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Dynamics of IgG-avidity and antibody levels after Covid-19
Department of Clinical Microbiology, Halland's hospital Halmstad, Halmstad, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID iD: 0000-0003-4949-9060
Department of Clinical Microbiology, Halland's hospital Halmstad, Halmstad, Sweden.
Department of Clinical Microbiology, Halland's hospital Halmstad, Halmstad, Sweden.ORCID iD: 0000-0003-4344-9433
Department of Operation and Intensive care, Halland's hospital Halmstad, Halmstad, Sweden.
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2021 (English)In: Journal of Clinical Virology, ISSN 1386-6532, E-ISSN 1873-5967, Vol. 144, article id 104986Article in journal (Refereed) Published
Abstract [en]

Background: A potentially important aspect of the humoral immune response to Covid-19 is avidity, the overall binding strength between antibody and antigen. As low avidity is associated with a risk of re- infection in several viral infections, avidity might be of value to predict risk for reinfection with covid-19. Objectives: The purpose of this study was to describe the maturation of IgG avidity and the antibody-levels over time in patients with PCR-confirmed non-severe covid-19. Study design: Prospective longitudinal cohort study including patients with RT-PCR confirmed covid-19. Blood samples were drawn 1, 3 and 6 months after infection. Antibody levels and IgG-avidity were analysed. Results: The majority had detectable s- and n-antibodies (88,1%, 89,1%, N = 75). The level of total n-antibodies significantly increased from 1 to 3 months (median value 28,3 vs 39,3 s/co, p<0.001) and significantly decreased from 3 to 6 months (median value 39,3 vs 17,1 s/co, p<0.001). A significant decrease in the IgG anti-spike levels (median value 37,6, 24,1 and 18,2 RU/ml, p<0.001) as well as a significant increase in the IgG-avidity index (median values 51,6, 66,0 and 71,0%, p<0.001) were seen from 1 to 3 to 6 months. Conclusion: We found a significant ongoing increase in avidity maturation after Covid-19 whilst the levels of antibodies were declining, suggesting a possible aspect of long-term immunity. © 2021 The Authors. Published by Elsevier B.V.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2021. Vol. 144, article id 104986
Keywords [en]
Anti-nucleocapsid, Anti-spike, Antibody, Avidity, Covid-19, SARS-CoV-2
National Category
Immunology in the medical area
Identifiers
URN: urn:nbn:se:hh:diva-45903DOI: 10.1016/j.jcv.2021.104986ISI: 000703122900003PubMedID: 34563862Scopus ID: 2-s2.0-85115659440OAI: oai:DiVA.org:hh-45903DiVA, id: diva2:1613992
Note

Funding: This work was supported by The Region Halland Research Council and The Foundation of Sparbanken Varberg.

Available from: 2021-11-24 Created: 2021-11-24 Last updated: 2021-11-24Bibliographically approved

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Nygren, Jens M.

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