Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
J Korean Med Sci. 2021 May 31;36(21):e157. doi: 10.3346/jkms.2021.36.e157.
Understanding the long-term kinetics of antibodies in coronavirus disease 2019 (COVID-19) is essential in interpreting serosurvey data. We investigated the antibody response one year after infection in 52 mildly symptomatic patients with severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection, using three commercial immunoassays and a surrogate virus neutralization test (sVNT) kit. Anti-N pan-immunoglobulin (Ig), anti-S IgG, and anti-S1 IgG were detected in 43 (82.7%), 44 (84.6%), and 30 (57.7%), respectively. In 49 (94.2%), the antibody could be detected by either anti-N pan-Ig or anti-S IgG assay. In the sVNT, 30 (57.7%) had positive neutralizing activity. Despite waning immunity, SARS-CoV-2 antibodies can be detected up to one year after infection, even in mild COVID-19 patients.
了解 2019 年冠状病毒病(COVID-19)抗体的长期动力学对于解释血清学调查数据至关重要。我们使用三种商业免疫测定法和一种替代病毒中和试验(sVNT)试剂盒,对 52 例有症状的严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染轻度症状患者,在感染一年后进行了抗体反应研究。分别有 43 例(82.7%)、44 例(84.6%)和 30 例(57.7%)检测到抗-N 泛免疫球蛋白(Ig)、抗-S IgG 和抗-S1 IgG。在 49 例(94.2%)中,通过抗-N 泛 Ig 或抗-S IgG 测定均可检测到抗体。在 sVNT 中,有 30 例(57.7%)具有阳性中和活性。尽管免疫应答减弱,但在感染一年后仍可检测到 SARS-CoV-2 抗体,即使是在 COVID-19 轻症患者中也是如此。