Virological Correlates of IgM-IgG Patterns of Response to SARS-CoV-2 Infection According to Targeted Antigens

The virological meaning of the different patterns of serology in COVID-19 has been little examined in clinical settings. Asymptomatic subjects with IgM-spike (S) and IgG-nucleocapsid (N) determinations by chemiluminescence were studied for SARS-CoV-2 shedding in respiratory secretions by transcription-mediated amplification (TMA). In subjects showing IgM-S positive and IgG-N negative, IgG-S was determined by lateral flow assay. A total of 712 individuals were tested: 30.0% presented IgM-S(+)/IgG-N(-), 25.8% had IgM-S(+)/IgG-N(+) and 44.2% had IgM-S(-)/IgG-N(+); the proportion with TMA(+) were comparable in these three groups: 12.1, 8.7 and 10.5%, respectively. In individuals with IgM-S(+)/IgG-N(-), IgG-S(+) was detected in 66.5%. The frequency of IgM-S(+)/IgG-S(-) in the total population was 10.0%, of whom 24.1% had TMA(+); the chances for TMA(+) in subjects with an IgM-S(+) alone pattern were 2.4%. Targeting of the same SARS-CoV-2 antigen seems to be better for the characterization of IgM/IgG patterns of response. IgM-S(+) alone reactivity is rare, and a small proportion is associated with viral shedding.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Viruses - 13(2021), 5 vom: 10. Mai

Sprache:

Englisch

Beteiligte Personen:

Barreiro, Pablo [VerfasserIn]
Candel, Francisco Javier [VerfasserIn]
Sanz, Juan Carlos [VerfasserIn]
San Román, Jesús [VerfasserIn]
Del Mar Carretero, María [VerfasserIn]
Pérez-Abeledo, Marta [VerfasserIn]
Ramos, Belén [VerfasserIn]
Viñuela-Prieto, José Manuel [VerfasserIn]
Canora, Jesús [VerfasserIn]
Martínez-Peromingo, Francisco Javier [VerfasserIn]
Zapatero, Antonio [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Viral
Antigens, Viral
COVID-19
Coronavirus Nucleocapsid Proteins
IgM
Immunoglobulin G
Immunoglobulin M
Journal Article
Nucleocapsid
Nucleocapsid phosphoprotein, SARS-CoV-2
Phosphoproteins
Research Support, Non-U.S. Gov't
SARS-CoV-2
Serology
Spike
Spike Glycoprotein, Coronavirus
Spike protein, SARS-CoV-2

Anmerkungen:

Date Completed 14.06.2021

Date Revised 11.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/v13050874

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM326171959