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针对 SARS-CoV-2 蛋白的 IgG 和 IgA 滴度及其与轻症 COVID-19 感染症状的关系。

Titers of IgG and IgA against SARS-CoV-2 proteins and their association with symptoms in mild COVID-19 infection.

机构信息

Departament Biologia Cel·lular, Facultat de Medicina, Fisiologia i Immunologia, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08193, Bellaterra, Spain.

Althaia Xarxa Assistencial Universitària de Manresa, 08243, Manresa, Spain.

出版信息

Sci Rep. 2024 Jun 3;14(1):12725. doi: 10.1038/s41598-024-59634-y.

Abstract

Humoral immunity in COVID-19 includes antibodies (Abs) targeting spike (S) and nucleocapsid (N) SARS-CoV-2 proteins. Antibody levels are known to correlate with disease severity, but titers are poorly reported in mild or asymptomatic cases. Here, we analyzed the titers of IgA and IgG against SARS-CoV-2 proteins in samples from 200 unvaccinated Hospital Workers (HWs) with mild COVID-19 at two time points after infection. We analyzed the relationship between Ab titers and patient characteristics, clinical features, and evolution over time. Significant differences in IgG and IgA titers against N, S1 and S2 proteins were found when samples were segregated according to time T1 after infection, seroprevalence at T1, sex and age of HWs and symptoms at infection. We found that IgM + samples had higher titers of IgG against N antigen and IgA against S1 and S2 antigens than IgM - samples. There were significant correlations between anti-S1 and S2 Abs. Interestingly, IgM + patients with dyspnea had lower titers of IgG and IgA against N, S1 and S2 than those without dyspnea. Comparing T1 and T2, we found that IgA against N, S1 and S2 but only IgG against certain Ag decreased significantly. In conclusion, an association was established between Ab titers and the development of infection symptoms.

摘要

体液免疫在 COVID-19 中包括针对刺突 (S) 和核衣壳 (N) SARS-CoV-2 蛋白的抗体 (Abs)。抗体水平已知与疾病严重程度相关,但在轻症或无症状病例中滴度报道较少。在这里,我们分析了 200 名未接种疫苗的 COVID-19 轻症医院工作人员(HWs)在感染后两个时间点的 SARS-CoV-2 蛋白的 IgA 和 IgG 滴度。我们分析了 Ab 滴度与患者特征、临床特征和随时间演变之间的关系。根据感染后时间 T1、T1 时的血清阳性率、HWs 的性别和年龄以及感染时的症状,将样本分为 IgG 和 IgA 对 N、S1 和 S2 蛋白的滴度存在显著差异。我们发现,与 IgM-样本相比,IgM+样本对 N 抗原的 IgG 和对 S1 和 S2 抗原的 IgA 滴度更高。抗 S1 和 S2 Abs 之间存在显著相关性。有趣的是,有呼吸困难症状的 IgM+患者对 N、S1 和 S2 的 IgG 和 IgA 滴度低于无呼吸困难症状的患者。比较 T1 和 T2,我们发现,对 N、S1 和 S2 的 IgA 但仅对某些 Ag 的 IgG 显著降低。总之,建立了 Ab 滴度与感染症状发展之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1ad/11148197/430d989a9589/41598_2024_59634_Fig1_HTML.jpg

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