Journal article

Autoantibodies are highly prevalent in non-SARS-CoV-2 respiratory infections and critical illness


Authors listFeng, Allan; Yang, Emily Y.; Moore, Andrew Reese; Dhingra, Shaurya; Chang, Sarah Esther; Yin, Xihui; Pi, Ruoxi; Mack, Elisabeth K. M.; Voelkel, Sara; Gessner, Reinhard; Guendisch, Margrit; Neubauer, Andreas; Renz, Harald; Tsiodras, Sotirios; Fragkou, Paraskevi C.; Asuni, Adijat A.; Levitt, Joseph E.; Wilson, Jennifer G.; Leong, Michelle; Lumb, Jennifer H.; Mao, Rong; Pinedo, Kassandra; Roque, Jonasel; Richards, Christopher M.; Stabile, Mikayla; Swaminathan, Gayathri; Salagianni, Maria L.; Triantafyllia, Vasiliki; Bertrams, Wilhelm; Blish, Catherine A.; Carette, Jan E.; Frankovich, Jennifer; Meffre, Eric; Nadeau, Kari Christine; Singh, Upinder; Wang, Taia T.; Prak, Eline T. Luning; Herold, Susanne; Andreakos, Evangelos; Schmeck, Bernd; Skevaki, Chrysanthi; Rogers, Angela J.; Utz, Paul J.

Publication year2023

JournalJCI Insight

Volume number8

Issue number3

eISSN2379-3708

Open access statusGold

DOI Linkhttps://doi.org/10.1172/jci.insight.163150

PublisherAmerican Society for Clinical Investigation


Abstract
The widespread presence of autoantibodies in acute infection with SARS-CoV-2 is increasingly recognized, but the prevalence of autoantibodies in non-SARS-CoV-2 infections and critical illness has not yet been reported. We profiled IgG autoantibodies in 267 patients from 5 independent cohorts with non-SARS-CoV-2 viral, bacterial, and noninfectious critical illness. Serum samples were screened using Luminex arrays that included 58 cytokines and 55 autoantigens, many of which are associated with connective tissue diseases (CTDs). Samples positive for anti-cytokine antibodies were tested for receptor blocking activity using cell-based functional assays. Anti-cytokine antibodies were identified in > 50% of patients across all 5 acutely ill cohorts. In critically ill patients, anti-cytokine antibodies were far more common in infected versus uninfected patients. In cell-based functional assays, 11 of 39 samples positive for select anti-cytokine antibodies displayed receptor blocking activity against surface receptors for Type I IFN, GM-CSF, and IL-6. Autoantibodies against CTD-associated autoantigens were also commonly observed, including newly detected antibodies that emerged in longitudinal samples.



Citation Styles

Harvard Citation styleFeng, A., Yang, E., Moore, A., Dhingra, S., Chang, S., Yin, X., et al. (2023) Autoantibodies are highly prevalent in non-SARS-CoV-2 respiratory infections and critical illness, JCI Insight, 8(3), Article e163150. https://doi.org/10.1172/jci.insight.163150

APA Citation styleFeng, A., Yang, E., Moore, A., Dhingra, S., Chang, S., Yin, X., Pi, R., Mack, E., Voelkel, S., Gessner, R., Guendisch, M., Neubauer, A., Renz, H., Tsiodras, S., Fragkou, P., Asuni, A., Levitt, J., Wilson, J., Leong, M., ...Utz, P. (2023). Autoantibodies are highly prevalent in non-SARS-CoV-2 respiratory infections and critical illness. JCI Insight. 8(3), Article e163150. https://doi.org/10.1172/jci.insight.163150



Keywords


FUNCTIONAL DISABILITY

Last updated on 2025-10-06 at 11:49