From the Guidelines
Autoantibodies associated with severe COVID-19 infection are not explicitly stated in the provided evidence.
Autoantibodies and COVID-19
- The evidence suggests that high levels of autoantibodies in long COVID have been found to be inversely correlated with protective COVID-19 antibodies 1.
- However, the specific autoantibodies associated with severe COVID-19 infection are not mentioned in the provided studies.
Immune Dysregulation
- Studies have found T cell alterations, including exhausted T cells, reduced CD4 and CD8 effector memory cell numbers, and elevated PD1 expression on central memory cells, persisting for at least 13 months in individuals with long COVID 1.
- Immune dysregulation with or without reactivation of underlying pathogens, including herpesviruses, has been suggested as a potential cause of long COVID 1.
Risk Factors
- Risk factors for long COVID potentially include the presence of specific autoantibodies, although the exact autoantibodies are not specified 1.
- Other risk factors include female sex, type 2 diabetes, EBV reactivation, connective tissue disorders, attention deficit hyperactivity disorder, chronic urticaria, and allergic rhinitis 1.
From the Research
Autoantibodies Associated with Severe COVID-19 Infection
- Autoantibodies against type I interferons (IFNs) have been found to be associated with severe COVID-19 infection, with a positive rate of 10% (95% CI, 7-14%) in patients with severe infection 2.
- The most common subtypes of autoantibodies against type I IFNs are anti-IFN-α (89%) and anti-IFN-ω (77%) 2.
- Autoantibodies against immunomodulatory proteins, including cytokines, chemokines, complement components, and cell surface proteins, have been found to be prevalent in COVID-19 patients and are associated with disease severity 3, 4.
- Autoantibody signatures, characterized by elevated concentrations of IgG and IgA autoantibodies, have been found to be associated with COVID-19 severity, with higher levels of autoantibodies found in patients with moderate or severe disease 5.
- Autoantibodies against tissue-associated antigens have been found to be associated with specific clinical characteristics and disease severity 3, 5, 4.
- New-onset IgG autoantibodies have been found to develop in a significant proportion of hospitalized COVID-19 patients, with autoantibodies targeting autoantigens associated with rare disorders such as myositis, systemic sclerosis, and CTD overlap syndromes 6.
Specific Autoantibodies Associated with Severe COVID-19 Infection
- Anti-IFN-α and anti-IFN-ω autoantibodies have been found to be associated with severe COVID-19 infection 2.
- Autoantibodies against cytokines, chemokines, complement components, and cell surface proteins have been found to be prevalent in COVID-19 patients and are associated with disease severity 3, 4.
- Anti-nuclear antibodies (ANA) have been found to be present in approximately 25% of COVID-19 patients 6.
- Autoantibodies against angiotensin converting enzyme-2 (ACE-2) have been found in rare patients with COVID-19 6.