Long-term persistence of RBD-positive memory B cells encoding neutralising antibodies in SARS-CoV-2 infection

Date

2021

Authors

Abayasingam, A.
Balachandran, H.
Agapiou, D.
Hammoud, M.
Rodrigo, C.
Keoshkerian, E.
Li, H.
Brasher, N.A.
Christ, D.
Rouet, R.

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Journal article

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Cell Reports Medicine, 2021; 2(4):100228-1-100228-14

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Arunasingam Abayasingam, Harikrishnan Balachandran, David Agapiou, Marianne Martinello, Rowena A. Bull, on Behalf of the COSIN Study Group

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Abstract

Considerable concerns relating to the duration of protective immunity against SARS-CoV-2 exist, with evidence of antibody titres declining rapidly after infection and reports of reinfection. Here we monitor the antibody responses against SARS-CoV-2 receptor binding domain (RBD) for up to six months after infection. While antibody titres are maintained, about 13% of the cohort's neutralising responses return to background. However, encouragingly in a selected subset of 13 participants, 12 have detectable RBD-specific memory B cells and these generally are increasing out to 6 months. Furthermore, we are able to generate monoclonal antibodies with SARS-CoV-2 neutralising capacity from these memory B cells. Overall our study suggests that the loss of neutralising antibodies in plasma may be countered by the maintenance of neutralising capacity in the memory B cell repertoire.

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©2021 The Author(s). 1 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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