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Prepandemic levels of cytokines and immunoglobulins and risk of SARS-CoV-2 infection and COVID-19 in the general population of Barcelona
Porta, Miquel 1957- (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública)
Pumarega, José Antonio (Institut Hospital del Mar d'Investigacions Mèdiques)
Aguilar, Ruth (Universitat de Barcelona)
Prieto-Merino, David (Universidad de Alcalá)
Campi, Laura (Institut Hospital del Mar d'Investigacions Mèdiques)
Rius i Gibert, Maria Cristina (Universitat Pompeu Fabra)
Villar Garcia, Judit (Institut Hospital del Mar d'Investigacions Mèdiques)
Vidal, Marta (Universitat de Barcelona)
Jimenez, Alfons (Universitat de Barcelona)
Peña, Antonio (Universidad de Alcalá)
Muñoz, Miguel-Angel (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Trasande, Leonardo (New York University)
Bolúmar, Francisco (Universidad de Alcalá)
Moncunill, Gemma (Universitat de Barcelona)
Gasull, Magda (Institut Hospital del Mar d'Investigacions Mèdiques)
Dobaño Lazaro, Carlota (Universitat de Barcelona)

Data: 2025
Resum: Background: From a public health perspective it is remarkable that there are yet no longitudinal studies in the general population investigating the influence of the basal immune state, measured before the pandemic, on the risk of SARS-CoV-2 infection and COVID-19. Objective: To investigate the specific and combined effects of personal levels of cytokines and immunoglobulins-measured in individuals' blood 4 years before the pandemic-on the risk of SARS-CoV-2 infection and COVID-19 in a general population. Methods: We conducted a prospective cohort study in 240 individuals from the general population of Barcelona. Thirty cytokines and 31 immunoglobulins were quantified in prepandemic serum samples (collected in 2016-17) by high-throughput multiplex quantitative suspension array technology. Results: Higher concentrations in 2016-17 of IL-8 and TNF-α significantly decreased the risk of SARS-CoV-2 seropositivity in 2020-21, whereas higher concentrations of MIP-1α were a risk factor for seropositivity. Most cytokines in mixtures with IL-8, MIP-1α, TNF-α or G-CSF were associated with SARS-CoV-2 seropositivity (all OR ≥2. 0 or OR≤0. 4 and p < 0. 05). The five individual isotype-antigen pairs more clearly associated with seropositivity were: protectively, IgG to CMV pp150, IgG to CMV pp65, and IgG to N OC43; and, increasing risk of seropositivity, IgM to CMV pp65 and IgM to EBV EA-D. The four cytokines most consistently associated with the risk of COVID-19 were also G-CSF, IL-8, TNF-α, and MIP-1α. The four isotype-antigen pairs more strongly associated with risk of COVID-19 (all protective) were IgA to CMV pp65 and N 229E, and IgG to EBV EAD and VCAp18. Conclusion: The unique longitudinal design of this study, with measurements before and during the pandemic in a general population, provides novel knowledge on the protective and detrimental effects of specific individual cytokines and immunoglobulins, and their mixtures, on the risk of SARS-CoV-2 seropositivity and COVID-19. If confirmed, findings would be significantly relevant for medicine and public health.
Ajuts: Instituto de Salud Carlos III PI17/00088
Instituto de Salud Carlos III PI21/00052
Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-00439
Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00043
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Cytokines ; Immunoglobulins ; Etiology ; Risk factors ; SARS-CoV-2 ; COVID-19 ; Mixtures
Publicat a: Frontiers in Public Health, Vol. 13 (August 2025) , ISSN 2296-2565

DOI: 10.3389/fpubh.2025.1548456
PMID: 40910046


28 p, 4.2 MB

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 Registre creat el 2025-09-01, darrera modificació el 2026-01-03



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