Defective Severe Acute Respiratory Syndrome Coronavirus 2 Immune Responses in an Immunocompromised Individual With Prolonged Viral Replication

被引:5
作者
Gordon, Claire L. [1 ,2 ]
Smibert, Olivia C. [1 ,3 ,4 ]
Holmes, Natasha E. [1 ,5 ,6 ]
Chua, Kyra Y. L. [1 ]
Rose, Morgan [1 ]
Drewett, George [1 ]
James, Fiona [1 ]
Mouhtouris, Effie [1 ]
Nguyen, Thi H. O. [2 ]
Zhang, Wuji [2 ]
Kedzierski, Lukasz [2 ,7 ]
Rowntree, Louise C. [2 ]
Chua, Brendon Y. [2 ]
Caly, Leon [8 ]
Catton, Mike G. [8 ]
Druce, Julian [8 ]
Sait, Michelle [9 ]
Seemann, Torsten [9 ]
Sherry, Norelle L. [1 ,9 ]
Howden, Benjamin P. [1 ,9 ]
Kedzierska, Katherine [2 ]
Kwong, Jason C. [1 ,2 ]
Trubiano, Jason A. [1 ,3 ,4 ,10 ,11 ]
机构
[1] Austin Hosp, Dept Infect Dis, Heidelberg, Vic, Australia
[2] Univ Melbourne, Peter Doherty Inst Infect & Immun, Dept Microbiol & Immunol, Melbourne, Vic, Australia
[3] Peter MacCallum Canc Ctr, Dept Infect Dis, Melbourne, Vic, Australia
[4] Peter MacCallum Canc Ctr, Natl Ctr Infect Canc, Melbourne, Vic, Australia
[5] Austin Hlth, Data Analyt Res & Evaluat Ctr, Heidelberg, Vic, Australia
[6] Univ Melbourne, Heidelberg, Vic, Australia
[7] Univ Melbourne, Fac Vet & Agr Sci, Melbourne, Vic, Australia
[8] Peter Doherty Inst Infect & Immun, Victorian Infect Dis Reference Lab, Riryal Melbourne Hosp, Melbourne, Vic, Australia
[9] Univ Melbourne, Dept Microbiol & Immunol, Peter Doherty Inst Infect & Immun, Publ Hlth Lab,Microbiol Diagnost Unit, Melbourne, Vic, Australia
[10] Austin Hlth, Dept Infect Dis, Ctr Antibiot Allergy & Res, Heidelberg, Vic, Australia
[11] Univ Melbourne, Dept Med, Austin Hlth, Heidelberg, Vic, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
cellular immunity; COVID-19; humoral immunity; immunocompromise; lymphoma; SARS-CoV-2;
D O I
10.1093/ofid/ofab359
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We describe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific immune responses in a patient with lymphoma and recent programmed death 1 (PD-1) inhibitor therapy with late onset of severe coronavirus disease 2019 disease and prolonged SARS-CoV-2 replication, in comparison to age-matched and immunocompromised controls. High levels of HLA-DR+/CD38(+) activation, interleukin 6, and interleukin 18 in the absence of B cells and PD-1 expression was observed. SARS-CoV-2-specific antibody responses were absent and SARS-CoV-2-specific T cells were minimally detected. This case highlights challenges in managing immunocompromised hosts who may fail to mount effective virus-specific immune responses.
引用
收藏
页数:5
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