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Sci Rep . Long-term specific IgG response to SARS-CoV-2 nucleocapsid protein in recovered COVID-19 patients

tetano

Editor, Senior Moderator
Sci Rep


. 2021 Dec 1;11(1):23216.
doi: 10.1038/s41598-021-02659-4.
Long-term specific IgG response to SARS-CoV-2 nucleocapsid protein in recovered COVID-19 patients


Jira Chansaenroj[SUP] 1 [/SUP], Ritthideach Yorsaeng[SUP] 1 [/SUP], Nawarat Posuwan[SUP] 1 [/SUP], Jiratchaya Puenpa[SUP] 1 [/SUP], Nasamon Wanlapakorn[SUP] 1 2 [/SUP], Natthinee Sudhinaraset[SUP] 1 [/SUP], Manit Sripramote[SUP] 3 [/SUP], Piti Chalongviriyalert[SUP] 3 [/SUP], Supunee Jirajariyavej[SUP] 4 [/SUP], Phatharaporn Kiatpanabhikul[SUP] 5 [/SUP], Jatuporn Saiyarin[SUP] 6 [/SUP], Chulikorn Soudon[SUP] 7 [/SUP], Orawan Thienfaidee[SUP] 8 [/SUP], Thitisan Palakawong Na Ayuthaya[SUP] 9 [/SUP], Chantapat Brukesawan[SUP] 10 [/SUP], Chintana Chirathaworn[SUP] 1 11 [/SUP], Duangnapa Intharasongkroh[SUP] 12 [/SUP], Dootchai Chaiwanichsiri[SUP] 12 [/SUP], Mila Issarasongkhram[SUP] 13 [/SUP], Rungrueng Kitphati[SUP] 13 [/SUP], Anek Mungaomklang[SUP] 13 [/SUP], Pijaya Nagavajara[SUP] 14 [/SUP], Yong Poovorawan[SUP] 15 [/SUP]



Affiliations

Abstract

This study monitored the long-term immune response to severe acute respiratory syndrome coronavirus (SARS-CoV)-2 infection in patients who had recovered from coronavirus disease (COVID)-19. Anti-nucleocapsid immunoglobulin G (anti-N IgG) titer in serum samples collected at a single (N = 302) or multiple time points (N = 229) 3-12 months after COVID-19 symptom onset or SARS-CoV-2 detection in respiratory specimens was measured by semiquantitative chemiluminescent microparticle immunoassay. The 531 patients (966 specimens) were classified according to the presence or absence of pneumonia symptoms. Anti N IgG was detected in 87.5% of patients (328/375) at 3 months, 38.6% (93/241) at 6 months, 23.7% (49/207) at 9 months, and 26.6% (38/143) at 12 months. The anti-N IgG seropositivity rate was significantly lower at 6, 9, and 12 months than at 3 months (P < 0.01) and was higher in the pneumonia group than in the non-pneumonia/asymptomatic group at 6 months (P < 0.01), 9 months (P = 0.04), and 12 months (P = 0.04). The rate started to decline 6-12 months after symptom onset. Anti-N IgG sample/cutoff index was positively correlated with age (r = 0.192, P < 0.01) but negatively correlated with interval between symptom onset and blood sampling (r = - 0.567, P < 0.01). These findings can guide vaccine strategies in recovered COVID-19 patients.
 
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