Figure 1.
Longitudinal SARS-CoV-2 spike-binding antibody responses
IgG (A–C), IgA (D–F), and IgM (G–I) antibodies reactive to SARS-CoV-2 spike (A, D, G); spike receptor binding domain (RBD, [B, E, and H]), and the spike N-terminal domain (NTD, [C, F, and I]) were measured in triplicate by an electrochemiluminescent multiplex immunoassay and reported as arbitrary units per ml (AU/mL) as normalized by a standard curve. Longitudinal antibody titers of COVID-19 patients (in blue, n = 222 COVID-19+ for IgG; n = 190 COVID-19+ for IgA and for IgM) are plotted over days since symptom onset, whereas longitudinal pre-pandemic donor samples (in red, n = 51 for IgG, IgA, and IgM) were collected in the course of a non-SARS-CoV-2 vaccine study before 2019 and plotted over days since immunization. IgG decay curves and half-lives estimated by an exponential decay model are shown in black, and the decay curves and half-lives at day 120 post symptom onset estimated by a power law model are shown in green.