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圣彼得堡人群中 SARS-CoV-2 抗体血清阳性率的纵向随机队列研究。

Longitudinal Randomized Cohort Study of SARS-CoV-2 Antibody Seroprevalence in the St. Petersburg Population.

机构信息

Saint Petersburg Pasteur Institute, 197101 St. Petersburg, Russia.

出版信息

Viruses. 2022 Apr 27;14(5):913. doi: 10.3390/v14050913.


DOI:10.3390/v14050913
PMID:35632653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9146723/
Abstract

Introduction. Since the detection of the first COVID-19 patient, 2 years have passed, during which more than 287,862,000 people have fallen ill globally, of which about 1.9% died. The implementation of SARS-CoV-2 control programs required efforts from almost all countries. An important direction in the fight against COVID-19 has been the formation of herd immunity, the main tool for managing the pandemic. Study goal. The aim of the study was to assess the seroprevalence of antibodies (Abs) to SARS-CoV-2 nucleocapsid (Nc) and receptor binding domain (RBD) in the St. Petersburg population during the COVID-19 pandemic. Materials and methods. A longitudinal cohort randomized monitoring study of Ab seroprevalence (SARS-CoV-2 Nc, RBD) was organized and conducted according to a unified methodology developed by Rospotrebnadzor with the participation of the St. Petersburg Pasteur Institute. For this purpose, a cohort was formed of 1000 volunteers who participated in all five stages of seromonitoring. The cohort was divided into seven age groups: 1−17; 18−29; 30−39; 40−49; 50−59; 60−69; 70; and older (70+) years. Seropositivity levels (Nc, RBD) were assessed by quantitative and qualitative enzyme immunoassays. During the second year of monitoring, some volunteers were vaccinated with the GamCOVIDVac (84%) or EpiVacCorona (11.6%) vaccines approved in Russia. Statistical processing was carried out using Excel 2010. Confidence intervals for shares and percentages (95% CI) were calculated using the method of A. Wald and J. Wolfowitz with adjustment (A. Agresti, B.A. Coull). The statistical significance of differences was calculated by z-test, using the appropriate online calculator (p < 0.05) unless indicated. Results. There was a trend toward an increase in Nc seropositivity in stages 1−3 of seromonitoring, with a decrease in stages 4−5 among children and adults. The share of RBD seropositive steadily increased during all five stages of seromonitoring. The most frequent finding was low anti-RBD Abs levels (22.6−220 BAU/mL). High Ab levels were recorded statistically significantly less frequently. Asymptomatic forms were observed in 84−88% of SARS-CoV-2 seropositive volunteers. By the fifth stage of monitoring, this indicator significantly decreased to 69.8% (95% CI: 66.1−73.4). The monitoring revealed a statistically significant increase in anti-RBD Abs alongside a statistically significant decrease in the proportion of Nc seropositives. This dynamic was especially characteristic of persons vaccinated with GamCOVIDVac. Conclusion. Prior to the use of specific vaccines, a seroprevalence of anti-Nc Abs was noted. After the introduction of the GamCOVIDVac vaccine in adults, a decrease in the level of anti-Nc Abs was noted due to an increase in the proportion of RBD seropositive persons.

摘要

简介。自首例 COVID-19 患者被发现以来,已经过去了 2 年,在此期间,全球有超过 28.7862 亿人患病,其中约 1.9%死亡。几乎所有国家都在努力实施 SARS-CoV-2 控制计划。抗击 COVID-19 的一个重要方向是形成群体免疫,这是管理大流行的主要工具。研究目标。本研究的目的是评估圣彼得堡人群在 COVID-19 大流行期间 SARS-CoV-2 核衣壳 (Nc) 和受体结合域 (RBD) 抗体 (Abs) 的血清流行率。材料和方法。根据 Rospotrebnadzor 制定的统一方法,组织并开展了针对 Ab 血清流行率(SARS-CoV-2 Nc、RBD)的纵向队列随机监测研究,圣彼得堡巴斯德研究所参与其中。为此,我们组建了一个由 1000 名志愿者组成的队列,他们参加了所有五个阶段的血清监测。该队列分为七个年龄组:1-17 岁;18-29 岁;30-39 岁;40-49 岁;50-59 岁;60-69 岁;70 岁及以上(70 岁以上)。通过定量和定性酶免疫测定法评估血清阳性水平(Nc、RBD)。在第二年的监测期间,一些志愿者接种了俄罗斯批准的 GamCOVIDVac(84%)或 EpiVacCorona(11.6%)疫苗。使用 Excel 2010 进行统计处理。使用 A. Wald 和 J. Wolfowitz 的方法计算份额和百分比(95%CI),并使用 A. Agresti、B.A. Coull 进行调整。使用适当的在线计算器计算差异的统计学显著性(p<0.05),除非另有说明。结果。在血清监测的第 1-3 阶段,Nc 血清阳性率呈上升趋势,而儿童和成年人在第 4-5 阶段呈下降趋势。RBD 血清阳性率在所有五个阶段的血清监测中均稳步上升。最常见的发现是低抗-RBD Abs 水平(22.6-220 BAU/mL)。高 Abs 水平记录得较少。84-88%的 SARS-CoV-2 血清阳性志愿者无症状。到第五阶段监测时,这一指标显著下降至 69.8%(95%CI:66.1-73.4)。监测显示,抗-RBD Abs 显著增加,而 Nc 血清阳性率显著下降。这种动态在接种 GamCOVIDVac 的人群中尤为明显。结论。在使用特定疫苗之前,就已经注意到抗-Nc Abs 的血清流行率。在成年人中引入 GamCOVIDVac 疫苗后,由于 RBD 血清阳性者比例增加,抗-Nc Abs 水平下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/51619367f24a/viruses-14-00913-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/0079ff1cc65f/viruses-14-00913-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/0927fce84a5d/viruses-14-00913-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/e266383d026a/viruses-14-00913-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/b3163fd02773/viruses-14-00913-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/ce911c135514/viruses-14-00913-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/51619367f24a/viruses-14-00913-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/0079ff1cc65f/viruses-14-00913-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/0927fce84a5d/viruses-14-00913-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/e266383d026a/viruses-14-00913-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/b3163fd02773/viruses-14-00913-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/ce911c135514/viruses-14-00913-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbed/9146723/51619367f24a/viruses-14-00913-g006.jpg

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本文引用的文献

[1]
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Med Microbiol Immunol. 2022-8

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