The germinal centre B cell response to SARS-CoV-2

Nat Rev Immunol. 2022 Jan;22(1):7-18. doi: 10.1038/s41577-021-00657-1. Epub 2021 Dec 6.

Abstract

The germinal centre (GC) response is critical for the generation of affinity-matured plasma cells and memory B cells capable of mediating long-term protective immunity. Understanding whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection or vaccination elicits a GC response has profound implications for the capacity of responding B cells to contribute to protection against infection. However, direct assessment of the GC response in humans remains a major challenge. Here we summarize emerging evidence for the importance of the GC response in the establishment of durable and broad immunity against SARS-CoV-2 and discuss new approaches to modulate the GC response to better protect against newly emerging SARS-CoV-2 variants. We also discuss new findings showing that the GC B cell response persists in the draining lymph nodes for at least 6 months in some individuals following vaccination with SARS-CoV-2 mRNA-based vaccines.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Antibodies, Viral / immunology
  • COVID-19 / immunology*
  • COVID-19 / prevention & control
  • COVID-19 / virology*
  • COVID-19 Vaccines / immunology*
  • Germinal Center / immunology*
  • Humans
  • Memory B Cells / immunology*
  • SARS-CoV-2 / immunology*
  • mRNA Vaccines / immunology

Substances

  • Antibodies, Viral
  • COVID-19 Vaccines
  • mRNA Vaccines

Supplementary concepts

  • SARS-CoV-2 variants