Based on two population cohorts in South Africa, we established neutralizing antibodies in serum as correlates of protection against SARS-CoV-2 Delta and Omicron variants for immunity induced by previous infection. We further quantified the relative contribution of neutralizing antibodies to the overall protection conferred by prior infection.
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References
Gilbert, P. B. et al. A Covid-19 milestone attained — a correlate of protection for vaccines. N. Engl. J. Med. 387, 22032206 (2022). A prospective article that summarizes the success of establishing a SARS-CoV-2 correlate of protection before the emergence of immune-evasive variants.
Mettelman, R. C. et al. Baseline innate and T cell populations are correlates of protection against symptomatic influenza virus infection independent of serology. Nat. Immunol. 24, 1511–1526 (2023). This paper reports the contribution of innate and adaptive cellular responses, as well as pre-existing antibodies, to protection against influenza virus.
Cohen, C. et al. Asymptomatic transmission and high community burden of seasonal influenza in an urban and a rural community in South Africa, 2017–18 (PHIRST): a population cohort study. Lancet Glob. Health 9, e863–e874 (2021). This paper reports the pre-pandemic PHIRST cohort infrastructure that this study relies on.
Cowling, B. J. et al. Influenza hemagglutination-inhibition antibody titer as a mediator of vaccine-induced protection for influenza B. Clin. Infect. Dis. 68, 1713–1717 (2019). A pioneer study adopting mediation analysis to understand correlates of protection against influenza B virus.
Halloran, M. E. & Struchiner, C. J. Causal inference in infectious diseases. Epidemiology 6, 142–151 (1995). A seminal paper that proposed using transmission probability as a causal estimand for causal inference in infectious disease.
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This is a summary of: Sun, K. et al. SARS-CoV-2 correlates of protection from infection against variants of concern. Nat. Med. https://doi.org/10.1038/s41591-024-03131-2 (2024).
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Neutralizing antibodies do not fully explain SARS-CoV-2 protective immunity. Nat Med (2024). https://doi.org/10.1038/s41591-024-03168-3
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DOI: https://doi.org/10.1038/s41591-024-03168-3