한빛사논문
Wooseob Kim1,11, Julian Q. Zhou1,11, Stephen C. Horvath1, Aaron J. Schmitz1, Alexandria J. Sturtz1, Tingting Lei1, Zhuoming Liu2, Elizaveta Kalaidina3, Mahima Thapa1, Wafaa B. Alsoussi1, Alem Haile4, Michael K. Klebert4, Teresa Suessen5, Luis Parra-Rodriguez6, Philip A. Mudd7,8, Sean P. J. Whelan2, William D. Middleton5, Sharlene A. Teefey5, Iskra Pusic9, Jane A. O’Halloran6, Rachel M. Presti6,8, Jackson S. Turner1 & Ali H. Ellebedy1,8,10,*
1Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA. 2Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA. 3Division of Allergy and Immunology, Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA. 4Clinical Trials Unit, Washington University School of Medicine, St. Louis, MO, USA. 5Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA. 6Division of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA. 7Department of Emergency Medicine, Washington University School of Medicine, St. Louis, MO, USA. 8Center for Vaccines and Immunity to Microbial Pathogens, Washington University School of Medicine, St. Louis, MO, USA. 9Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA. 10The Andrew M. and Jane M. Bursky Center for Human Immunology & Immunotherapy Programs, Washington University School of Medicine, St. Louis, MO, USA. 11These authors contributed equally: Wooseob Kim, Julian Q. Zhou.
*Corresponding author
Abstract
Germinal centres (GC) are lymphoid structures where B cells acquire affinity-enhancing somatic hypermutations (SHM), with surviving clones differentiating into memory B cells (MBCs) and long-lived bone marrow plasma cells (BMPCs)1–5. SARS-CoV-2 mRNA vaccination induces a persistent GC response that lasts for at least six months in humans6–8. The fate of responding GC B cells as well as the functional consequences of such persistence have not been elucidated. We detected SARS-CoV-2 spike (S)-specific MBCs in 42 individuals who had received two doses of BNT162b2, a SARS-CoV-2 mRNA vaccine six months earlier. S-specific IgG-secreting BMPCs were detected in 9 out of 11 participants. Using a combined approach of sequencing the B cell receptors of responding blood plasmablasts and MBCs, lymph node GC and plasma cells and BMPCs from eight individuals and expression of the corresponding monoclonal antibodies (mAbs), we tracked the evolution of 1540 S-specific B cell clones. We show that early blood S-specific plasmablasts - on average - exhibited the lowest SHM frequencies. In comparison, SHM frequencies of S-specific GC B cells increased by 3.5-fold within six months after vaccination. S-specific MBCs and BMPCs accumulated high levels of SHM, which corresponded with enhanced anti-S antibody avidity in blood and affinity as well as neutralization capacity of BMPC-derived mAbs. This study documents how the striking persistence of SARS-CoV-2 vaccination-induced GC reaction in humans culminates in affinity-matured long-term antibody responses that potently neutralize the virus.
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