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

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

Avaliação da qualidade do colostro e transferência de imunidade passiva em animais mestiços Holandês Zebu

O objetivo desta pesquisa foi avaliar a qualidade do colostro de vacas mestiças Holandês Zebu e a transferência de imunidade a seus bezerros. Efeitos de ordem de parto, sexo do bezerro, estação do ano e grupo genético foram estudados em vacas distribuídas em quatro grupos genéticos. Amostras de sangue dos bezerros foram coletadas aos três dias de vida. Foi avaliada a concentração de proteína total no soro (PT) por refratometria e espectrofotometria. As amostras de colostro apresentaram alta qualidade, com concentração média de Ig de 78,5mg/mL. Houve adequada transferência de imunidade passiva, com 88,3% dos bezerros com PT acima de 5,5g/dL. Não houve efeito de ordem de parto, sexo do bezerro, estação do ano e grupo genético da vaca na qualidade do colostro e na PT (P>0,05). Vacas F1 produziram, em média, colostro de alta qualidade e houve sucesso na transferência de imunidade passiva