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Orthogonal SARS-CoV-2 Serological Assays Enable Surveillance of Low-Prevalence Communities and Reveal Durable Humoral Immunity.


ABSTRACT: We conducted a serological study to define correlates of immunity against SARS-CoV-2. Compared to those with mild coronavirus disease 2019 (COVID-19) cases, individuals with severe disease exhibited elevated virus-neutralizing titers and antibodies against the nucleocapsid (N) and the receptor binding domain (RBD) of the spike protein. Age and sex played lesser roles. All cases, including asymptomatic individuals, seroconverted by 2 weeks after PCR confirmation. Spike RBD and S2 and neutralizing antibodies remained detectable through 5-7 months after onset, whereas ?-N titers diminished. Testing 5,882 members of the local community revealed only 1 sample with seroreactivity to both RBD and S2 that lacked neutralizing antibodies. This fidelity could not be achieved with either RBD or S2 alone. Thus, inclusion of multiple independent assays improved the accuracy of antibody tests in low-seroprevalence communities and revealed differences in antibody kinetics depending on the antigen. We conclude that neutralizing antibodies are stably produced for at least 5-7 months after SARS-CoV-2 infection.

SUBMITTER: Ripperger TJ 

PROVIDER: S-EPMC7554472 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Orthogonal SARS-CoV-2 Serological Assays Enable Surveillance of Low-Prevalence Communities and Reveal Durable Humoral Immunity.

Ripperger Tyler J TJ   Uhrlaub Jennifer L JL   Watanabe Makiko M   Wong Rachel R   Castaneda Yvonne Y   Pizzato Hannah A HA   Thompson Mallory R MR   Bradshaw Christine C   Weinkauf Craig C CC   Bime Christian C   Erickson Heidi L HL   Knox Kenneth K   Bixby Billie B   Parthasarathy Sairam S   Chaudhary Sachin S   Natt Bhupinder B   Cristan Elaine E   El Aini Tammer T   Rischard Franz F   Campion Janet J   Chopra Madhav M   Insel Michael M   Sam Afshin A   Knepler James L JL   Capaldi Andrew P AP   Spier Catherine M CM   Dake Michael D MD   Edwards Taylor T   Kaplan Matthew E ME   Scott Serena Jain SJ   Hypes Cameron C   Mosier Jarrod J   Harris David T DT   LaFleur Bonnie J BJ   Sprissler Ryan R   Nikolich-Žugich Janko J   Bhattacharya Deepta D  

Immunity 20201014 5


We conducted a serological study to define correlates of immunity against SARS-CoV-2. Compared to those with mild coronavirus disease 2019 (COVID-19) cases, individuals with severe disease exhibited elevated virus-neutralizing titers and antibodies against the nucleocapsid (N) and the receptor binding domain (RBD) of the spike protein. Age and sex played lesser roles. All cases, including asymptomatic individuals, seroconverted by 2 weeks after PCR confirmation. Spike RBD and S2 and neutralizing  ...[more]

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