Epidemiological and Immunological Features of Obesity and SARS-CoV-2

Eric J Nilles ORCID logo; Sameed M Siddiqui; Stephanie Fischinger; Yannic C Bartsch; Michael de St. Aubin ORCID logo; Guohai Zhou; Matthew J Gluck ORCID logo; Samuel Berger; Justin Rhee; Eric Petersen; +22 more... Benjamin Mormann; Michael Loesche ORCID logo; Yiyuan Hu; Zhilin Chen; Jingyou Yu; Makda Gebre; Caroline Atyeo; Matthew J Gorman; Alex Lee Zhu; John Burke; Matthew Slein ORCID logo; Mohammad A Hasdianda ORCID logo; Guruprasad Jambaulikar; Edward W Boyer; Pardis C Sabeti; Dan H Barouch; Boris Julg; Adam J Kucharski ORCID logo; Elon R Musk; Douglas A Lauffenburger; Galit Alter; Anil S Menon ORCID logo; (2021) Epidemiological and Immunological Features of Obesity and SARS-CoV-2. Viruses, 13 (11). p. 2235. DOI: 10.3390/v13112235
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<jats:p>Obesity is a key correlate of severe SARS-CoV-2 outcomes while the role of obesity on risk of SARS-CoV-2 infection, symptom phenotype, and immune response remain poorly defined. We examined data from a prospective SARS-CoV-2 cohort study to address these questions. Serostatus, body mass index, demographics, comorbidities, and prior COVID-19 compatible symptoms were assessed at baseline and serostatus and symptoms monthly thereafter. SARS-CoV-2 immunoassays included an IgG ELISA targeting the spike RBD, multiarray Luminex targeting 20 viral antigens, pseudovirus neutralization, and T cell ELISPOT assays. Our results from a large prospective SARS-CoV-2 cohort study indicate symptom phenotype is strongly influenced by obesity among younger but not older age groups; we did not identify evidence to suggest obese individuals are at higher risk of SARS-CoV-2 infection; and remarkably homogenous immune activity across BMI categories suggests immune protection across these groups may be similar.</jats:p>


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