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10.1016/j.jcv.2021.104765

http://scihub22266oqcxt.onion/10.1016/j.jcv.2021.104765
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suck abstract from ncbi


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pmid33636554      J+Clin+Virol 2021 ; 136 (ä): 104765
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  • Longitudinal follow-up of IgG anti-nucleocapsid antibodies in SARS-CoV-2 infected patients up to eight months after infection #MMPMID33636554
  • Van Elslande J; Oyaert M; Ailliet S; Van Ranst M; Lorent N; Vande Weygaerde Y; Andre E; Lagrou K; Vandendriessche S; Vermeersch P
  • J Clin Virol 2021[Mar]; 136 (ä): 104765 PMID33636554show ga
  • BACKGROUND: Most SARS-CoV-2 infected patients develop IgG antibodies within 2-3 weeks after symptom onset. Antibody levels have been shown to gradually decrease in the first months after infection, but few data are available at six months or later. METHODS: A retrospective multi-center study was performed using 652 samples of 236 PCR-confirmed SARS-CoV-2 infected patients from 2 Belgian University hospitals. Patients were included if at least two samples were available (range 2-7 samples); including at least one sample collected 30 days or later after first positive PCR (range 0-240 days). Of those 236 patients, 19.1 % were classified as mild/asymptomatic (mild) and 80.9 % as moderate to critical (severe). IgG anti-nucleocapsid antibodies (anti-N) were measured using the Abbott Architect immunoassay. RESULTS: 22.2 % of mild and 2.6 % of severe COVID-19 cases never seroconverted (p < 0.001). Of the mild patients who seroconverted 0-59 days after PCR; 18.8 %, 40.0 % and 61.1 % were seronegative in the windows 60-119 days, 120-179 days and 180-240 days after PCR, respectively. In severe patients, these numbers were 1.9 %, 10.8 % and 29.4 % respectively (p < 0.05 each). Antibody levels were significantly higher in severe patients compared to mild patients in each 60 day window (p < 0.001 each). CONCLUSIONS: SARS-CoV-2 anti-N IgG antibody levels steadily decreased after 2 months up to 8 months post PCR. Of severe COVID-19 patients, 70.6 % remained positive up to eight months after infection. Antibody levels were significantly lower in mild SARS-CoV-2 infected patients and 61.1 % became seronegative within 6 months after the first positive PCR.
  • |*Seroconversion[MESH]
  • |Antibodies, Viral/*blood[MESH]
  • |COVID-19/*immunology[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G/*blood[MESH]
  • |Longitudinal Studies[MESH]
  • |Nucleocapsid/*immunology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/*immunology[MESH]


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