Antibody responses to SARS-CoV-2 in patients with COVID-19
We report acute antibody responses to SARS-CoV-2 in 285 patients with COVID-19. Within 19 days after symptom onset, 100% of patients tested positive for antiviral immunoglobulin-G (IgG). Seroconversion for IgG and IgM occurred simultaneously or sequentially. Both IgG and IgM titers plateaued within...
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| Published in | Nature medicine Vol. 26; no. 6; pp. 845 - 848 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Nature Publishing Group US
01.06.2020
Nature Publishing Group |
| Subjects | |
| Online Access | Get full text |
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| Abstract | We report acute antibody responses to SARS-CoV-2 in 285 patients with COVID-19. Within 19 days after symptom onset, 100% of patients tested positive for antiviral immunoglobulin-G (IgG). Seroconversion for IgG and IgM occurred simultaneously or sequentially. Both IgG and IgM titers plateaued within 6 days after seroconversion. Serological testing may be helpful for the diagnosis of suspected patients with negative RT–PCR results and for the identification of asymptomatic infections.
A cross-sectional study of hospitalized patients with COVID-19 and a longitudinal follow-up study of patients with COVID-19 suggest that SARS-CoV2-specific IgG or IgM seroconversion occurs within 20 days post symptom onset. |
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| AbstractList | We report acute antibody responses to SARS-CoV-2 in 285 patients with COVID-19. Within 19 days after symptom onset, 100% of patients tested positive for antiviral immunoglobulin-G (IgG). Seroconversion for IgG and IgM occurred simultaneously or sequentially. Both IgG and IgM titers plateaued within 6 days after seroconversion. Serological testing may be helpful for the diagnosis of suspected patients with negative RT-PCR results and for the identification of asymptomatic infections. We report acute antibody responses to SARS-CoV-2 in 285 patients with COVID-19. Within 19 days after symptom onset, 100% of patients tested positive for antiviral immunoglobulin-G (IgG). Seroconversion for IgG and IgM occurred simultaneously or sequentially. Both IgG and IgM titers plateaued within 6 days after seroconversion. Serological testing may be helpful for the diagnosis of suspected patients with negative RT–PCR results and for the identification of asymptomatic infections. A cross-sectional study of hospitalized patients with COVID-19 and a longitudinal follow-up study of patients with COVID-19 suggest that SARS-CoV2-specific IgG or IgM seroconversion occurs within 20 days post symptom onset. We report acute antibody responses to SARS-CoV-2 in 285 patients with COVID-19. Within 19 days after symptom onset, 100% of patients tested positive for antiviral immunoglobulin-G (IgG). Seroconversion for IgG and IgM occurred simultaneously or sequentially. Both IgG and IgM titers plateaued within 6 days after seroconversion. Serological testing may be helpful for the diagnosis of suspected patients with negative RT-PCR results and for the identification of asymptomatic infections.We report acute antibody responses to SARS-CoV-2 in 285 patients with COVID-19. Within 19 days after symptom onset, 100% of patients tested positive for antiviral immunoglobulin-G (IgG). Seroconversion for IgG and IgM occurred simultaneously or sequentially. Both IgG and IgM titers plateaued within 6 days after seroconversion. Serological testing may be helpful for the diagnosis of suspected patients with negative RT-PCR results and for the identification of asymptomatic infections. We report acute antibody responses to SARS-CoV-2 in 285 patients with COVID-19. Within 19 days after symptom onset, 100% of patients tested positive for antiviral immunoglobulin-G (IgG). Seroconversion for IgG and IgM occurred simultaneously or sequentially. Both IgG and IgM titers plateaued within 6 days after seroconversion. Serological testing may be helpful for the diagnosis of suspected patients with negative RT–PCR results and for the identification of asymptomatic infections.A cross-sectional study of hospitalized patients with COVID-19 and a longitudinal follow-up study of patients with COVID-19 suggest that SARS-CoV2-specific IgG or IgM seroconversion occurs within 20 days post symptom onset. |
| Audience | Academic |
| Author | Qiu, Jing-Fu Yu, Li-Hua Liu, Hua-Wen Wang, Li Yuan, Jun Lin, Yong Zhou, Zheng Niu, Chang-Chun Xue, Cheng-Jun Zhang, De-Chun Zhu, Man-Man Ren, Ji-Hua Liu, Ping Mo, Zhan Hu, Jie-Li Lang, Chun-Hui Huang, Ai-Long Wang, Kun Gong, Fang Zhang, Fan Li, Zhi-Jie Liu, Xia-Mao Du, Hong-Xin Wu, Shao-Bo Zhang, Yong Tang, Ni Xiang, Jiang-Lin Li, Qin Li, Jin-Jing Xu, Yin-Yin Luo, Xiao-He Tian, Wen-Guang Li, Xiao-Feng Cai, Xue-Fei Liao, Pu Hu, Yuan Cui, Xiao-Ping Liu, Bai-Zhong Hu, Li Long, Quan-Xin Chen, Yao-Kai Deng, Kun Wu, Gui-Cheng Wang, De-Qiang Wang, Jing Tang, Xiao-Jun Zhang, Xiao-Li Yang, Qing-Jun Deng, Hai-Jun Zhang, Xian-Xiang Chen, Juan |
| Author_xml | – sequence: 1 givenname: Quan-Xin orcidid: 0000-0003-1857-2798 surname: Long fullname: Long, Quan-Xin organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 2 givenname: Bai-Zhong surname: Liu fullname: Liu, Bai-Zhong organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 3 givenname: Hai-Jun orcidid: 0000-0002-4890-192X surname: Deng fullname: Deng, Hai-Jun organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 4 givenname: Gui-Cheng surname: Wu fullname: Wu, Gui-Cheng organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 5 givenname: Kun surname: Deng fullname: Deng, Kun organization: The Third Hospital Affiliated to Chongqing Medical University – sequence: 6 givenname: Yao-Kai surname: Chen fullname: Chen, Yao-Kai organization: Division of Infectious Diseases, Chongqing Public Health Medical Center – sequence: 7 givenname: Pu surname: Liao fullname: Liao, Pu organization: Laboratory Department, Chongqing People’s Hospital – sequence: 8 givenname: Jing-Fu surname: Qiu fullname: Qiu, Jing-Fu organization: School of Public Health and Management, Chongqing Medical University – sequence: 9 givenname: Yong orcidid: 0000-0001-9171-0195 surname: Lin fullname: Lin, Yong organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 10 givenname: Xue-Fei surname: Cai fullname: Cai, Xue-Fei organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 11 givenname: De-Qiang surname: Wang fullname: Wang, De-Qiang organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 12 givenname: Yuan surname: Hu fullname: Hu, Yuan organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 13 givenname: Ji-Hua surname: Ren fullname: Ren, Ji-Hua organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 14 givenname: Ni surname: Tang fullname: Tang, Ni organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 15 givenname: Yin-Yin surname: Xu fullname: Xu, Yin-Yin organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 16 givenname: Li-Hua surname: Yu fullname: Yu, Li-Hua organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 17 givenname: Zhan surname: Mo fullname: Mo, Zhan organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 18 givenname: Fang surname: Gong fullname: Gong, Fang organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 19 givenname: Xiao-Li surname: Zhang fullname: Zhang, Xiao-Li organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 20 givenname: Wen-Guang surname: Tian fullname: Tian, Wen-Guang organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 21 givenname: Li surname: Hu fullname: Hu, Li organization: Yongchuan Hospital Affiliated to Chongqing Medical University – sequence: 22 givenname: Xian-Xiang surname: Zhang fullname: Zhang, Xian-Xiang organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 23 givenname: Jiang-Lin surname: Xiang fullname: Xiang, Jiang-Lin organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 24 givenname: Hong-Xin surname: Du fullname: Du, Hong-Xin organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 25 givenname: Hua-Wen surname: Liu fullname: Liu, Hua-Wen organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 26 givenname: Chun-Hui surname: Lang fullname: Lang, Chun-Hui organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 27 givenname: Xiao-He surname: Luo fullname: Luo, Xiao-He organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 28 givenname: Shao-Bo surname: Wu fullname: Wu, Shao-Bo organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 29 givenname: Xiao-Ping surname: Cui fullname: Cui, Xiao-Ping organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 30 givenname: Zheng surname: Zhou fullname: Zhou, Zheng organization: Chongqing University Three Gorges Hospital, Chongqing Three Gorges Central Hospital – sequence: 31 givenname: Man-Man surname: Zhu fullname: Zhu, Man-Man organization: The Third Hospital Affiliated to Chongqing Medical University – sequence: 32 givenname: Jing surname: Wang fullname: Wang, Jing organization: Division of Infectious Diseases, Chongqing Public Health Medical Center – sequence: 33 givenname: Cheng-Jun surname: Xue fullname: Xue, Cheng-Jun organization: Division of Infectious Diseases, Chongqing Public Health Medical Center – sequence: 34 givenname: Xiao-Feng surname: Li fullname: Li, Xiao-Feng organization: Division of Infectious Diseases, Chongqing Public Health Medical Center – sequence: 35 givenname: Li surname: Wang fullname: Wang, Li organization: Division of Infectious Diseases, Chongqing Public Health Medical Center – sequence: 36 givenname: Zhi-Jie surname: Li fullname: Li, Zhi-Jie organization: Laboratory Department, Chongqing People’s Hospital – sequence: 37 givenname: Kun surname: Wang fullname: Wang, Kun organization: Laboratory Department, Chongqing People’s Hospital – sequence: 38 givenname: Chang-Chun surname: Niu fullname: Niu, Chang-Chun organization: Laboratory Department, Chongqing People’s Hospital – sequence: 39 givenname: Qing-Jun surname: Yang fullname: Yang, Qing-Jun organization: Laboratory Department, Chongqing People’s Hospital – sequence: 40 givenname: Xiao-Jun surname: Tang fullname: Tang, Xiao-Jun organization: School of Public Health and Management, Chongqing Medical University – sequence: 41 givenname: Yong orcidid: 0000-0003-1436-5951 surname: Zhang fullname: Zhang, Yong organization: School of Public Health and Management, Chongqing Medical University – sequence: 42 givenname: Xia-Mao surname: Liu fullname: Liu, Xia-Mao organization: The Second Affiliated Hospital of Chongqing Medical University – sequence: 43 givenname: Jin-Jing surname: Li fullname: Li, Jin-Jing organization: The Second Affiliated Hospital of Chongqing Medical University – sequence: 44 givenname: De-Chun surname: Zhang fullname: Zhang, De-Chun organization: Wanzhou People’s Hospital – sequence: 45 givenname: Fan surname: Zhang fullname: Zhang, Fan organization: Wanzhou People’s Hospital – sequence: 46 givenname: Ping surname: Liu fullname: Liu, Ping organization: BioScience Co. Ltd – sequence: 47 givenname: Jun surname: Yuan fullname: Yuan, Jun organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 48 givenname: Qin surname: Li fullname: Li, Qin organization: Chongqing Center for Disease Control and Prevention – sequence: 49 givenname: Jie-Li orcidid: 0000-0002-9869-659X surname: Hu fullname: Hu, Jie-Li email: 102564@cqmu.edu.cn organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 50 givenname: Juan orcidid: 0000-0001-6920-7972 surname: Chen fullname: Chen, Juan email: chenjuan2014@cqmu.edu.cn organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University – sequence: 51 givenname: Ai-Long orcidid: 0000-0003-0148-7423 surname: Huang fullname: Huang, Ai-Long email: ahuang@cqmu.edu.cn organization: Key Laboratory of Molecular Biology on Infectious Diseases, Ministry of Education, Chongqing Medical University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32350462$$D View this record in MEDLINE/PubMed |
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| References_xml | – volume: 21 start-page: 2186 year: 2015 end-page: 2189 ident: CR4 article-title: Kinetics of serologic responses to MERS coronavirus infection in humans, South Korea publication-title: Emerg. Infect. Dis. doi: 10.3201/eid2112.151421 – volume: 349 start-page: 508 year: 2003 end-page: 509 ident: CR2 article-title: Profile of specific antibodies to the SARS-associated coronavirus publication-title: N. Engl. J. Med. doi: 10.1056/NEJM200307313490520 – ident: CR7 – volume: 62 start-page: 477 year: 2016 end-page: 483 ident: CR1 article-title: Viral shedding and antibody response in 37 patients with Middle East respiratory syndrome coronavirus infection publication-title: Clin. Infect. Dis. – volume: 10 start-page: 1062 year: 2004 end-page: 1066 ident: CR3 article-title: Chronological evolution of IgM, IgA, IgG and neutralisation antibodies after infection with SARS-associated coronavirus publication-title: Clin. Microbiol. Infect. doi: 10.1111/j.1469-0691.2004.01009.x – volume: 371 start-page: 828 year: 2014 end-page: 835 ident: CR5 article-title: Transmission of MERS-coronavirus in household contacts publication-title: N. Engl. J. Med. doi: 10.1056/NEJMoa1405858 – volume: 194 start-page: 175 year: 2014 end-page: 183 ident: CR6 article-title: Serological assays for emerging coronaviruses: challenges and pitfalls publication-title: Virus Res doi: 10.1016/j.virusres.2014.03.018 – volume: 382 start-page: 1177 year: 2020 end-page: 1179 ident: CR8 article-title: SARS-CoV-2 viral load in upper respiratory specimens of infected patients publication-title: N. Engl. J. Med. doi: 10.1056/NEJMc2001737 – volume: 10 start-page: 1062 year: 2004 ident: 897_CR3 publication-title: Clin. Microbiol. Infect. doi: 10.1111/j.1469-0691.2004.01009.x – volume: 21 start-page: 2186 year: 2015 ident: 897_CR4 publication-title: Emerg. Infect. Dis. doi: 10.3201/eid2112.151421 – volume: 371 start-page: 828 year: 2014 ident: 897_CR5 publication-title: N. Engl. J. Med. doi: 10.1056/NEJMoa1405858 – volume: 62 start-page: 477 year: 2016 ident: 897_CR1 publication-title: Clin. Infect. Dis. – volume: 349 start-page: 508 year: 2003 ident: 897_CR2 publication-title: N. Engl. J. Med. doi: 10.1056/NEJM200307313490520 – volume: 194 start-page: 175 year: 2014 ident: 897_CR6 publication-title: Virus Res doi: 10.1016/j.virusres.2014.03.018 – ident: 897_CR7 doi: 10.1128/JCM.00512-20 – volume: 382 start-page: 1177 year: 2020 ident: 897_CR8 publication-title: N. Engl. J. Med. doi: 10.1056/NEJMc2001737 |
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| Title | Antibody responses to SARS-CoV-2 in patients with COVID-19 |
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