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实时荧光定量聚合酶链反应(rt-PCR)阳性病例中的严重急性呼吸综合征冠状病毒2(SARS-CoV-2)IgG抗体反应:来自印度的首例报告。

SARS-CoV-2 IgG antibody responses in rt-PCR-positive cases: first report from India.

作者信息

Dash Girish Chandra, Parai Debaprasad, Choudhary Hari Ram, Peter Annalisha, Rout Usha Kiran, Nanda Rashmi Ranjan, Kshatri Jaya Singh, Kanungo Srikanta, Palo Subrata Kumar, Mandal Nityananda, Pati Sanghamitra, Bhattacharya Debdutta

机构信息

Department of Microbiology, ICMR-Regional Medical Research Centre (Dept of Health Research, Ministry of Health and Family Welfare, Govt. of India), Chandrasekharpur, Bhubaneswar-751023, India.

出版信息

Access Microbiol. 2021 Oct 21;3(10):000267. doi: 10.1099/acmi.0.000267. eCollection 2021.

Abstract

INTRODUCTION

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody responses remain poorly understood and the clinical utility of serological testing is still unclear.

AIM

To understand the relationship between the antibody response to SARS-CoV-2 infection and the demographics and cycle threshold ( ) values of confirmed RT-PCR patients.

METHODOLOGY

A total of 384 serum samples were collected from individuals between 4-6 weeks after confirmed SARS-CoV-2 infection and tested for the development of immunoglobulin class G (IgG) against SARS-CoV-2. The values, age, gender and symptoms of the patients were correlated with the development of antibodies.

RESULTS

IgG positivity was found to be 80.2 % (95 % CI, 76.2-84.2). Positivity increased with a decrease in the value, with the highest (87.6 %) positivity observed in individuals with values <20. The mean (±sd) values for IgG positives and negatives were 23.34 (±6.09) and 26.72 (±7.031), respectively. No significant difference was found for demographic characteristics such as age and sex and symptoms and antibody response. The current study is the first of its kind wherein we have assessed the correlation of the RT-PCR with the development of IgG against SARS-CoV-2.

CONCLUSION

Although values might not have any relation with the development of symptoms, they are associated with the antibody response among SARS-CoV-2-infected individuals.

摘要

引言

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)抗体反应仍未得到充分了解,血清学检测的临床效用仍不明确。

目的

了解SARS-CoV-2感染抗体反应与确诊RT-PCR患者的人口统计学特征和循环阈值( )值之间的关系。

方法

在确诊SARS-CoV-2感染后4至6周内,从个体中总共收集了384份血清样本,并检测了针对SARS-CoV-2的免疫球蛋白G(IgG)的产生情况。将患者的 值、年龄、性别和症状与抗体产生情况进行关联分析。

结果

发现IgG阳性率为80.2%(95%置信区间,76.2 - 84.2)。阳性率随 值降低而增加, 值<20的个体中观察到最高阳性率(87.6%)。IgG阳性和阴性个体的平均(±标准差) 值分别为23.34(±6.09)和26.72(±7.031)。在年龄、性别等人口统计学特征以及症状与抗体反应之间未发现显著差异。本研究是同类研究中的首例,我们评估了RT-PCR 与针对SARS-CoV-2的IgG产生之间的相关性。

结论

尽管 值可能与症状的出现没有任何关系,但它们与SARS-CoV-2感染个体的抗体反应相关。

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