Autoantibodies Detected in MIS-C Patients due to Administration of Intravenous Immunoglobulin Article Swipe
Peter D. Burbelo
,
Riccardo Castagnoli
,
Chisato Shimizu
,
Ottavia M. Delmonte
,
Kerry Dobbs
,
Valentina Discepolo
,
Andrea Lo Vecchio
,
Alfredo Guarino
,
Francesco Licciardi
,
Ugo Ramenghi
,
Emma Rey
,
M. Cecilia Vial
,
Gian Luigi Marseglia
,
Amelia Licari
,
Daniela Montagna
,
Camillo Rossi
,
Gina A. Montealegre Sanchez
,
Karyl S. Barron
,
Blake M. Warner
,
John A. Chiorini
,
Yazmín Espinosa
,
Loreani P. Noguera
,
Lesia K. Dropulic
,
Meng Truong
,
Dana Gerstbacher
,
Sayonara Mató
,
John T. Kanegaye
,
Adriana H. Tremoulet
,
Eli M. Eisenstein
,
Helen C. Su
,
Luisa Imberti
,
M. Cecilia Poli
,
Jane C. Burns
,
Luigi D. Notarangelo
,
Jeffrey I. Cohen
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1101/2021.11.03.21265769
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1101/2021.11.03.21265769
The autoantibody profile associated with known autoimmune diseases in patients with COVID-19 or multisystem inflammatory syndrome in children (MIS-C) remains poorly defined. Here we show that adults with COVID-19 had a moderate prevalence of autoantibodies against the lung antigen KCNRG, and SLE-associated Smith autoantigen. Children with COVID-19 rarely had autoantibodies; one of 59 children had GAD65 autoantibodies associated with acute insulin-dependent diabetes. While autoantibodies associated with SLE/Sjögren’s syndrome (Ro52, Ro60, and La) and/or autoimmune gastritis (gastric ATPase) were detected in 74% (40/54) of MIS-C patients, further analysis of these patients and of children with Kawasaki disease (KD), showed that the administration of intravenous immunoglobulin ( IVIG) was largely responsible for detection of these autoantibodies in both groups of patients. Monitoring in vivo decay of the autoantibodies in MIS-C children showed that the IVIG-derived Ro52, Ro60, and La autoantibodies declined to undetectable levels by 45-60 days, but gastric ATPase autoantibodies declined more slowly requiring >100 days until undetectable. Together these findings demonstrate that administration of high-dose IVIG is responsible for the detection of several autoantibodies in MIS-C and KD. Further studies are needed to investigate autoantibody production in MIS-C patients, independently from IVIG administration.
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- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2021.11.03.21265769
- https://www.medrxiv.org/content/medrxiv/early/2021/11/04/2021.11.03.21265769.full.pdf
- OA Status
- green
- Cited By
- 4
- References
- 64
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3210749495
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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- DOI
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https://doi.org/10.1101/2021.11.03.21265769Digital Object Identifier
- Title
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Autoantibodies Detected in MIS-C Patients due to Administration of Intravenous ImmunoglobulinWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-11-04Full publication date if available
- Authors
-
Peter D. Burbelo, Riccardo Castagnoli, Chisato Shimizu, Ottavia M. Delmonte, Kerry Dobbs, Valentina Discepolo, Andrea Lo Vecchio, Alfredo Guarino, Francesco Licciardi, Ugo Ramenghi, Emma Rey, M. Cecilia Vial, Gian Luigi Marseglia, Amelia Licari, Daniela Montagna, Camillo Rossi, Gina A. Montealegre Sanchez, Karyl S. Barron, Blake M. Warner, John A. Chiorini, Yazmín Espinosa, Loreani P. Noguera, Lesia K. Dropulic, Meng Truong, Dana Gerstbacher, Sayonara Mató, John T. Kanegaye, Adriana H. Tremoulet, Eli M. Eisenstein, Helen C. Su, Luisa Imberti, M. Cecilia Poli, Jane C. Burns, Luigi D. Notarangelo, Jeffrey I. CohenList of authors in order
- Landing page
-
https://doi.org/10.1101/2021.11.03.21265769Publisher landing page
- PDF URL
-
https://www.medrxiv.org/content/medrxiv/early/2021/11/04/2021.11.03.21265769.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.medrxiv.org/content/medrxiv/early/2021/11/04/2021.11.03.21265769.full.pdfDirect OA link when available
- Concepts
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Autoantibody, Medicine, Antibody, Immunology, Autoimmunity, Autoimmune Gastritis, Autoimmune diseaseTop concepts (fields/topics) attached by OpenAlex
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4Total citation count in OpenAlex
- Citations by year (recent)
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2023: 1, 2022: 3Per-year citation counts (last 5 years)
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64Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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