Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factors

Objective: To investigate the dynamic characteristics of serological antibodies against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is of much current significance. Methods: The dynamic changes and prevalence of immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies...

Full description

Bibliographic Details
Main Authors: Chunhua Luo, Min Liu, Qianyuan Li, Xiaoling Zheng, Wen Ai, Feng Gong, Jinhong Fan, Shaowei Liu, Xi Wang, Jun Luo
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971221003891
_version_ 1818454417423204352
author Chunhua Luo
Min Liu
Qianyuan Li
Xiaoling Zheng
Wen Ai
Feng Gong
Jinhong Fan
Shaowei Liu
Xi Wang
Jun Luo
author_facet Chunhua Luo
Min Liu
Qianyuan Li
Xiaoling Zheng
Wen Ai
Feng Gong
Jinhong Fan
Shaowei Liu
Xi Wang
Jun Luo
author_sort Chunhua Luo
collection DOAJ
description Objective: To investigate the dynamic characteristics of serological antibodies against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is of much current significance. Methods: The dynamic changes and prevalence of immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies against SARS-CoV-2 were assessed from the time of symptom onset up to 210 days. Antibodies were detected using a chemiluminescence immunoassay. Results: The average titers and IgG/IgM positivity rates reached a peak within 30 days of symptom onset and then began to decline continuously. Between 180 and 210 days following symptom onset, the titers of IgG and IgM were 43.1 ± 27.0 AU/mL and 4.4 ± 5.2 AU/mL, respectively, while the respective positivity rates were 84.3% and 12.0%. Further statistical analyses revealed that the dynamic changes and prevalence of the SARS-CoV-2 IgG/IgM antibodies were related to age and disease severity, but not to sex. The dynamic changes and the prevalence were similar for both the IgM and the IgG antibodies. Even so, there was a more rapid rate of decline for the IgM antibodies. It was found that an IgG level of 16.33 ± 3.15 AU/mL may represent a threshold value that should act as an alert, as it may indicate that the IgG level will become undetectable within the next 30–60 days. Conclusion: The results provide important information concerning COVID-19 and may be of relevance for diagnosis, treatment, and vaccine development.
first_indexed 2024-12-14T21:54:33Z
format Article
id doaj.art-69b96638ceb647b0b2635c55c5173864
institution Directory Open Access Journal
issn 1201-9712
language English
last_indexed 2024-12-14T21:54:33Z
publishDate 2021-07-01
publisher Elsevier
record_format Article
series International Journal of Infectious Diseases
spelling doaj.art-69b96638ceb647b0b2635c55c51738642022-12-21T22:46:09ZengElsevierInternational Journal of Infectious Diseases1201-97122021-07-011085762Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factorsChunhua Luo0Min Liu1Qianyuan Li2Xiaoling Zheng3Wen Ai4Feng Gong5Jinhong Fan6Shaowei Liu7Xi Wang8Jun Luo9The First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, ChinaThe First College of Clinical Medical Science, China Three Gorges University, Yichang, China; Yichang Central People’s Hospital, China; Corresponding author at: The First College of Clinical Medical Science, China Three Gorges University, Yichang, China.Objective: To investigate the dynamic characteristics of serological antibodies against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is of much current significance. Methods: The dynamic changes and prevalence of immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies against SARS-CoV-2 were assessed from the time of symptom onset up to 210 days. Antibodies were detected using a chemiluminescence immunoassay. Results: The average titers and IgG/IgM positivity rates reached a peak within 30 days of symptom onset and then began to decline continuously. Between 180 and 210 days following symptom onset, the titers of IgG and IgM were 43.1 ± 27.0 AU/mL and 4.4 ± 5.2 AU/mL, respectively, while the respective positivity rates were 84.3% and 12.0%. Further statistical analyses revealed that the dynamic changes and prevalence of the SARS-CoV-2 IgG/IgM antibodies were related to age and disease severity, but not to sex. The dynamic changes and the prevalence were similar for both the IgM and the IgG antibodies. Even so, there was a more rapid rate of decline for the IgM antibodies. It was found that an IgG level of 16.33 ± 3.15 AU/mL may represent a threshold value that should act as an alert, as it may indicate that the IgG level will become undetectable within the next 30–60 days. Conclusion: The results provide important information concerning COVID-19 and may be of relevance for diagnosis, treatment, and vaccine development.http://www.sciencedirect.com/science/article/pii/S1201971221003891COVID-19IgG/IgM antibodiesDynamic characteristicsPositivity rateIgG antibody alert level
spellingShingle Chunhua Luo
Min Liu
Qianyuan Li
Xiaoling Zheng
Wen Ai
Feng Gong
Jinhong Fan
Shaowei Liu
Xi Wang
Jun Luo
Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factors
International Journal of Infectious Diseases
COVID-19
IgG/IgM antibodies
Dynamic characteristics
Positivity rate
IgG antibody alert level
title Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factors
title_full Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factors
title_fullStr Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factors
title_full_unstemmed Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factors
title_short Dynamic changes and prevalence of SARS-CoV-2 IgG/IgM antibodies: Analysis of multiple factors
title_sort dynamic changes and prevalence of sars cov 2 igg igm antibodies analysis of multiple factors
topic COVID-19
IgG/IgM antibodies
Dynamic characteristics
Positivity rate
IgG antibody alert level
url http://www.sciencedirect.com/science/article/pii/S1201971221003891
work_keys_str_mv AT chunhualuo dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT minliu dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT qianyuanli dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT xiaolingzheng dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT wenai dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT fenggong dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT jinhongfan dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT shaoweiliu dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT xiwang dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors
AT junluo dynamicchangesandprevalenceofsarscov2iggigmantibodiesanalysisofmultiplefactors