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SARS-CoV-2 抗体在康复期 COVID-19 患者中的 1 年以上持续时间和年龄差异。

Over 1-year duration and age difference of SARS-CoV-2 antibodies in convalescent COVID-19 patients.

机构信息

Department of Clinical Laboratory, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

J Med Virol. 2021 Dec;93(12):6506-6511. doi: 10.1002/jmv.27152. Epub 2021 Jul 26.

Abstract

Anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglouilin G (IgG) and immunoglouilin M (IgM) antibodies have been widely used to assist clinical diagnosis. Our previous study reported a discrepancy in SARS-CoV-2 antibody response between male and female coronavirus disease 2019 (COVID-19) patients. However, the duration and discrepancy between ages as well as sexes of SARS-CoV-2 antibody in convalescent COVID-19 patients have not been clarified. In this study, a total of 538 health-examination individuals who were confirmed with SARS-CoV-2 infection a year ago were enrolled. Blood samples were collected and detected for IgM and IgG antibodies. Among these convalescent patients, 12.80% were detected positive for IgM antibodies. The positive rates for IgM antibody were close between sexes: for males, this is 9.17% and for females 13.75%. However, the IgG antibody was detected positive in as much as 82.90% convalescent patients and the positive rates were nearly the same between males (82.57%) and females (82.98%). Besides this, the level of IgM and IgG antibodies showed no difference between male and female convalescent patients. The level of IgG antibodies showed a significant difference between ages. The elder patients (over 35 years old) maintained a higher level of IgG antibody than the younger patients (under or equal 35 years old) after recovering for 1 year. In addition, IgG antibody was more vulnerable to disappear in younger patients than in elder patients. Overall, our study identified over 1-year duration of SARS-CoV-2 antibody and age difference of IgG antibody response in convalescent COVID-19 patients. These findings may provide new insights into long-term humoral immune response, vaccines efficacy and age-based personalized vaccination strategies.

摘要

抗严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)免疫球蛋白 G(IgG)和免疫球蛋白 M(IgM)抗体已广泛用于辅助临床诊断。我们之前的研究报告了男性和女性 2019 年冠状病毒病(COVID-19)患者之间 SARS-CoV-2 抗体反应的差异。然而,在恢复期 COVID-19 患者中,SARS-CoV-2 抗体的持续时间和差异以及年龄和性别尚未得到明确。在这项研究中,共纳入了 538 名一年前确诊 SARS-CoV-2 感染的体检个体。采集血样并检测 IgM 和 IgG 抗体。在这些恢复期患者中,有 12.80%检测到 IgM 抗体阳性。男女之间 IgM 抗体的阳性率接近:男性为 9.17%,女性为 13.75%。然而,高达 82.90%的恢复期患者检测到 IgG 抗体阳性,男性(82.57%)和女性(82.98%)之间的阳性率几乎相同。此外,男女恢复期患者的 IgM 和 IgG 抗体水平无差异。IgG 抗体水平在年龄上有显著差异。老年患者(35 岁以上)在康复 1 年后,IgG 抗体水平保持较高,而年轻患者(35 岁及以下)则较低。此外,年轻患者的 IgG 抗体比老年患者更容易消失。总的来说,我们的研究确定了恢复期 COVID-19 患者 SARS-CoV-2 抗体持续时间超过 1 年和 IgG 抗体反应的年龄差异。这些发现可能为长期体液免疫反应、疫苗效力和基于年龄的个性化疫苗接种策略提供新的见解。

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