Functional antibody and T cell immunity following SARS-CoV-2 infection, including by variants of concern, in patients with cancer: the CAPTURE ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-10-27

AUTHORS

Annika Fendler, Lewis Au, Scott T. C. Shepherd, Fiona Byrne, Maddalena Cerrone, Laura Amanda Boos, Karolina Rzeniewicz, William Gordon, Benjamin Shum, Camille L. Gerard, Barry Ward, Wenyi Xie, Andreas M. Schmitt, Nalinie Joharatnam-Hogan, Georgina H. Cornish, Martin Pule, Leila Mekkaoui, Kevin W. Ng, Eleanor Carlyle, Kim Edmonds, Lyra Del Rosario, Sarah Sarker, Karla Lingard, Mary Mangwende, Lucy Holt, Hamid Ahmod, Richard Stone, Camila Gomes, Helen R. Flynn, Ana Agua-Doce, Philip Hobson, Simon Caidan, Michael Howell, Mary Wu, Robert Goldstone, Margaret Crawford, Laura Cubitt, Harshil Patel, Mike Gavrielides, Emma Nye, Ambrosius P. Snijders, James I. MacRae, Jerome Nicod, Firza Gronthoud, Robyn L. Shea, Christina Messiou, David Cunningham, Ian Chau, Naureen Starling, Nicholas Turner, Liam Welsh, Nicholas van As, Robin L. Jones, Joanne Droney, Susana Banerjee, Kate C. Tatham, Shaman Jhanji, Mary O’Brien, Olivia Curtis, Kevin Harrington, Shreerang Bhide, Jessica Bazin, Anna Robinson, Clemency Stephenson, Tim Slattery, Yasir Khan, Zayd Tippu, Isla Leslie, Spyridon Gennatas, Alicia Okines, Alison Reid, Kate Young, Andrew J. S. Furness, Lisa Pickering, Sonia Gandhi, Steve Gamblin, Charles Swanton, Emma Nicholson, Sacheen Kumar, Nadia Yousaf, Katalin A. Wilkinson, Anthony Swerdlow, Ruth Harvey, George Kassiotis, James Larkin, Robert J. Wilkinson, Samra Turajlic

ABSTRACT

Patients with cancer have higher COVID-19 morbidity and mortality. Here we present the prospective CAPTURE study, integrating longitudinal immune profiling with clinical annotation. Of 357 patients with cancer, 118 were SARS-CoV-2 positive, 94 were symptomatic and 2 died of COVID-19. In this cohort, 83% patients had S1-reactive antibodies and 82% had neutralizing antibodies against wild type SARS-CoV-2, whereas neutralizing antibody titers against the Alpha, Beta and Delta variants were substantially reduced. S1-reactive antibody levels decreased in 13% of patients, whereas neutralizing antibody titers remained stable for up to 329 days. Patients also had detectable SARS-CoV-2-specific T cells and CD4+ responses correlating with S1-reactive antibody levels, although patients with hematological malignancies had impaired immune responses that were disease and treatment specific, but presented compensatory cellular responses, further supported by clinical recovery in all but one patient. Overall, these findings advance the understanding of the nature and duration of the immune response to SARS-CoV-2 in patients with cancer. More... »

PAGES

1321-1337

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  • Journal

    TITLE

    Nature Cancer

    ISSUE

    12

    VOLUME

    2

    Author Affiliations

  • Cancer Dynamics Laboratory, The Francis Crick Institute, London, UK
  • Skin and Renal Units, The Royal Marsden NHS Foundation Trust, London, UK
  • Department of Infectious Disease, Imperial College London, London, UK
  • Retroviral Immunology Laboratory, The Francis Crick Institute, London, UK
  • Autolus Ltd., London, UK
  • Experimental Histopathology Laboratory, The Francis Crick Institute, London, UK
  • Mass Spectrometry Proteomics Science Technology Platform, The Francis Crick Institute, London, UK
  • Flow Cytometry Scientific Technology Platform, The Francis Crick Institute, London, UK
  • Safety, Health and Sustainability, The Francis Crick Institute, London, UK
  • High Throughput Screening Laboratory, The Francis Crick Institute, London, UK
  • Advanced Sequencing Facility, The Francis Crick Institute, London, UK
  • Department of Bioinformatics and Biostatistics, The Francis Crick Institute, London, UK
  • Scientific Computing Scientific Technology Platform, The Francis Crick Institute, London, UK
  • Metabolomics Scientific Technology Platform, The Francis Crick Institute, London, UK
  • Department of Pathology, The Royal Marsden NHS Foundation Trust, London, UK
  • Translational Cancer Biochemistry Laboratory, The Institute of Cancer Research, London, UK
  • Department of Radiology, The Royal Marsden NHS Foundation Trust, London, UK
  • Gastrointestinal Unit, The Royal Marsden NHS Foundation Trust, London and Surrey, London, UK
  • Breast Cancer Now Toby Robins Breast Cancer Research Centre, The Institute of Cancer Research, London, UK
  • Neuro-oncology Unit, The Royal Marsden NHS Foundation Trust, London, UK
  • Clinical Oncology Unit, The Royal Marsden NHS Foundation Trust, London, UK
  • Sarcoma Unit, The Royal Marsden NHS Foundation Trust and Institute of Cancer Research, London, UK
  • Palliative Medicine, The Royal Marsden NHS Foundation Trust, London, UK
  • Gynaecology Unit, The Royal Marsden NHS Foundation Trust, London, UK
  • Department of Surgery and Cancer, Imperial College London, London, UK
  • Anaesthetics, Perioperative Medicine and Pain Department, The Royal Marsden NHS Foundation Trust, London, UK
  • Lung Unit, The Royal Marsden NHS Foundation Trust, London, UK
  • Targeted Therapy Team, The Institute of Cancer Research, London, UK
  • Haemato-oncology Unit, The Royal Marsden NHS Foundation Trust, London, UK
  • Department of Medical Oncology, Guy’s Hospital, London, UK
  • Acute Oncology Service, The Royal Marsden NHS Foundation Trust, London, UK
  • Uro-oncology Unit, The Royal Marsden NHS Foundation Trust, Surrey, UK
  • UCL Queen Square Institute of Neurology, London, UK
  • Structural Biology of Disease Processes Laboratory, The Francis Crick Institute, London, UK
  • University College London Cancer Institute, London, UK
  • Wellcome Center for Infectious Disease Research in Africa, University Cape Town, Cape Town, Republic of South Africa
  • Division of Genetics and Epidemiology and Division of Breast Cancer Research, The Institute of Cancer Research, London, UK
  • Worldwide Influenza Centre, The Francis Crick Institute, London, UK
  • Clinical Trials linked to this publication

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/s43018-021-00275-9

    DOI

    http://dx.doi.org/10.1038/s43018-021-00275-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1142196342

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35121900


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