Probing SARS-CoV-2-positive plasma to identify potential factors correlating with mild COVID-19 in Ghana, West Africa

Background West Africa has recorded a relatively higher proportion of asymptomatic coronavirus disease 2019 (COVID-19) cases than the rest of the world, and West Africa-specific host factors could play a role in this discrepancy. Here, we assessed the association between COVID-19 severity among Ghanaians with their immune profiles and ABO blood groups. Methods Plasma samples were obtained from Ghanaians PCR-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive individuals. The participants were categorized into symptomatic and asymptomatic cases. Cytokine profiling and antibody quantification were performed using Luminex™ multiplex assay whereas antigen-driven agglutination assay was used to assess the ABO blood groups. Immune profile levels between symptomatic and asymptomatic groups were compared using the two-tailed Mann-Whitney U test. Multiple comparisons of cytokine levels among and between days were tested using Kruskal-Wallis with Dunn’s post hoc test. Correlations within ABO blood grouping (O’s and non-O’s) and between cytokines were determined using Spearman correlations. Logistic regression analysis was performed to assess the association of various cytokines with asymptomatic phenotype. Results There was a trend linking blood group O to reduced disease severity, but this association was not statistically significant. Generally, symptomatic patients displayed significantly (p < 0.05) higher cytokine levels compared to asymptomatic cases with exception of Eotaxin, which was positively associated with asymptomatic cases. There were also significant (p < 0.05) associations between other immune markers (IL-6, IL-8 and IL-1Ra) and disease severity. Cytokines’ clustering patterns differ between symptomatic and asymptomatic cases. We observed a steady decrease in the concentration of most cytokines over time, while anti-SARS-CoV-2 antibody levels were stable for at least a month, regardless of the COVID-19 status. Conclusions The findings suggest that genetic background and pre-existing immune response patterns may in part shape the nature of the symptomatic response against COVID-19 in a West African population. This study offers clear directions to be explored further in larger studies..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

BMC medicine - 20(2022), 1 vom: 03. Okt.

Sprache:

Englisch

Beteiligte Personen:

Tapela, Kesego [VerfasserIn]
Oyawoye, Fatima O. [VerfasserIn]
Olwal, Charles Ochieng’ [VerfasserIn]
Opurum, Precious C. [VerfasserIn]
Amponsah, Jones Amo [VerfasserIn]
Segbedzi, Kekeli Aku Lumor [VerfasserIn]
Tetteh, Becky [VerfasserIn]
Kumi-Ansah, Frederick [VerfasserIn]
Mutungi, Joe K. [VerfasserIn]
Obodai, Evangeline [VerfasserIn]
Amoako, Emmanuella [VerfasserIn]
Agyemang, Seth [VerfasserIn]
Ndam, Nicaise Tuikue [VerfasserIn]
Ampofo, William Kwabena [VerfasserIn]
Rayner, Julian C. [VerfasserIn]
Awandare, Gordon A. [VerfasserIn]
Paemka, Lily [VerfasserIn]
Bediako, Yaw [VerfasserIn]
Quashie, Peter Kojo [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

ABO blood groups
Antibodies
Asymptomatic
COVID-19
Eotaxin
West Africa

Anmerkungen:

© The Author(s) 2022

doi:

10.1186/s12916-022-02571-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2132259232