Some COVID-19 Patients Lack Key Structures for Antibody Creation

An absence of germinal centers—which arise during infections to produce long-lived antibody-generating cells—might explain rapidly waning antibody levels in the disease.

Written byKatarina Zimmer
| 5 min read
germinal centers antibody antibodies covid-19 sars-cov-2 pandemic coronavirus immunity

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ABOVE: Post-mortem thoracic lymph nodes of a COVID-19 patient (left) lack clusters of Bcl-6–bearing T cells and B cells (stained in yellow), which populate the germinal centers and are clearly visible in a healthy control patient who died of other causes (right). COVID-19 patient lymph nodes also show different distributions of CD3+ T cells (pink) and CD19+ T cells (turquoise).
NAOKI KANEKO AND SHIV PILLAI, RAGON INSTITUTE OF MASSACHUSETTS GENERAL HOSPITAL, MIT AND HARVARD

When our immune system encounters a new virus—say, SARS-CoV-2—for the first time, some of our plasmablast B cells will release a first flush of antibodies that can stick to and even neutralize the virus. But those first antibodies are short-lived, typically don’t stick very strongly, and the cells that produce them don’t last longer than a few weeks.

As reinforcement, the immune system has a program in place to create long-lived plasma cells that secrete even better, ...

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  • katya katarina zimmer

    After a year teaching an algorithm to differentiate between the echolocation calls of different bat species, Katarina decided she was simply too greedy to focus on one field of science and wanted to write about all of them. Following an internship with The Scientist in 2017, she’s been happily freelancing for a number of publications, covering everything from climate change to oncology. Katarina is a news correspondent for The Scientist and contributes occasional features to the magazine. Find her on Twitter @katarinazimmer and read her work on her website.

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