28 research outputs found

    SARS-CoV-2-specific nasal IgA wanes 9 months after hospitalisation with COVID-19 and is not induced by subsequent vaccination

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    BACKGROUND: Most studies of immunity to SARS-CoV-2 focus on circulating antibody, giving limited insights into mucosal defences that prevent viral replication and onward transmission. We studied nasal and plasma antibody responses one year after hospitalisation for COVID-19, including a period when SARS-CoV-2 vaccination was introduced. METHODS: In this follow up study, plasma and nasosorption samples were prospectively collected from 446 adults hospitalised for COVID-19 between February 2020 and March 2021 via the ISARIC4C and PHOSP-COVID consortia. IgA and IgG responses to NP and S of ancestral SARS-CoV-2, Delta and Omicron (BA.1) variants were measured by electrochemiluminescence and compared with plasma neutralisation data. FINDINGS: Strong and consistent nasal anti-NP and anti-S IgA responses were demonstrated, which remained elevated for nine months (p < 0.0001). Nasal and plasma anti-S IgG remained elevated for at least 12 months (p < 0.0001) with plasma neutralising titres that were raised against all variants compared to controls (p < 0.0001). Of 323 with complete data, 307 were vaccinated between 6 and 12 months; coinciding with rises in nasal and plasma IgA and IgG anti-S titres for all SARS-CoV-2 variants, although the change in nasal IgA was minimal (1.46-fold change after 10 months, p = 0.011) and the median remained below the positive threshold determined by pre-pandemic controls. Samples 12 months after admission showed no association between nasal IgA and plasma IgG anti-S responses (R = 0.05, p = 0.18), indicating that nasal IgA responses are distinct from those in plasma and minimally boosted by vaccination. INTERPRETATION: The decline in nasal IgA responses 9 months after infection and minimal impact of subsequent vaccination may explain the lack of long-lasting nasal defence against reinfection and the limited effects of vaccination on transmission. These findings highlight the need to develop vaccines that enhance nasal immunity. FUNDING: This study has been supported by ISARIC4C and PHOSP-COVID consortia. ISARIC4C is supported by grants from the National Institute for Health and Care Research and the Medical Research Council. Liverpool Experimental Cancer Medicine Centre provided infrastructure support for this research. The PHOSP-COVD study is jointly funded by UK Research and Innovation and National Institute of Health and Care Research. The funders were not involved in the study design, interpretation of data or the writing of this manuscript

    Groundwater nitrogen composition and transformation within a moorland catchment, mid-Wales

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    The importance of upland groundwater systems in providing a medium for nitrogen transformations and processes along flow paths is investigated within the Afon Gwy moorland catchment, Plynlimon, mid-Wales. Dissolved organic nitrogen (DON) was found to be the most abundant form of dissolved nitrogen (N) in most soils and groundwaters, accounting for between 47 and 72% of total dissolved nitrogen in shallow groundwater samples and up to 80% in deeper groundwaters. Groundwater DON may also be an important source of bio-available N in surface waters and marine systems fed by upland catchments. A conceptual model of N processes is proposed based on a detailed study along a transect of nested boreholes and soil suction samplers within the interfluve zone. Shallow groundwater N speciation reflects the soilwater N speciation implying a rapid transport mechanism and good connectivity between the soil and groundwater systems. Median nitrate concentrations were an order of magnitude lower within the soil zone (< 5–31 μg/L) than in the shallow groundwaters (86–746 μg/L). Given the rapid hydrostatic response of the groundwater level within the soil zone, the shallow groundwater system is both a source and sink for dissolved N. Results from dissolved N2O, N2/Ar ratios and dissolved N chemistry suggests that microbial N transformations (denitrification and nitrification) may play an important role in controlling the spatial variation in soil and groundwater N speciation. Reducing conditions within the groundwater and saturated soils of the wet-flush zones on the lower hillslopes, a result of relatively impermeable drift deposits, are also important in controlling N speciation and transformation processes
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