학술논문
Functional antibody and T cell immunity following SARS-CoV-2 infection, including by variants of concern, in patients with cancer: the CAPTURE study
Document Type
Original Paper
Author
Fendler, Annika; Au, Lewis; Shepherd, Scott T. C.; Byrne, Fiona; Cerrone, Maddalena; Boos, Laura Amanda; Rzeniewicz, Karolina; Gordon, William; Shum, Benjamin; Gerard, Camille L.; Ward, Barry; Xie, Wenyi; Schmitt, Andreas M.; Joharatnam-Hogan, Nalinie; Cornish, Georgina H.; Pule, Martin; Mekkaoui, Leila; Ng, Kevin W.; Carlyle, Eleanor; Edmonds, Kim; Rosario, Lyra Del; Sarker, Sarah; Lingard, Karla; Mangwende, Mary; Holt, Lucy; Ahmod, Hamid; Stone, Richard; Gomes, Camila; Flynn, Helen R.; Agua-Doce, Ana; Hobson, Philip; Caidan, Simon; Howell, Michael; Wu, Mary; Goldstone, Robert; Crawford, Margaret; Cubitt, Laura; Patel, Harshil; Gavrielides, Mike; Nye, Emma; Snijders, Ambrosius P.; MacRae, James I.; Nicod, Jerome; Gronthoud, Firza; Shea, Robyn L.; Messiou, Christina; Cunningham, David; Chau, Ian; Starling, Naureen; Turner, Nicholas; Welsh, Liam; van As, Nicholas; Jones, Robin L.; Droney, Joanne; Banerjee, Susana; Tatham, Kate C.; Jhanji, Shaman; O’Brien, Mary; Curtis, Olivia; Harrington, Kevin; Bhide, Shreerang; Bazin, Jessica; Robinson, Anna; Stephenson, Clemency; Slattery, Tim; Khan, Yasir; Tippu, Zayd; Leslie, Isla; Gennatas, Spyridon; Okines, Alicia; Reid, Alison; Young, Kate; Furness, Andrew J. S.; Pickering, Lisa; Gandhi, Sonia; Gamblin, Steve; Swanton, Charles; Nicholson, Emma; Kumar, Sacheen; Yousaf, Nadia; Wilkinson, Katalin A.; Swerdlow, Anthony; Harvey, Ruth; Kassiotis, George; Larkin, James; Wilkinson, Robert J.; Turajlic, Samra
Source
Nature Cancer. 2(12):1321-1337
Subject
Language
English
ISSN
2662-1347
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.
Turajlic and colleagues assess longitudinal antibody and cellular immune responses against SARS-CoV-2 variants of concern in patients with cancer, following either recovery from SARS-CoV-2 infection or vaccination, in two back-to-back reports from the CAPTURE study.
Turajlic and colleagues assess longitudinal antibody and cellular immune responses against SARS-CoV-2 variants of concern in patients with cancer, following either recovery from SARS-CoV-2 infection or vaccination, in two back-to-back reports from the CAPTURE study.