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      Antibody response to SARS-CoV-2 — sustained after all?

      brief-report
      ,
      Nature Reviews. Immunology
      Nature Publishing Group UK
      SARS-CoV-2

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          Abstract

          Recent studies have indicated that antibody responses to SARS-CoV-2 drop significantly within 2 months. In this preprint, Wu et al. analysed antibody responses in 349 individuals who were among the first to become infected with SARS-CoV-2. All antiviral antibody titres significantly increased in the first weeks after disease onset, followed by a contraction phase, where IgM became undetectable at around week 10–13. Importantly, although Spike-targeted IgG (IgG-S) declined over time, it remained detectable at relatively high levels until the end of the 6-month study period. IgG-S titres correlated closely with neutralizing capacity, although exact correlates of protection for SARS-CoV-2 are still elusive. These results suggest that antibody responses in symptomatic patients with COVID-19 follow a prototypical progression and result in a sustained memory response, suggesting long-term protective immunity.

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          SARS-CoV-2 infection induces sustained humoral immune responses in convalescent patients following symptomatic COVID-19

          Long-term antibody responses and neutralizing activities following SARS-CoV-2 infections have not yet been elucidated. We quantified immunoglobulin M (IgM) and G (IgG) antibodies recognizing the SARS-CoV-2 receptor-binding domain (RBD) of the spike (S) or the nucleocapsid (N) protein, and neutralizing antibodies during a period of six months following COVID-19 disease onset in 349 symptomatic COVID-19 patients, which were among the first world-wide being infected. The positivity rate and magnitude of IgM-S and IgG-N responses increased rapidly. High levels of IgM-S/N and IgG-S/N at 2-3 weeks after disease onset were associated with virus control and IgG-S titers correlated closely with the capacity to neutralize SARS-CoV-2. While specific IgM-S/N became undetectable 12 weeks after disease onset in most patients, IgG-S/N titers showed an intermediate contraction phase, but stabilized at relatively high levels over the six months observation period. At late time points the positivity rates for binding and neutralizing SARS-CoV-2-specific antibodies was still over 70%. Taken together, our data indicate sustained humoral immunity in recovered patients who suffer from symptomatic COVID-19, suggesting prolonged immunity.
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            Author and article information

            Contributors
            covid19lit@medsci.ox.ac.uk
            Journal
            Nat Rev Immunol
            Nat. Rev. Immunol
            Nature Reviews. Immunology
            Nature Publishing Group UK (London )
            1474-1733
            1474-1741
            11 August 2020
            : 1
            Affiliations
            GRID grid.4991.5, ISNI 0000 0004 1936 8948, OxImmuno Literature Initiative, University of Oxford, ; Oxford, UK
            Article
            423
            10.1038/s41577-020-00423-9
            7418089
            32782353
            c40d88b3-09fd-4a06-8000-e7f06aeb65b9
            © Springer Nature Limited 2020

            This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

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            sars-cov-2

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