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  • Germinal centre-driven matu...
    Kim, Wooseob; Zhou, Julian Q; Horvath, Stephen C; Schmitz, Aaron J; Sturtz, Alexandria J; Lei, Tingting; Liu, Zhuoming; Kalaidina, Elizaveta; Thapa, Mahima; Alsoussi, Wafaa B; Haile, Alem; Klebert, Michael K; Suessen, Teresa; Parra-Rodriguez, Luis; Mudd, Philip A; Whelan, Sean P J; Middleton, William D; Teefey, Sharlene A; Pusic, Iskra; O'Halloran, Jane A; Presti, Rachel M; Turner, Jackson S; Ellebedy, Ali H

    Nature (London), 04/2022, Letnik: 604, Številka: 7904
    Journal Article

    Germinal centres (GC) are lymphoid structures in which B cells acquire affinity-enhancing somatic hypermutations (SHM), with surviving clones differentiating into memory B cells (MBCs) and long-lived bone marrow plasma cells (BMPCs). SARS-CoV-2 mRNA vaccination induces a persistent GC response that lasts for at least six months in humans . The fate of responding GC B cells as well as the functional consequences of such persistence remain unknown. Here, we detected SARS-CoV-2 spike protein-specific MBCs in 42 individuals who had received two doses of the SARS-CoV-2 mRNA vaccine BNT162b2 six month earlier. Spike-specific IgG-secreting BMPCs were detected in 9 out of 11 participants. Using a combined approach of sequencing the B cell receptors of responding blood plasmablasts and MBCs, lymph node GC B cells and plasma cells and BMPCs from eight individuals and expression of the corresponding monoclonal antibodies, we tracked the evolution of 1,540 spike-specific B cell clones. On average, early blood spike-specific plasmablasts exhibited the lowest SHM frequencies. By contrast, SHM frequencies of spike-specific GC B cells increased by 3.5-fold within six months after vaccination. Spike-specific MBCs and BMPCs accumulated high levels of SHM, which corresponded with enhanced anti-spike antibody avidity in blood and enhanced affinity as well as neutralization capacity of BMPC-derived monoclonal antibodies. We report how the notable persistence of the GC reaction induced by SARS-CoV-2 mRNA vaccination in humans culminates in affinity-matured long-term antibody responses that potently neutralize the virus.