Different Susceptibility to SARS CoV-2 Infection Among Health Care Workers Highly Exposed to COVID-19.

  • STATUS
    Recruiting
  • participants needed
    60
  • sponsor
    Asociacion para el Estudio de las Enfermedades Infecciosas
Updated on 19 February 2024

Summary

The primary objective of this study is to establish differences in susceptibility to SARS CoV-2 infection among health care workers (HCW) highly exposed to patients with COVID-19 diagnosis. To ascertain this issue, we evaluated:

  • Changes in receptor polymorphism (ACE2 and CD26 receptor study.
  • SARS-CoV-2 CD4/CD8 T cell response (CTL)
  • Different KIR phenotypes

Description

Only 24% of health care workers (HCW) had developed inmunological response to SARS CoV-2 infection in one centre attending thousands of COVID-19 patients, and with shorteness of personal protective equipments. Our hypothesis is that this relatively low number of infected HCW could be secondary to:

  1. Differences in susceptibility to infection mediated by changes in viral receptors. Thus, it is important to characterize and genotyping the main receptor for SARS-CoV-2, ACE2, and other related receptor, such as CD26.
  2. Increased cellular immune response, offering cross-immunity against SARS CoV-2 infection by previous exposure to other coronavirus or respiratory pathogens. A specific CD4/CD8 T cell response to viral peptides could respond this question
  3. Specific KIR phenotypes (Killer Immunoglobulin-like Receptors): Natural killer cells (NK) response to alterations of class I HLA molecules presented in infected cells. An increase in class I HLA expression could lead to an increase in NK activation by increasing its ability to produce IFN-gamma.

Details
Condition Transmission, Dentist-Patient, Diathesis, Immune Response, Receptor Site Alteration
Age 18-65 years
Treatment Susceptibility to infection
Clinical Study IdentifierNCT04402827
SponsorAsociacion para el Estudio de las Enfermedades Infecciosas
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

HCW older than 18 years
Highly exposed to COVID-19 according to the definition

Exclusion Criteria

Presence of any disease / treatment which could alter the susceptibility (corticoid therapy, chemotherapy, monoclonal antibodies)
Pregnancy
High exposure definition: direct and continued care of COVID-19 diagnosed
patients for 2 weeks or more, without aerosol- generating procedures, with
inappropriate personal protective equipment (PPE), or unprotected exposure to
patients with COVID-19 during aerosol-generating procedures
The definition of appropriate PPE was based on previous recommendations. The
absence of any part of the PPE constituted an unprotected exposure. We defined
the following as aerosol-generating procedures: airway suction, application of
a high-flow O2 instrument, bronchoscopy, endotracheal intubation
tracheostomy, nebulizer treatment, sputum induction, positive pressure
ventilation, manual ventilation and cardiopulmonary resuscitation
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