Viral epitope profiling of COVID-19 patients reveals cross-reactivity and correlates of severity
View ORCID ProfileEllen Shrock1,2,*, View ORCID ProfileEric Fujimura1,2,3,*, View ORCID ProfileTomasz Kula1,2,†, View ORCID ProfileRichard T. Timms1,2,†, View ORCID ProfileI-Hsiu Lee4, View ORCID ProfileYumei Leng1,2,...
Science 27 Nov 2020:
Vol. 370, Issue 6520, eabd4250
DOI: 10.1126/science.abd4250
Structured Abstract
INTRODUCTION
A systematic characterization of the humoral response to severe acute respiratory system coronavirus 2 (SARS-CoV-2) epitopes has yet to be performed. This analysis is important for understanding the immunogenicity of the viral proteome and the basis for cross-reactivity with the common-cold coronaviruses.
Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is notable for its variable course, with some individuals remaining asymptomatic whereas others experience fever, respiratory distress, or even death. A comprehensive investigation of the antibody response in individuals with severe versus mild COVID-19—as well as an examination of past viral exposure history—is needed.
RATIONALE
An understanding of humoral responses to SARS-CoV-2 is critical for improving diagnostics and vaccines and gaining insight into variable clinical outcomes. To this end, we used VirScan, a high-throughput method to analyze epitopes of antiviral antibodies in human sera. We supplemented the original VirScan library with additional libraries of peptides spanning the proteomes of SARS-CoV-2 and all other human coronaviruses. These libraries enabled us to precisely map epitope locations and investigate cross-reactivity between SARS-CoV-2 and other coronavirus strains. The original VirScan library allowed us to simultaneously investigate antibody responses to prior infections and viral exposure history.