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Dynamics of Neutralizing Antibody Titers in the Months After Severe Acute Respiratory Syndrome Coronavirus 2 Infection.


ABSTRACT: Most individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) develop neutralizing antibodies that target the viral spike protein. In this study, we quantified how levels of these antibodies change in the months after SARS-CoV-2 infection by examining longitudinal samples collected approximately 30-152 days after symptom onset from a prospective cohort of 32 recovered individuals with asymptomatic, mild, or moderate-severe disease. Neutralizing antibody titers declined an average of about 4-fold from 1 to 4 months after symptom onset. This decline in neutralizing antibody titers was accompanied by a decline in total antibodies capable of binding the viral spike protein or its receptor-binding domain. Importantly, our data are consistent with the expected early immune response to viral infection, where an initial peak in antibody levels is followed by a decline to a lower plateau. Additional studies of long-lived B cells and antibody titers over longer time frames are necessary to determine the durability of immunity to SARS-CoV-2.

SUBMITTER: Crawford KHD 

PROVIDER: S-EPMC7543487 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Dynamics of Neutralizing Antibody Titers in the Months After Severe Acute Respiratory Syndrome Coronavirus 2 Infection.

Crawford Katharine H D KHD   Dingens Adam S AS   Eguia Rachel R   Wolf Caitlin R CR   Wilcox Naomi N   Logue Jennifer K JK   Shuey Kiel K   Casto Amanda M AM   Fiala Brooke B   Wrenn Samuel S   Pettie Deleah D   King Neil P NP   Greninger Alexander L AL   Chu Helen Y HY   Bloom Jesse D JD  

The Journal of infectious diseases 20210201 2


Most individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) develop neutralizing antibodies that target the viral spike protein. In this study, we quantified how levels of these antibodies change in the months after SARS-CoV-2 infection by examining longitudinal samples collected approximately 30-152 days after symptom onset from a prospective cohort of 32 recovered individuals with asymptomatic, mild, or moderate-severe disease. Neutralizing antibody titers decli  ...[more]

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