Correlates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control Study

Background: Establishing correlates of protection often requires large cohorts. A rapid and adaptable case-control study design can be used to identify antibody correlates of protection against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in serum and saliva. Methods: We de...

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Autores principales: Léopold Beeker, Thomas Obadia, Emma Bloch, Laura García, Marek Fol, Tiffany Charmet, Laurence Arowas, Rémy Artus, Olivia Chény, Dorian Cheval, Yanis Dahoumane, Maurine Delhaye, Delal Ergen, Mariem Essaidani, Christine Fanaud, Sandrine Fernandes Pellerin, Nathalie Jolly, Hélène Laude, Emmanuel Roux, Marine Samson, Linda Sangari, Marie-Noëlle Ungeheuer, Sophie Vacant, Ayla Zayoud, Françoise Donnadieu, Stéphane Pelleau, Simon Galmiche, Arnaud Fontanet, Michaël White
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Publicado: 2024
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author Léopold Beeker
Thomas Obadia
Emma Bloch
Laura García
Marek Fol
Tiffany Charmet
Laurence Arowas
Rémy Artus
Olivia Chény
Dorian Cheval
Yanis Dahoumane
Maurine Delhaye
Delal Ergen
Mariem Essaidani
Christine Fanaud
Sandrine Fernandes Pellerin
Nathalie Jolly
Hélène Laude
Emmanuel Roux
Marine Samson
Linda Sangari
Marie-Noëlle Ungeheuer
Sophie Vacant
Ayla Zayoud
Françoise Donnadieu
Stéphane Pelleau
Simon Galmiche
Arnaud Fontanet
Michaël White
author_browse Arnaud Fontanet
Ayla Zayoud
Christine Fanaud
Delal Ergen
Dorian Cheval
Emma Bloch
Emmanuel Roux
Françoise Donnadieu
Hélène Laude
Laura García
Laurence Arowas
Linda Sangari
Léopold Beeker
Marek Fol
Marie-Noëlle Ungeheuer
Mariem Essaidani
Marine Samson
Maurine Delhaye
Michaël White
Nathalie Jolly
Olivia Chény
Rémy Artus
Sandrine Fernandes Pellerin
Simon Galmiche
Sophie Vacant
Stéphane Pelleau
Thomas Obadia
Tiffany Charmet
Yanis Dahoumane
author_facet Léopold Beeker
Thomas Obadia
Emma Bloch
Laura García
Marek Fol
Tiffany Charmet
Laurence Arowas
Rémy Artus
Olivia Chény
Dorian Cheval
Yanis Dahoumane
Maurine Delhaye
Delal Ergen
Mariem Essaidani
Christine Fanaud
Sandrine Fernandes Pellerin
Nathalie Jolly
Hélène Laude
Emmanuel Roux
Marine Samson
Linda Sangari
Marie-Noëlle Ungeheuer
Sophie Vacant
Ayla Zayoud
Françoise Donnadieu
Stéphane Pelleau
Simon Galmiche
Arnaud Fontanet
Michaël White
author_sort Léopold Beeker
collection Producción científica
description Background: Establishing correlates of protection often requires large cohorts. A rapid and adaptable case-control study design can be used to identify antibody correlates of protection against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in serum and saliva. Methods: We designed a case-control study to compare antibody levels between cases of SARS-CoV-2 infection within 5 days of symptom onset and uninfected controls. Controls were matched on age, number of coronavirus disease 2019 vaccine doses, time since last dose, and past episodes of infection. We quantified anti-SARS-CoV-2 and seasonal coronavirus immunoglobulin (Ig) G in serum and saliva at inclusion, 1 month, and 6 months. Results: We included 90 cases and 62 controls between February and September 2022. A boost and decay pattern of serum antibodies was observed in cases at 1 and 6 months, respectively, but not in controls. Anti-SARS-CoV-2 antibody levels were significantly higher in controls at inclusion both in serum (particularly antinucleocapsid IgG: 4.14 times higher compared with cases; 95% CI, 2.46-6.96) and saliva (particularly antispike for Delta variant IgG: 4.89 times higher compared with cases; 95% CI, 2.91-9.89). Saliva antibodies generally outperformed serum antibodies for case/control differentiation. Conclusions: In this case-control study, we provided evidence of correlates of protection of anti-SARS-CoV-2 IgG in saliva and serum, with saliva antibodies often outperforming serum. The finding that antibodies in saliva are a better correlate of protection than antibodies in serum may inform vaccine development by highlighting the importance of robust induction of mucosal immune responses. This study design may be used during future epidemics for the prompt assessment of correlates of protection.
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spelling oai:cris.upeu.edu.pe:20.500.15037/17322026-10-30T16:16:37ZCorrelates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control StudyLéopold BeekerThomas ObadiaEmma BlochLaura GarcíaMarek FolTiffany CharmetLaurence ArowasRémy ArtusOlivia ChényDorian ChevalYanis DahoumaneMaurine DelhayeDelal ErgenMariem EssaidaniChristine FanaudSandrine Fernandes PellerinNathalie JollyHélène LaudeEmmanuel RouxMarine SamsonLinda SangariMarie-Noëlle UngeheuerSophie VacantAyla ZayoudFrançoise DonnadieuStéphane PelleauSimon GalmicheArnaud FontanetMichaël WhiteMedicineCoronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)VirologyInternal medicineOutbreakDiseaseInfectious disease (medical specialty)MedicineCoronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)VirologyInternal medicineOutbreakDiseaseHealth Sciences Medicine Infectious Diseases SARS-CoV-2 detection and testingHealth Sciences Medicine Infectious Diseases SARS-CoV-2 and COVID-19 ResearchHealth Sciences Medicine Infectious Diseases COVID-19 Clinical Research StudiesBackground: Establishing correlates of protection often requires large cohorts. A rapid and adaptable case-control study design can be used to identify antibody correlates of protection against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in serum and saliva. Methods: We designed a case-control study to compare antibody levels between cases of SARS-CoV-2 infection within 5 days of symptom onset and uninfected controls. Controls were matched on age, number of coronavirus disease 2019 vaccine doses, time since last dose, and past episodes of infection. We quantified anti-SARS-CoV-2 and seasonal coronavirus immunoglobulin (Ig) G in serum and saliva at inclusion, 1 month, and 6 months. Results: We included 90 cases and 62 controls between February and September 2022. A boost and decay pattern of serum antibodies was observed in cases at 1 and 6 months, respectively, but not in controls. Anti-SARS-CoV-2 antibody levels were significantly higher in controls at inclusion both in serum (particularly antinucleocapsid IgG: 4.14 times higher compared with cases; 95% CI, 2.46-6.96) and saliva (particularly antispike for Delta variant IgG: 4.89 times higher compared with cases; 95% CI, 2.91-9.89). Saliva antibodies generally outperformed serum antibodies for case/control differentiation. Conclusions: In this case-control study, we provided evidence of correlates of protection of anti-SARS-CoV-2 IgG in saliva and serum, with saliva antibodies often outperforming serum. The finding that antibodies in saliva are a better correlate of protection than antibodies in serum may inform vaccine development by highlighting the importance of robust induction of mucosal immune responses. This study design may be used during future epidemics for the prompt assessment of correlates of protection.Articlehttps://pubmed.ncbi.nlm.nih.gov/39872812https://academic.oup.com/ofid/article-pdf/12/1/ofaf006/61372708/ofaf006.pdfhttps://doi.org/10.1093/ofid/ofaf00610.1093/ofid/ofaf006https://hdl.handle.net/20.500.15037/1732W4406920647enOpen Forum Infectious Diseases2328-89572024-12-232026-06-13T14:20:04Z2026-06-13T14:20:04Z
spellingShingle Medicine
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Virology
Internal medicine
Outbreak
Disease
Infectious disease (medical specialty)
Medicine
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Virology
Internal medicine
Outbreak
Disease
Health Sciences Medicine Infectious Diseases SARS-CoV-2 detection and testing
Health Sciences Medicine Infectious Diseases SARS-CoV-2 and COVID-19 Research
Health Sciences Medicine Infectious Diseases COVID-19 Clinical Research Studies
Léopold Beeker
Thomas Obadia
Emma Bloch
Laura García
Marek Fol
Tiffany Charmet
Laurence Arowas
Rémy Artus
Olivia Chény
Dorian Cheval
Yanis Dahoumane
Maurine Delhaye
Delal Ergen
Mariem Essaidani
Christine Fanaud
Sandrine Fernandes Pellerin
Nathalie Jolly
Hélène Laude
Emmanuel Roux
Marine Samson
Linda Sangari
Marie-Noëlle Ungeheuer
Sophie Vacant
Ayla Zayoud
Françoise Donnadieu
Stéphane Pelleau
Simon Galmiche
Arnaud Fontanet
Michaël White
Correlates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control Study
title Correlates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control Study
title_full Correlates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control Study
title_fullStr Correlates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control Study
title_full_unstemmed Correlates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control Study
title_short Correlates of Protection Against Symptomatic COVID-19: The CORSER 5 Case–Control Study
title_sort correlates of protection against symptomatic covid 19 the corser 5 case control study
topic Medicine
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Virology
Internal medicine
Outbreak
Disease
Infectious disease (medical specialty)
Medicine
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Virology
Internal medicine
Outbreak
Disease
Health Sciences Medicine Infectious Diseases SARS-CoV-2 detection and testing
Health Sciences Medicine Infectious Diseases SARS-CoV-2 and COVID-19 Research
Health Sciences Medicine Infectious Diseases COVID-19 Clinical Research Studies
topic_facet Medicine
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Virology
Internal medicine
Outbreak
Disease
Infectious disease (medical specialty)
Medicine
Coronavirus disease 2019 (COVID-19)
2019-20 coronavirus outbreak
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Virology
Internal medicine
Outbreak
Disease
Health Sciences Medicine Infectious Diseases SARS-CoV-2 detection and testing
Health Sciences Medicine Infectious Diseases SARS-CoV-2 and COVID-19 Research
Health Sciences Medicine Infectious Diseases COVID-19 Clinical Research Studies
url https://pubmed.ncbi.nlm.nih.gov/39872812
https://academic.oup.com/ofid/article-pdf/12/1/ofaf006/61372708/ofaf006.pdf
https://doi.org/10.1093/ofid/ofaf006
https://hdl.handle.net/20.500.15037/1732
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