the Study:
- To propose and explore the hypothesis that childhood pertussis vaccination may confer non-specific protection against COVID-19 in pediatric populations.
- To investigate the potential role of heterologous adaptive responses in mediating cross-protection between pertussis and SARS-CoV-2 infections.
Main Methods:
- Theoretical argumentation based on existing immunological principles and empirical data.
- Review of literature on cross-reactivity and heterologous immunity between unrelated pathogens.
- Outline of proposed research methodologies from various scientific disciplines to test the hypothesis.
Main Results:
- The study presents a hypothesis, not empirical results.
- Theoretical evidence suggests that heterologous adaptive responses can occur between diverse agents like bacteria and viruses.
- Potential mechanisms for non-specific protection are discussed.
Conclusions:
- Childhood pertussis vaccination is hypothesized to offer a non-specific protective effect against COVID-19 in children.
- Further research is needed to validate this hypothesis and explore its public health implications.
- Potential concerns regarding the implementation of this strategy as a public health intervention are acknowledged.
Abstract:
While COVID-19 continues to spread across the globe, diligent efforts are made to understand its attributes and dynamics to help develop treatment and prevention measures. The paradox pertaining to children being the least affected by severe illness poses exciting opportunities to investigate potential protective factors. In this paper, we propose that childhood vaccination against pertussis (whooping cough) might play a non-specific protective role against COVID-19 through heterologous adaptive responses in this young population. Pertussis is a vaccine-preventable infectious disease of the respiratory tract and it shares many similarities with COVID-19 including transmission and clinical features. Although pertussis is caused by a bacterium (Bordetella pertussis) while COVID-19 is a viral infection (SARS-CoV-2), previous data showed that cross-reactivity and heterologous adaptive responses can be seen with unrelated agents of highly divergent groups, such as between bacteria and viruses. While we build the arguments of this hypothesis on theoretical and previous empirical evidence, we also outline suggested lines of research from different fields to test its credibility. Besides, we highlight some concerns that may arise when attempting to consider such an approach as a potential public health preventive intervention against COVID-19.
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