Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction

Introduction: There is a need for detailed data on early antibody responses against SARS-CoV-2 as this may contribute to the prediction of the clinical course of COVID-19 and the optimization of convalescent plasma treatment. This study aims to gain insight into developing antibodies to SARS-CoV-2 i...

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Main Authors: D.A.T. Hanssen, J. Penders, K. Heijgele, S. de Leede, M. Mulder, L.E.A. Bank, M.H.C. Slaats, P.H.M. Savelkoul, I.H.M. van Loo
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Journal of Clinical Virology Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266703802200028X
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author D.A.T. Hanssen
J. Penders
K. Heijgele
S. de Leede
M. Mulder
L.E.A. Bank
M.H.C. Slaats
P.H.M. Savelkoul
I.H.M. van Loo
author_facet D.A.T. Hanssen
J. Penders
K. Heijgele
S. de Leede
M. Mulder
L.E.A. Bank
M.H.C. Slaats
P.H.M. Savelkoul
I.H.M. van Loo
author_sort D.A.T. Hanssen
collection DOAJ
description Introduction: There is a need for detailed data on early antibody responses against SARS-CoV-2 as this may contribute to the prediction of the clinical course of COVID-19 and the optimization of convalescent plasma treatment. This study aims to gain insight into developing antibodies to SARS-CoV-2 in health care workers (HCWs) infected in the first wave of the SARS-CoV-2 pandemic in the Netherlands. Materials and methods: In this retrospective analysis, sera from PCR-confirmed COVID-19 positive HCWs are included at the time of the initial PCR (T = 0, n = 95) and at least 21 days after the initial serum (T ≥ 21, n = 133). This study assesses correlations between qualitative total Ig, IgM, IgA, IgG, and quantitative anti-S-RBD antibody responses and participant characteristics. Results: Higher Ct values were associated with higher antibody positivity rates for total Ig (OR 1.261 (95% CI 1.095–1.452)), IgM (OR 1.373 (95% CI 1.125–1.675)), and IgA (OR 1.222 (95% CI 1.013–1.475)). Gender was predictive of IgM and IgA antibody positivity rates at T = 0 (OR 0.018 (95% CI 0.001–0.268)) and (OR 0.070 (95% CI 0.008–0.646)). At T ≥ 21, a substantial proportion of HCWs developed IgM (103/133; 77.4%) and total Ig (128/133; 96.2%) antibodies. IgA and IgG seroconversions were observed in only 51.1% (67/131) and 55.7% (73/131) of HCWs. Anti-S-RBD responses were higher when the interval between onset of symptoms and sampling was longer. Conclusion: The findings of this study give insight into early antibody responses and may have implications for the selection of convalescent plasma donors and the further development of monoclonal antibody treatment.
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spelling doaj.art-129eb5a62a594d5aa465f1996ea67bf82022-12-22T02:34:55ZengElsevierJournal of Clinical Virology Plus2667-03802022-08-0123100089Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production predictionD.A.T. Hanssen0J. Penders1K. Heijgele2S. de Leede3M. Mulder4L.E.A. Bank5M.H.C. Slaats6P.H.M. Savelkoul7I.H.M. van Loo8Department of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the Netherlands; Care and Primary Health Research Institute (CAPHRI), Maastricht University, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the Netherlands; Care and Primary Health Research Institute (CAPHRI), Maastricht University, the Netherlands; NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the Netherlands; Care and Primary Health Research Institute (CAPHRI), Maastricht University, the NetherlandsDepartment of Medical Microbiology, infectious diseases & Infection prevention, Maastricht University Medical Center, the Netherlands; Care and Primary Health Research Institute (CAPHRI), Maastricht University, the Netherlands; Corresponding author at: Department of Medical Microbiology, Maastricht University Medical Center Maastricht. P.Debyelaan 25, 6229HX Maastricht, the Netherlands.Introduction: There is a need for detailed data on early antibody responses against SARS-CoV-2 as this may contribute to the prediction of the clinical course of COVID-19 and the optimization of convalescent plasma treatment. This study aims to gain insight into developing antibodies to SARS-CoV-2 in health care workers (HCWs) infected in the first wave of the SARS-CoV-2 pandemic in the Netherlands. Materials and methods: In this retrospective analysis, sera from PCR-confirmed COVID-19 positive HCWs are included at the time of the initial PCR (T = 0, n = 95) and at least 21 days after the initial serum (T ≥ 21, n = 133). This study assesses correlations between qualitative total Ig, IgM, IgA, IgG, and quantitative anti-S-RBD antibody responses and participant characteristics. Results: Higher Ct values were associated with higher antibody positivity rates for total Ig (OR 1.261 (95% CI 1.095–1.452)), IgM (OR 1.373 (95% CI 1.125–1.675)), and IgA (OR 1.222 (95% CI 1.013–1.475)). Gender was predictive of IgM and IgA antibody positivity rates at T = 0 (OR 0.018 (95% CI 0.001–0.268)) and (OR 0.070 (95% CI 0.008–0.646)). At T ≥ 21, a substantial proportion of HCWs developed IgM (103/133; 77.4%) and total Ig (128/133; 96.2%) antibodies. IgA and IgG seroconversions were observed in only 51.1% (67/131) and 55.7% (73/131) of HCWs. Anti-S-RBD responses were higher when the interval between onset of symptoms and sampling was longer. Conclusion: The findings of this study give insight into early antibody responses and may have implications for the selection of convalescent plasma donors and the further development of monoclonal antibody treatment.http://www.sciencedirect.com/science/article/pii/S266703802200028XSARS-CoV-2SerologyAntibody responseECLIAELISA
spellingShingle D.A.T. Hanssen
J. Penders
K. Heijgele
S. de Leede
M. Mulder
L.E.A. Bank
M.H.C. Slaats
P.H.M. Savelkoul
I.H.M. van Loo
Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction
Journal of Clinical Virology Plus
SARS-CoV-2
Serology
Antibody response
ECLIA
ELISA
title Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction
title_full Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction
title_fullStr Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction
title_full_unstemmed Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction
title_short Antibodies against SARS-CoV-2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction
title_sort antibodies against sars cov 2 after natural infection in healthcare workers and clinical characteristics as putative antibody production prediction
topic SARS-CoV-2
Serology
Antibody response
ECLIA
ELISA
url http://www.sciencedirect.com/science/article/pii/S266703802200028X
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