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ABO blood group is involved in the quality of the specific immune response anti-SARS-CoV-2
Sergio Gil-Manso1, Iria Miguens Blanco2, Bruce Motyka3
1Laboratory of Immune- Gregorio Marañón Health Research Institute (IiSGM), Gregorio Marañón University General Hospital, Madrid, Spain.
Insights
COVID-19 immunity wanes over time, with T-cell responses against spike proteins declining within 10 months. Blood group O individuals showed more persistent immune responses to SARS-CoV-2 compared to non-O groups, suggesting factors influencing vaccine design.
Area of Science:
- Immunology
- Virology
- Infectious Diseases
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, necessitates understanding long-term immunity for effective control.
- Both natural infection and vaccination aim to establish robust and durable anti-SARS-CoV-2 immunity.
Purpose of the Study:
- To investigate the durability and characteristics of SARS-CoV-2-specific immune responses post-infection.
- To explore the influence of individual factors, such as ABO blood groups, on the sustainability of cellular immunity.
Main Methods:
- Collected blood samples from 35 individuals 12-305 days post-SARS-CoV-2 infection.
- Stimulated peripheral blood mononuclear cells with SARS-CoV-2 peptide pools (S, N, M proteins).
- Quantified anti-S immunoglobulins and assessed CD4+ T-cell responses, analyzing differences based on ABO blood groups.
Main Results:
- A sustained SARS-CoV-2-specific CD4+ T-cell response against the M-protein was observed up to 10 months post-infection.
- Immune responses against S- and N-proteins diminished over time.
- Individuals with blood group O exhibited more persistent specific CD4+ T-cell responses compared to non-O groups, who also showed delayed viral clearance.
Conclusions:
- SARS-CoV-2-specific immune responses, particularly against S- and N-proteins, are not uniformly long-lasting.
- ABO blood group appears to be a significant factor influencing the duration and persistence of cellular immune responses to SARS-CoV-2.
- Individual factors influencing immune response sustainability must be considered in the development of future vaccines for continuous protection.
Abstract:
Since December 2019, the coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread throughout the world. To eradicate it, it is crucial to acquire a strong and long-lasting anti-SARS-CoV-2 immunity, by either natural infection or vaccination. We collected blood samples 12-305 days after positive polymerase chain reactions (PCRs) from 35 recovered individuals infected by SARS-CoV-2. Peripheral blood mononuclear cells were stimulated with SARS-CoV-2-derived peptide pools, such as the spike (S), nucleocapsid (N) and membrane (M) proteins, and we quantified anti-S immunoglobulins in plasma. After 10 months post-infection, we observed a sustained SARS-CoV-2-specific CD4+ T-cell response directed against M-protein, but responses against S- or N-proteins were lost over time. Besides, we demonstrated that O-group individuals presented significantly lower frequencies of specific CD4+ T-cell responses against Pep-M than non O-group individuals. The non O-group subjects also needed longer to clear the virus, and they lost cellular immune responses over time, compared to the O-group individuals, who showed a persistent specific immune response against SARS-CoV-2. Therefore, the S-specific immune response was lost over time, and individual factors might determine the sustainability of the body's defenses, which must be considered in the future design of vaccines to achieve continuous anti-SARS-CoV-2 immunity.
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