Key result
Poliovirus vaccination is linked to elevated cross-reactive antibodies that inhibit SARS-CoV-2 in vitro.
Why the study?
The variation in COVID-19 severity between adults and children may be influenced by immunity from childhood vaccinations such as poliovirus vaccination.
Does poliovirus vaccination induce a humoral immune response that cross-reacts with and prevents SARS-CoV-2 infection?
Observational (n=204)
Does poliovirus vaccination induce a humoral immune response that cross-reacts with and prevents SARS-CoV-2 infection?
Poliovirus vaccination may induce cross-reactive antibodies against the SARS-CoV-2 RdRp protein, potentially offering protection against COVID-19.
Answers are grounded in this paper and cite their sources.
Suggests poliovirus immunization may confer SARS-CoV-2 protection; hypothesis-generating and should not change practice without prospective data.
Background: Millions have been exposed to SARS-CoV-2, but the severity of resultant infections has varied among adults and children, with adults presenting more serious symptomatic cases. Children may possess an immunity that adults lack, possibly from childhood vaccinations. This retrospective study suggests immunization against the poliovirus may provide an immunity to SARS-CoV-2. Methods: Publicly available data were analyzed for possible correlations between national median ages and epidemiological outbreak patterns across 100 countries. Sera from 204 adults and children, who were immunized with the poliovirus vaccine, were analyzed using an enzyme-linked immunosorbent assay. The effects of polio-immune serum on SARS-CoV-2-induced cytopathology in cell culture were then evaluated. Results: Analyses of median population age demonstrated a positive correlation between median age and SARS-CoV-2 prevalence and death rates. Countries with effective poliovirus immunization protocols and younger populations have fewer and less pathogenic cases of COVID-19. Antibodies to poliovirus and SARS-CoV-2 were found in pediatric sera and in sera from adults recently immunized with polio. Sera from polio-immunized individuals inhibited SARS-CoV-2 infection of Vero cell cultures. These results suggest the anti-D3-pol-antibody, induced by poliovirus vaccination, may provide a similar degree of protection from SARS-CoV-2 to adults as to children. Conclusions: Poliovirus vaccination induces an adaptive humoral immune response. Antibodies created by poliovirus vaccination bind the RNA-dependent RNA polymerase (RdRp) protein of both poliovirus and SARS-CoV-2, thereby preventing SARS-CoV-2 infection. These findings suggest proteins other than “spike” proteins may be suitable targets for immunity and vaccine development.
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Comunale et al. (2021) conducted an observational in SARS-CoV-2 (n=204). Poliovirus vaccination (IPV) vs. Pre-immunization or non-recently immunized individuals was evaluated on Anti-RdRp antibody titers (p=<0.001). Poliovirus vaccination significantly increased anti-RdRp antibody titers that cross-react with SARS-CoV-2 and inhibited SARS-CoV-2-induced cytopathic effects in vitro.
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