新冠病毒疾病患者针对严重急性呼吸综合征冠状病毒2的体液免疫反应格局及抗体检测的价值
Landscape of humoral immune responses against SARS-CoV-2 in patients with COVID-19 disease and the value of antibody testing.
作者信息
Mahalingam Sundarasamy, Peter John, Xu Ziyang, Bordoloi Devivasha, Ho Michelle, Kalyanaraman Vaniambadi S, Srinivasan Alagarsamy, Muthumani Kar
机构信息
Department of Biotechnology, Indian Institute of Technology Madras, Chennai 600 036, India.
Vaccine & Immunotherapy Center, The Wistar Institute, 3601 Spruce Street, Philadelphia, PA 19104, USA.
出版信息
Heliyon. 2021 Apr;7(4):e06836. doi: 10.1016/j.heliyon.2021.e06836. Epub 2021 Apr 17.
A new pandemic is ongoing in several parts of the world. The agent responsible is the newly emerged severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The symptoms associated with this virus are known as the coronavirus disease-2019 (COVID-19). In this review, we summarize the published data on virus specific antibodies in hospitalized patients with COVID-19 disease, patients recovered from the disease and the individuals who are asymptomatic with SARS-CoV-2 infections. The review highlights the following: i) an adjunct role of antibody tests in the diagnosis of COVID-19 in combination with RT-PCR; ii) status of antibodies from COVID-19 convalescent patients to select donors for plasma therapy; iii) the potential confounding effects of other coronaviruses, measles, mumps and rubella in antibody testing due to homology of certain viral genes; and iv) the role of antibody testing for conducting surveillance in populations, incidence estimation, contact tracing and epidemiologic studies.
一场新的大流行正在世界多个地区肆虐。病原体是新出现的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)。与这种病毒相关的症状被称为冠状病毒病-2019(COVID-19)。在本综述中,我们总结了关于COVID-19疾病住院患者、康复患者以及无症状SARS-CoV-2感染者体内病毒特异性抗体的已发表数据。该综述强调了以下几点:i)抗体检测在与逆转录聚合酶链反应(RT-PCR)联合诊断COVID-19中的辅助作用;ii)COVID-19康复患者的抗体状况,以选择血浆治疗的供体;iii)由于某些病毒基因的同源性,其他冠状病毒、麻疹、腮腺炎和风疹在抗体检测中可能产生的混淆效应;iv)抗体检测在人群监测、发病率估计、接触者追踪和流行病学研究中的作用。