Evidence map›Paper›PMID 40969749›Full record

ArticleFrontiers in immunology2025

Severity-dependent IgG epitope profiling in COVID-19 reveals differential recognition of pathogen-derived antigens.

Lais Alves do Nascimento, NicolleRakanidis Machado, João Vitor da Silva Borges, Beatriz Oliveira Fagundes, Isabella Siuffi Bergamasco, Fabio da Ressureição Sgnotto, André Luis Lacerda Bachi, Maria Notomi Sato, Jefferson Russo Victor

Abstract read
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Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lais Alves do NascimentoLaboratory of Medical Investigation LIM-56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil.
NicolleRakanidis MachadoLaboratory of Medical Investigation LIM-56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil.
João Vitor da Silva BorgesSchool of Medicine, Santo Amaro University (UNISA), São Paulo, Brazil.
Beatriz Oliveira FagundesLaboratory of Medical Investigation LIM-56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil.
Isabella Siuffi BergamascoPostGraduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, Brazil.
Fabio da Ressureição SgnottoPostGraduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, Brazil.
André Luis Lacerda BachiPostGraduation Program in Health Sciences, Santo Amaro University (UNISA), São Paulo, Brazil.
Maria Notomi SatoLaboratory of Medical Investigation LIM-56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil.
Jefferson Russo VictorLaboratory of Medical Investigation LIM-56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The contribution of antibody-mediated responses to COVID - 19 outcomes remains unclear, particularly regarding cross-reactivity with unrelated pathogens. While co-infections are known to influence disease progression, the broader landscape of IgG reactivity during SARS-CoV-2 infection has not been systematically explored. Methods: We employed a high-density peptide microarray containing 4,344 linear epitopes from 37 viruses, 27 bacteria, 17 parasites, and 8 fungi to characterize serum IgG repertoires from individuals with moderate (n = 39) or severe (n = 40) COVID - 19. Controls included pre-pandemic healthy donors and a pooled intravenous immunoglobulin (IVIg) formulation. Data analysis included intensity ranking, epitope mapping, and comparative analysis of mean signal intensities for each epitope between the COVID-Mod and COVID-Sev groups. Results: COVID - 19 patients showed widespread IgG reactivity against diverse pathogens, with patterns differing by disease severity. Severe cases displayed broader and more intense reactivity, notably against hepatitis C virus (HCV), SARS-CoV-1, influenza A, Mycobacterium tuberculosis, and Plasmodium falciparum. Moderate cases showed preferential recognition of epitopes from HTLV-I, Neisseria meningitidis, and Trypanosoma cruzi. These findings suggest that SARS-CoV-2 infection modulates pre-existing humoral memory, possibly through epitope spreading or immune reprogramming. Conclusions: SARS-CoV-2 infection reshapes the IgG epitope repertoire in a severity-dependent manner, extending to antigens from unrelated pathogens. This phenomenon may reflect underlying immune dysregulation or idiotype-driven interactions. Comprehensive profiling of pathogen-related IgG responses may reveal potential biomarkers of disease severity. This phenomenon may inform future investigations aimed at improving personalized management strategies for co-infected or immunocompromised patients.

Indexed as

Antibodies, ViralAntigens, ViralCOVID-19EpitopesImmunoglobulin GSARS-CoV-2AdultAgedCross ReactionsEpitope MappingFemaleHumansMaleMiddle AgedSeverity of Illness IndexAntibodies, ViralAntigens, ViralEpitopesImmunoglobulin Gantibody repertoireautoantibodiesCOVID-19cross-reactivityIgGimmune modulationpathogen epitopespeptide microarray

Identifiers

PMID40969749
PMCPMC12440981

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.