Exploratory analysis to identify the best antigen and the best immune biomarkers to study SARS-CoV-2 infection

BACKGROUND: Recent studies proposed the whole-blood based IFN-γ-release assay to study the antigen-specific SARS-CoV-2 response. Since the early prediction of disease progression could help to assess the optimal treatment strategies, an integrated knowledge of T-cell and antibody response lays the foundation to develop biomarkers monitoring the COVID-19. Whole-blood-platform tests based on the immune response detection to SARS-CoV2 peptides is a new approach to discriminate COVID-19-patients from uninfected-individuals and to evaluate the immunogenicity of vaccine candidates, monitoring the immune response in vaccine trial and supporting the serological diagnostics results. Here, we aimed to identify in the whole-blood-platform the best immunogenic viral antigen and the best immune biomarker to identify COVID-19-patients.

METHODS: Whole-blood was overnight-stimulated with SARS-CoV-2 peptide pools of nucleoprotein-(NP) Membrane-, ORF3a- and Spike-protein. We evaluated: IL-1β, IL-1Ra, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-12p70, IL-13, IL- 15, IL-17A, eotaxin, FGF, G-CSF, GM-CSF, IFN-γ, IP-10, MCP-1, MIP-1α, MIP-1β, PDGF, RANTES, TNF-α, VEGF. By a sparse partial least squares discriminant analysis we identified the most important soluble factors discriminating COVID-19- from NO-COVID-19-individuals.

RESULTS: We identified a COVID-19 signature based on six immune factors: IFN-γ, IP-10 and IL-2 induced by Spike; RANTES and IP-10 induced by NP and IL-2 induced by ORF3a. We demonstrated that the test based on IP-10 induced by Spike had the highest AUC (0.85, p  <  0.0001) and that the clinical characteristics of the COVID-19-patients did not affect IP-10 production. Finally, we validated the use of IP-10 as biomarker for SARS-CoV2 infection in two additional COVID-19-patients cohorts.

CONCLUSIONS: We set-up a whole-blood assay identifying the best antigen to induce a T-cell response and the best biomarkers for SARS-CoV-2 infection evaluating patients with acute COVID-19 and recovered patients. We focused on IP-10, already described as a potential biomarker for other infectious disease such as tuberculosis and HCV. An additional application of this test is the evaluation of immune response in SARS-CoV-2 vaccine trials: the IP-10 detection may define the immunogenicity of a Spike-based vaccine, whereas the immune response to the virus may be evaluated detecting other soluble factors induced by other viral-antigens.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Journal of translational medicine - 19(2021), 1 vom: 26. Juni, Seite 272

Sprache:

Englisch

Beteiligte Personen:

Petruccioli, Elisa [VerfasserIn]
Najafi Fard, Saeid [VerfasserIn]
Navarra, Assunta [VerfasserIn]
Petrone, Linda [VerfasserIn]
Vanini, Valentina [VerfasserIn]
Cuzzi, Gilda [VerfasserIn]
Gualano, Gina [VerfasserIn]
Pierelli, Luca [VerfasserIn]
Bertoletti, Antonio [VerfasserIn]
Nicastri, Emanuele [VerfasserIn]
Palmieri, Fabrizio [VerfasserIn]
Ippolito, Giuseppe [VerfasserIn]
Goletti, Delia [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
COVID-19
COVID-19 Vaccines
IFN-γ
IP-10
Immune response
Immunity
Journal Article
RNA, Viral
Research Support, Non-U.S. Gov't
SARS-CoV-2
Spike
T-cell
Whole-blood

Anmerkungen:

Date Completed 30.06.2021

Date Revised 17.03.2022

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12967-021-02938-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32721953X