对 COVID-19 恢复期患者体内 SARS-CoV-2 抗体反应的特征描述。
Characterization of antibody responses to SARS-CoV-2 in convalescent COVID-19 patients.
机构信息
Key Laboratory of Immunology in Chronic Diseases, Department of Infectious Diseases, National Clinical Research Center for Infectious Diseases, First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, China.
Research Laboratory of Clinical Virology, Department of Infectious Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
出版信息
J Med Virol. 2021 Apr;93(4):2227-2233. doi: 10.1002/jmv.26646. Epub 2020 Nov 10.
The coronavirus disease 2019 (COVID-19) is a pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, little is known about the durability of the antibody response during COVID-19 convalescent phase. We investigated the prevalence of anti-SARS-CoV-2 specific antibodies including immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies and the dynamic changes in antibody levels in convalescent COVID-19 patients. A total of 159 blood samples were collected from 52 recovered COVID-19 patients up to six months after symptom onset for longitudinal serological tests. The positive rate of IgG and IgM antibodies was 92.3% and 90.4% in the first month after symptom onset, and the seropositivity of IgG antibody remained high at all follow-up time points, whereas the seropositivity of IgM antibody decreased to 22.73% by the sixth months after symptom onset. The level of IgG antibody was stable, the level of IgM antibody decreased slightly in the early convalescent phase and was detected in only five patients in the sixth month after symptom onset. The level of IgG antibody was higher in the severe and critical group than in the moderate group. The anti-SARS-CoV-2 specific antibodies have a long-term persistence in convalescent COVID-19 patients, whether they have long-term protection need to be further investigated.
新型冠状病毒病 2019(COVID-19)是由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的大流行。然而,人们对 COVID-19 恢复期的抗体反应持久性知之甚少。我们研究了恢复期 COVID-19 患者中包括免疫球蛋白 G(IgG)和免疫球蛋白 M(IgM)抗体在内的抗 SARS-CoV-2 特异性抗体的流行情况,以及抗体水平的动态变化。我们从 52 名康复的 COVID-19 患者中采集了 159 份血液样本,这些患者在症状出现后长达六个月的时间内进行了纵向血清学检测。在症状出现后的第一个月,IgG 和 IgM 抗体的阳性率分别为 92.3%和 90.4%,而 IgG 抗体的血清阳性率在所有随访时间点均保持较高水平,而 IgM 抗体的血清阳性率在症状出现后第六个月降至 22.73%。IgG 抗体水平稳定,IgM 抗体在早期恢复期略有下降,仅在症状出现后第六个月的 5 名患者中检测到。在严重和危急组中,IgG 抗体水平高于中度组。在恢复期 COVID-19 患者中,抗 SARS-CoV-2 特异性抗体具有长期持久性,是否具有长期保护作用仍需进一步研究。