Abstract

Early predictions forecasted large numbers of severe acute respiratory syndrome coronavirus (SARS-CoV-2) cases and associated deaths in Africa. To date, Africa has been relatively spared. Various hypotheses were postulated to explain the lower than anticipated impact on public health in Africa. However, the contribution of pre-existing immunity is yet to be investigated. In this study, the presence of antibodies against SARS-CoV-2 spike (S) and nucleocapsid (N) proteins in pre-pandemic samples from Africa, Europe, South and North America was examined by ELISA. The protective efficacy of N specific antibodies isolated from Central African donors was tested by in vitro neutralization and in a mouse model of SARS-CoV-2 infection. Antibodies against SARS-CoV-2 S and N proteins were rare in all populations except in Gabon and Senegal where N specific antibodies were prevalent. However, these antibodies failed to neutralize the virus either in vitro or in vivo. Overall, this study indicates that cross-reactive immunity against SARS-CoV-2 N protein was present in Africa prior to the pandemic. However, this pre-existing humoral immunity does not impact viral fitness in rodents suggesting that other human immune defense mechanisms could be involved. In Africa, seroprevalence studies using the N protein are over-estimating SARS-CoV-2 circulation.

Details

Title
Cross-reactive immunity against SARS-CoV-2 N protein in Central and West Africa precedes the COVID-19 pandemic
Author
Pedersen, Jannie 1 ; Koumakpayi, Ismaël Hervé 2 ; Babuadze, Giorgi 3 ; Baz, Mariana 1 ; Ndiaye, Oumar 4 ; Faye, Oumar 4 ; Diagne, Cheikh Tidiane 4 ; Dia, Ndongo 4 ; Naghibosadat, Maedeh 3 ; McGeer, Allison 5 ; Muberaka, Samira 6 ; Moukandja, Irène P. 2 ; Ndidi, Stella 2 ; Tauil, Carlos B. 7 ; Lekana-Douki, Jean-Bernard 8 ; Loucoubar, Cheikh 4 ; Faye, Ousmane 4 ; Sall, Amadou 4 ; Magalhães, Kelly G. 7 ; Weis, Nina 9 ; Kozak, Robert 6 ; Kobinger, Gary P. 10 ; Fausther-Bovendo, Hugues 11 

 Université Laval, Département de Microbiologie-Infectiologie et Immunologie, Quebec City, Canada (GRID:grid.23856.3a) (ISNI:0000 0004 1936 8390) 
 Centre Hospitalier Universitaire de Libreville, Libreville, Gabon (GRID:grid.418077.d) (ISNI:0000 0004 6017 6227) 
 University of Toronto, Sunnybrook Research Institute at Sunnybrook Health Sciences Centre, Biological Sciences Platform, Toronto, Canada (GRID:grid.17063.33) (ISNI:0000 0001 2157 2938) 
 Institut Pasteur de Dakar, Dakar, Senegal (GRID:grid.418508.0) (ISNI:0000 0001 1956 9596) 
 University of Toronto, Department of Laboratory Medicine and Pathobiology, Toronto, Canada (GRID:grid.17063.33) (ISNI:0000 0001 2157 2938); Sinai Health System/University Health Network, Department of Microbiology, Toronto, Canada (GRID:grid.231844.8) (ISNI:0000 0004 0474 0428) 
 University of Toronto, Sunnybrook Research Institute at Sunnybrook Health Sciences Centre, Biological Sciences Platform, Toronto, Canada (GRID:grid.17063.33) (ISNI:0000 0001 2157 2938); University of Toronto, Department of Laboratory Medicine and Pathobiology, Toronto, Canada (GRID:grid.17063.33) (ISNI:0000 0001 2157 2938); Sunnybrook Health Sciences Centre, Department of Laboratory Medicine and Molecular Diagnostics, Division of Microbiology, Toronto, Canada (GRID:grid.413104.3) (ISNI:0000 0000 9743 1587) 
 University of Brasilia, Laboratory of Immunology and Inflammation, Brasilia, Brazil (GRID:grid.7632.0) (ISNI:0000 0001 2238 5157) 
 Centre Interdisciplinaire de Recherches Médicales de Franceville, Unité d’Evolution Epidémiologie et Résistances Parasitaires, Franceville, Gabon (GRID:grid.418115.8) (ISNI:0000 0004 1808 058X) 
 Copenhagen University Hospital, Department of Infectious Diseases, Hvidovre, Denmark (GRID:grid.4973.9) (ISNI:0000 0004 0646 7373); University of Copenhagen, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Copenhagen, Denmark (GRID:grid.5254.6) (ISNI:0000 0001 0674 042X) 
10  University of Texas Medical Branch, Galveston National Laboratory, Galveston, USA (GRID:grid.176731.5) (ISNI:0000 0001 1547 9964) 
11  Université Laval, Département de Microbiologie-Infectiologie et Immunologie, Quebec City, Canada (GRID:grid.23856.3a) (ISNI:0000 0004 1936 8390); Global Urgent and Advanced Research and Development, Batiscan, Canada (GRID:grid.23856.3a) 
Publication year
2022
Publication date
2022
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2695805172
Copyright
© The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.