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Oxford University Press - PMC COVID-19 Collection logoLink to Oxford University Press - PMC COVID-19 Collection
. 2020 May 2:jiaa229. doi: 10.1093/infdis/jiaa229

Longitudinal Change of SARS-Cov2 Antibodies in Patients with COVID-19

Guoxin Zhang 1,#, Shuke Nie 1,#, Zhaohui Zhang 1, Zhentao Zhang 1,
PMCID: PMC7197530  PMID: 32358956

Abstract

Background

A novel coronavirus, SARS-CoV-2, has recently emerged and caused the rapid spread of COVID-19 worldwide.

Methods

We did a retrospective study and included COVID-19 patients admitted to Renmin Hospital of Wuhan University between February 1 and February 29, 2020. Antibody assay was conducted to detect COVID-19 envelope protein E and nucleocapsid protein N antigen.

Results

112 patients were recruited with symptoms of fever, cough, fatigue, myalgia, and diarrhoea. All patients underwent antibody tests. Fifty-eight (51.79%) were positive for both IgM and IgG, 7 (6.25%) were negative for both antibodies, 1 (0.89%) was positive for only IgM, and 46 (41.07%) were positive for only IgG. IgM antibody appeared within a week post disease onset, and lasted for one month and gradually decreased, while IgG antibody was produced 10 days after infection, and lasted for a longer time. However, no significant difference in level of IgM and IgG antibody between positive and negative patients of nucleic acid test after treatment was found.

Conclusions

Our results indicate that serological tests could be powerful approach for the early diagnosis of COVID-19.

Keywords: SARS-CoV-2, COVID-19, antibody, serological test, humoral immunity


Articles from The Journal of Infectious Diseases are provided here courtesy of Oxford University Press

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