Laboratorio de Inmunología, Unidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Estancias Posdoctorales por México-Consejo Nacional de Humanidades, Ciencias y Tecnologías (CONAHCyT), Mexico City, Mexico.
Front Cell Infect Microbiol. 2023 Sep 8;13:1239700. doi: 10.3389/fcimb.2023.1239700. eCollection 2023.
Despite global efforts to assess the early response and persistence of SARS-CoV-2 antibodies in patients infected with or recovered from COVID-19, our understanding of the factors affecting its dynamics remains limited. This work aimed to evaluate the early and convalescent immunity of outpatients infected with SARS-CoV-2 and to determine the factors that affect the dynamics and persistence of the IgM and IgG antibody response. Seropositivity of volunteers from Mexico City and the State of Mexico, Mexico, was evaluated by ELISA using the recombinant receptor-binding domain (RBD) of the SARS-CoV-2 Spike protein for 90 days, at different time points (1, 15, 45, 60, and 90 days) after molecular diagnosis (RT-qPCR). Gender, age range, body mass index (BMI), comorbidities, and clinical spectrum of disease were analyzed to determine associations with the dynamics of anti-SARS-CoV-2 antibodies. On 90 days post-infection, individuals with moderate and asymptomatic disease presented the lowest levels of IgM, while for IgG, at the same time, the highest levels occurred with mild and moderate disease. The IgM and IgG levels were related to the clinical spectrum of disease, BMI, and the presence/absence of comorbidities through regression trees. The results suggest that the dynamics of anti-SARS-CoV-2 IgM and IgG antibodies in outpatients could be influenced by the clinical spectrum of the disease. In addition, the persistence of antibodies against SARS-CoV-2 could be related to the clinical spectrum of the disease, BMI, and the presence/absence of comorbidities.
尽管全球都在努力评估感染或从 COVID-19 中康复的患者体内 SARS-CoV-2 抗体的早期反应和持久性,但我们对影响其动态变化的因素的了解仍然有限。本研究旨在评估门诊 SARS-CoV-2 感染者的早期和恢复期免疫,并确定影响 IgM 和 IgG 抗体反应动态变化和持久性的因素。使用 SARS-CoV-2 刺突蛋白的重组受体结合域(RBD)通过 ELISA 检测来自墨西哥城和墨西哥州的志愿者的血清阳性率,在分子诊断(RT-qPCR)后不同时间点(1、15、45、60 和 90 天)评估 90 天。分析性别、年龄范围、体重指数(BMI)、合并症和疾病临床谱,以确定与抗 SARS-CoV-2 抗体动态变化的关联。在感染后 90 天,中度和无症状疾病患者的 IgM 水平最低,而对于 IgG,同时,轻度和中度疾病患者的 IgG 水平最高。IgM 和 IgG 水平通过回归树与疾病的临床谱、BMI 和合并症的存在/不存在相关。结果表明,门诊患者抗 SARS-CoV-2 IgM 和 IgG 抗体的动态变化可能受疾病临床谱的影响。此外,抗 SARS-CoV-2 抗体的持久性可能与疾病临床谱、BMI 和合并症的存在/不存在有关。