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Plasmodium infection is associated with cross-reactive antibodies to carbohydrate epitopes on the SARS-CoV-2 Spike protein.


ABSTRACT: Sero-surveillance can monitor and project disease burden and risk. However, SARS-CoV-2 antibody test results can produce false positive results, limiting their efficacy as a sero-surveillance tool. False positive SARS-CoV-2 antibody results are associated with malaria exposure, and understanding this association is essential to interpret sero-surveillance results from malaria-endemic countries. Here, pre-pandemic samples from eight malaria endemic and non-endemic countries and four continents were tested by ELISA to measure SARS-CoV-2 Spike S1 subunit reactivity. Individuals with acute malaria infection generated substantial SARS-CoV-2 reactivity. Cross-reactivity was not associated with reactivity to other human coronaviruses or other SARS-CoV-2 proteins, as measured by peptide and protein arrays. ELISAs with deglycosylated and desialated Spike S1 subunits revealed that cross-reactive antibodies target sialic acid on N-linked glycans of the Spike protein. The functional activity of cross-reactive antibodies measured by neutralization assays showed that cross-reactive antibodies did not neutralize SARS-CoV-2 in vitro. Since routine use of glycosylated or sialated assays could result in false positive SARS-CoV-2 antibody results in malaria endemic regions, which could overestimate exposure and population-level immunity, we explored methods to increase specificity by reducing cross-reactivity. Overestimating population-level exposure to SARS-CoV-2 could lead to underestimates of risk of continued COVID-19 transmission in sub-Saharan Africa.

SUBMITTER: Lapidus S 

PROVIDER: S-EPMC9778468 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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Plasmodium infection is associated with cross-reactive antibodies to carbohydrate epitopes on the SARS-CoV-2 Spike protein.

Lapidus Sarah S   Liu Feimei F   Casanovas-Massana Arnau A   Dai Yile Y   Huck John D JD   Lucas Carolina C   Klein Jon J   Filler Renata B RB   Strine Madison S MS   Sy Mouhamad M   Deme Awa B AB   Badiane Aida S AS   Dieye Baba B   Ndiaye Ibrahima Mbaye IM   Diedhiou Younous Y   Mbaye Amadou Moctar AM   Diagne Cheikh Tidiane CT   Vigan-Womas Inés I   Mbengue Alassane A   Sadio Bacary D BD   Diagne Moussa M MM   Moore Adam J AJ   Mangou Khadidiatou K   Diallo Fatoumata F   Sene Seynabou D SD   Pouye Mariama N MN   Faye Rokhaya R   Diouf Babacar B   Nery Nivison N   Costa Federico F   Reis Mitermayer G MG   Muenker M Catherine MC   Hodson Daniel Z DZ   Mbarga Yannick Y   Katz Ben Z BZ   Andrews Jason R JR   Campbell Melissa M   Srivathsan Ariktha A   Kamath Kathy K   Baum-Jones Elisabeth E   Faye Ousmane O   Sall Amadou Alpha AA   Vélez Juan Carlos Quintero JCQ   Cappello Michael M   Wilson Michael M   Ben-Mamoun Choukri C   Tedder Richard R   McClure Myra M   Cherepanov Peter P   Somé Fabrice A FA   Dabiré Roch K RK   Moukoko Carole Else Eboumbou CEE   Ouédraogo Jean Bosco JB   Boum Yap Y   Shon John J   Ndiaye Daouda D   Wisnewski Adam A   Parikh Sunil S   Iwasaki Akiko A   Wilen Craig B CB   Ko Albert I AI   Ring Aaron M AM   Bei Amy K AK  

Scientific reports 20221222 1


Sero-surveillance can monitor and project disease burden and risk. However, SARS-CoV-2 antibody test results can produce false positive results, limiting their efficacy as a sero-surveillance tool. False positive SARS-CoV-2 antibody results are associated with malaria exposure, and understanding this association is essential to interpret sero-surveillance results from malaria-endemic countries. Here, pre-pandemic samples from eight malaria endemic and non-endemic countries and four continents we  ...[more]

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