Little is known about the prevalence of mucosal antibodies induced by infection with human coronaviruses (HCoV), including HCoV-229E and -OC43 and recently described strains (HCoV-NL63 and -HKU1). By enzyme-linked immunosorbent assay, we measured anti-HCoV IgG antibodies in serum and IgA antibodies in nasal wash specimens collected at seven U.S. sites from 105 adults aged 50 years and older (mean age, 67 ؎ 9 years) with chronic obstructive pulmonary disease. Coronaviruses comprise a genus of the family Coronaviridae and are enveloped, single-stranded, positive-sense RNA viruses (30). Four human coronavirus (HCoV) strains have been described, which are associated with a spectrum of disease, from mild, febrile upper respiratory tract illnesses to severe illnesses, including croup, bronchiolitis, and pneumonia, and have a wide geographic distribution (1, 2, 6, 7, 9-14, 16, 20, 25, 26, 31, 32, 35, 39-46). HCoV infection has been a contributor to severe illnesses requiring emergency care and hospitalization of patients with chronic medical conditions (7,9,12,15,16,21,22).The earliest-described HCoV strains, HCoV-229E and HCoV-OC43, which are group I and group II coronaviruses, respectively, have now been joined by the more recently described group I and II strains HCoV-NL63 and HCoV-HKU1 (13,30,42,45,46), which were discovered in the search for other pathogenic coronaviruses after the identification of the coronavirus that causes severe acute respiratory syndrome (SARS) (29). HCoV-NL63 may have infected human populations for a long time, since it diverged phylogenetically from HCoV-229E about 1,000 years ago (33), and seroprevalence would likely be high as a result. Cross-sectional and longitudinal seroepidemiological studies have found large proportions of children and healthy adults to have detectable serum antibodies to the four HCoV strains, and seroconversion occurs often in childhood; seroprevalence increases with age, and reinfections may occur (5,8,23,28,(36)(37)(38). More information is needed about the seroprevalence of these viruses, the durability of the humoral immune response, correlates of immunity, and mucosal antibody responses to HCoV infection. The present study questioned whether the prevalence of antibodies to the four HCoV strains would be different in nasal secretions than in serum of older adult veterans with underlying chronic obstructive pulmonary disease (COPD) who participated in Department of Veterans Affairs Cooperative Study 448 (18).
MATERIALS AND METHODSSubjects. A convenience sample of 105 patients who met spirometric criteria for COPD and were enrolled in a larger influenza virus vaccine efficacy trial of patients Ն50 years of age (18) were chosen for analysis in this substudy of the prevalence of antibodies to HCoV, because residual serum and nasal wash specimens collected at the same time for each subject were available for analysis. The 105 subjects were enrolled at seven geographically diverse study sites in the United States, located in the following states: Alabama, Florida,...