Childhood Colds Do Not Prevent Coronavirus Infection, Study Finds
The theory was simple and compelling: Children are less vulnerable to the new coronavirus because they carry antibodies to other common coronaviruses that cause the common cold. The idea might also explain why some people infected with the new virus have mild symptoms while others — presumably without antibodies to common cold coronaviruses — are much more severely affected.
The notion gained traction particularly among people who claimed that this existing protection would swiftly bring human populations to herd immunity, the point at which a pathogen’s spread slows to a halt as it runs out of hosts to infect. A study in the journal Science, published in December, gave the hypothesis a strong boost.
But for all its appeal, the theory does not hold up, according to a new study published on Tuesday in the journal Cell. Based on carefully conducted experiments with live virus and with hundreds of blood samples drawn before and after the pandemic, the new research refutes the idea that antibodies to seasonal coronaviruses have any impact on the new coronavirus, called SARS-CoV-2.
“Going into this study, we thought we would learn that individuals that had pre-existing, pre-pandemic antibodies against SARS-CoV-2 would be less susceptible to infection and have less severe Covid-19 disease,” said Scott Hensley, an immunologist at the University of Pennsylvania. “That’s not what we found.”
He and his colleagues concluded that most people are exposed to seasonal coronaviruses by age 5. As a result, about one in five people carries antibodies that recognize the new coronavirus.
But these antibodies are not neutralizing — they cannot disarm the virus, nor do they mitigate the severity of symptoms following infection, the team found.
The researchers also compared antibodies to common cold coronaviruses in children and adults and found no difference in the amounts. By contrast, the study in Science had reported that about 5 percent of adults carried those antibodies, compared with 43 percent of children.
That study “reported very high levels of pre-pandemic cross-reactive neutralizing antibodies in kids, something that we did not find,” Dr. Hensley said. (“Cross-reactive” refers to antibodies able to attack similar sites on more than one type of virus.)
“I don’t have an explanation for the difference from the Science study, honestly,” he added.
Perhaps the difference in locations — Pennsylvania, in his study, versus Britain in the previous research — may explain some of the discrepancy, he said.
Other experts said they found Dr. Hensley’s study to be more convincing of the two and more consistent with circumstances in which large groups of people become infected with the new coronavirus.
For example, a single person infected with the new coronavirus at a Wisconsin summer camp set off an outbreak that affected 76 percent of the other attendees, noted John Moore, a virologist at Weill Cornell Medicine in New York.
Similarly, on a fishing trawler that left for sea from Seattle, only three sailors who had antibodies to the new coronavirus before the trip stayed virus-free. Those are not the infection rates you would see if protective antibodies were widely distributed in the population, Dr. Moore said.
“The idea that having the snuffles a while back somehow protects you from SARS-CoV-2 infection has always left me cold, but it’s been a persistent urban legend throughout the pandemic,” he said. “Hopefully, this new paper will finally cool everyone down and put such thoughts into the freezer.”
Experts also praised the new study’s careful and rigorous approach.
“It’s really nice to have a study that’s this well done,” said Shane Crotty, a virologist at the La Jolla Institute of Immunology in San Diego.
The theory that existing antibodies can protect people from the new virus “has definitely got a strong appeal because at first blush, it can explain a lot of the pandemic,” Dr. Crotty said. “But a beautiful idea doesn’t make it true.”
Dr. Hensley and his colleagues examined samples from 251 people who had donated blood to the University of Pennsylvania before the pandemic and then went on to develop Covid-19.
Those people carried levels of antibodies able to recognize the new coronavirus that were no different from those seen in blood samples drawn from 251 people who remained uninfected. And the levels showed no relationship to the clinical outcome in any of the patients.
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“It’s hard to come by those kinds of samples — I was just impressed,” said Marion Pepper, an immunologist at the University of Washington in Seattle. “It’s like three different studies wrapped into one.”
The most important part of the coronavirus is the spike protein on its surface, which docks onto human cells. The spike is also the most distinctive part of the virus, so it makes sense that antibodies to seasonal viruses would be unlikely to recognize and disarm it, Dr. Pepper said.
“There are very specific parts of these viruses that are critical for infection, and most of this cross-reactivity isn’t directed to those parts,” she said.
But George Kassiotis, an immunologist at the Francis Crick Institute in London who led the study published in Science, disagreed with the conclusions of the new research. It “largely confirms rather than contradicts our main findings,” he said, adding that the new study was too small to rule out any role for existing antibodies.
But even if people really were carrying coronavirus antibodies from childhood infections, the protection they confer is not powerful enough to matter, said Jesse Bloom, an evolutionary biologist at the Fred Hutchinson Cancer Research Center in Seattle.
“If there is no effect that is measurable in a study with hundreds of people in both the infected and uninfected groups, then the effect is certainly tiny,” Dr. Bloom said.
Most of the vaccines developed for the new coronavirus are focused on the spike protein. Some scientists have argued that antibodies to other parts of the virus may also be critical to protection. But the new study suggests that the other antibodies are of minimal importance in protecting people from SARS-CoV-2.
The experts all said the new study did not rule out a role for immune cells, called memory B cells and T cells, produced in response to seasonal coronaviruses. Those cells might recognize some parts of the new virus and attack it, easing the severity of symptoms.
Still, the cells would not prevent infection, Dr. Crotty said. When exposed to the new virus, the immune cells might be roused “fast enough that you would have an asymptomatic infection that you never noticed,” he said. “But no, they wouldn’t stop infection.”
Tests of T cells are laborious and expensive, so analyses of their contribution to immunity are not yet complete. In the meantime, the new study at least rules out a significant role for existing antibodies, Dr. Hensley said: “We’ve sort of written one chapter here, but there’s still so much to be learned.”
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