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SARS-CoV-2 康复医护人员的核衣壳 IgG 抗体:一年随访研究。

Anti-nucleocapsid IgG antibodies in SARS-CoV-2 recovered health care workers: One year follow-up study.

机构信息

Peshawar Medical College, Riphah International University, Peshawar, Pakistan.

出版信息

Int J Immunopathol Pharmacol. 2023 Jan-Dec;37:3946320231187744. doi: 10.1177/03946320231187744.

Abstract

The objective of this study was to evaluate the magnitude and durability of the anti-nucleocapsid-IgG antibody titer in healthcare workers previously infected with SARS-CoV-2 for a period of 12 months. This study examined blood samples for SARS-CoV-2-specific IgG collected periodically from 120 healthcare workers previously infected with SARS-CoV-2 (confirmed by RT-PCR) and followed longitudinally up to 12 months from their enrolment into the study. The median anti-N-IgG antibody level identified at 3 months was 23.7 CO-index (IQR: 9.13-50.27) and increased to 32.9 CO-index (IQR: 11.8-84.4) at 6 months. At 9 months, the median anti-N-IgG antibody level started to wane in the subsequent time and was dropped to 14 CO-index (IQR: 3.4-37.6) and declined further to 9.8 CO-index at 12 months (IQR: 2.8-9.8). When classified by age groups, the only statistically significant difference in anti-N-IgG between the two age groups (≤30 years and >30 years) was identified at 12 month time point (median difference 8.06, = 0.035). Spearman correlation coefficient was negatively associated between anti-N-IgG and time interval ( = -0.255, = 0.000) but was not statistically significant with age of a patient ( > 0.05). In conclusion, SARS-CoV-2 antibody levels started declining after 6 months but remained detectable in the majority of patients up to 12 months.

摘要

本研究旨在评估先前感染 SARS-CoV-2 的医护人员体内核衣壳蛋白-IgG 抗体滴度的幅度和持久性,随访时间为 12 个月。该研究定期从 120 名先前经 RT-PCR 确诊感染 SARS-CoV-2 的医护人员中采集 SARS-CoV-2 特异性 IgG 血样,并进行纵向随访,直至他们入组研究后 12 个月。在第 3 个月,中位抗-N-IgG 抗体水平为 23.7 CO-索引(IQR:9.13-50.27),在第 6 个月增加至 32.9 CO-索引(IQR:11.8-84.4)。在第 9 个月,随后的时间内中位抗-N-IgG 抗体水平开始下降,降至 14 CO-索引(IQR:3.4-37.6),在第 12 个月进一步降至 9.8 CO-索引(IQR:2.8-9.8)。按年龄组分类,仅在第 12 个月时发现两组(≤30 岁和>30 岁)之间的抗-N-IgG 存在统计学显著差异(中位数差异 8.06, = 0.035)。抗-N-IgG 与时间间隔之间呈负相关( = -0.255, = 0.000),但与患者年龄之间无统计学显著相关性( > 0.05)。总之,SARS-CoV-2 抗体水平在 6 个月后开始下降,但在大多数患者中仍可检测到 12 个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bdb/10328170/fc79e4ab06c8/10.1177_03946320231187744-fig1.jpg

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