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Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child

We describe an unvaccinated child at risk for life-threatening COVID-19 due to an inherited deficiency of IRF9, which governs ISGF-3–dependent responses to type I and III interferons (IFN). She was admitted, with a high nasal SARS-CoV-2 load on day 1 of upper respiratory tract infection. She was vir...

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Autores principales: Lévy, Romain, Zhang, Peng, Bastard, Paul, Dorgham, Karim, Melki, Isabelle, Hadchouel, Alice, Hartoularos, George C., Neven, Bénédicte, Castelle, Martin, Roy, Charlotte, Toin, Tom, Berteloot, Laureline, Bizien, Lucy, Abid, Hanène, Burgard, Marianne, Houhou-Fidouh, Nadhira, Rozenberg, Flore, Jouanguy, Emmanuelle, Ye, Chun Jimmie, Gorochov, Guy, Zhang, Qian, Casanova, Jean-Laurent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: National Academy of Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609338/
https://www.ncbi.nlm.nih.gov/pubmed/34702736
http://dx.doi.org/10.1073/pnas.2114390118
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author Lévy, Romain
Zhang, Peng
Bastard, Paul
Dorgham, Karim
Melki, Isabelle
Hadchouel, Alice
Hartoularos, George C.
Neven, Bénédicte
Castelle, Martin
Roy, Charlotte
Toin, Tom
Berteloot, Laureline
Bizien, Lucy
Abid, Hanène
Burgard, Marianne
Houhou-Fidouh, Nadhira
Rozenberg, Flore
Jouanguy, Emmanuelle
Ye, Chun Jimmie
Gorochov, Guy
Zhang, Qian
Casanova, Jean-Laurent
author_facet Lévy, Romain
Zhang, Peng
Bastard, Paul
Dorgham, Karim
Melki, Isabelle
Hadchouel, Alice
Hartoularos, George C.
Neven, Bénédicte
Castelle, Martin
Roy, Charlotte
Toin, Tom
Berteloot, Laureline
Bizien, Lucy
Abid, Hanène
Burgard, Marianne
Houhou-Fidouh, Nadhira
Rozenberg, Flore
Jouanguy, Emmanuelle
Ye, Chun Jimmie
Gorochov, Guy
Zhang, Qian
Casanova, Jean-Laurent
author_sort Lévy, Romain
collection PubMed
description We describe an unvaccinated child at risk for life-threatening COVID-19 due to an inherited deficiency of IRF9, which governs ISGF-3–dependent responses to type I and III interferons (IFN). She was admitted, with a high nasal SARS-CoV-2 load on day 1 of upper respiratory tract infection. She was viremic on day 2 and received casirivimab and imdevimab. Her clinical manifestations and viremia disappeared on days 3 and 4, respectively. Circulating SARS-CoV-2 virus induced the expression of IFN-stimulated genes in leukocytes on day 1, whereas the secretion of blood type I IFNs, which peaked on day 4, did not. Antibody-mediated SARS-CoV-2 neutralization is, therefore, sufficient to overcome a deficiency of antiviral IFNs.
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spelling pubmed-86093382021-12-02 Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child Lévy, Romain Zhang, Peng Bastard, Paul Dorgham, Karim Melki, Isabelle Hadchouel, Alice Hartoularos, George C. Neven, Bénédicte Castelle, Martin Roy, Charlotte Toin, Tom Berteloot, Laureline Bizien, Lucy Abid, Hanène Burgard, Marianne Houhou-Fidouh, Nadhira Rozenberg, Flore Jouanguy, Emmanuelle Ye, Chun Jimmie Gorochov, Guy Zhang, Qian Casanova, Jean-Laurent Proc Natl Acad Sci U S A Biological Sciences We describe an unvaccinated child at risk for life-threatening COVID-19 due to an inherited deficiency of IRF9, which governs ISGF-3–dependent responses to type I and III interferons (IFN). She was admitted, with a high nasal SARS-CoV-2 load on day 1 of upper respiratory tract infection. She was viremic on day 2 and received casirivimab and imdevimab. Her clinical manifestations and viremia disappeared on days 3 and 4, respectively. Circulating SARS-CoV-2 virus induced the expression of IFN-stimulated genes in leukocytes on day 1, whereas the secretion of blood type I IFNs, which peaked on day 4, did not. Antibody-mediated SARS-CoV-2 neutralization is, therefore, sufficient to overcome a deficiency of antiviral IFNs. National Academy of Sciences 2021-10-26 2021-11-09 /pmc/articles/PMC8609338/ /pubmed/34702736 http://dx.doi.org/10.1073/pnas.2114390118 Text en Copyright © 2021 the Author(s). Published by PNAS. https://creativecommons.org/licenses/by/4.0/This open access article is distributed under Creative Commons Attribution License 4.0 (CC BY) (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Biological Sciences
Lévy, Romain
Zhang, Peng
Bastard, Paul
Dorgham, Karim
Melki, Isabelle
Hadchouel, Alice
Hartoularos, George C.
Neven, Bénédicte
Castelle, Martin
Roy, Charlotte
Toin, Tom
Berteloot, Laureline
Bizien, Lucy
Abid, Hanène
Burgard, Marianne
Houhou-Fidouh, Nadhira
Rozenberg, Flore
Jouanguy, Emmanuelle
Ye, Chun Jimmie
Gorochov, Guy
Zhang, Qian
Casanova, Jean-Laurent
Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child
title Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child
title_full Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child
title_fullStr Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child
title_full_unstemmed Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child
title_short Monoclonal antibody-mediated neutralization of SARS-CoV-2 in an IRF9-deficient child
title_sort monoclonal antibody-mediated neutralization of sars-cov-2 in an irf9-deficient child
topic Biological Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8609338/
https://www.ncbi.nlm.nih.gov/pubmed/34702736
http://dx.doi.org/10.1073/pnas.2114390118
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