論文

査読有り 国際誌
2021年5月3日

Comparative Analysis of Antigen-Specific Anti-SARS-CoV-2 Antibody Isotypes in COVID-19 Patients.

Journal of immunology (Baltimore, Md. : 1950)
  • Hidetsugu Fujigaki
  • Masato Inaba
  • Michiko Osawa
  • Saya Moriyama
  • Yoshimasa Takahashi
  • Tadaki Suzuki
  • Kenya Yamase
  • Yukihiro Yoshida
  • Yo Yagura
  • Takayoshi Oyamada
  • Masao Takemura
  • Yohei Doi
  • Kuniaki Saito
  • 全て表示

206
10
開始ページ
2393
終了ページ
2401
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.4049/jimmunol.2001369

Serological tests for detection of anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Abs in blood are expected to identify individuals who have acquired immunity against SARS-CoV-2 and indication of seroprevalence of SARS-CoV-2 infection. Many serological tests have been developed to detect Abs against SARS-CoV-2. However, these tests have considerable variations in their specificity and sensitivity, and whether they can predict levels of neutralizing activity is yet to be determined. This study aimed to investigate the kinetics and neutralizing activity of various Ag-specific Ab isotypes against SARS-CoV-2 in serum of coronavirus disease 2019 (COVID-19) patients confirmed via PCR test. We developed IgG, IgM, and IgA measurement assays for each Ag, including receptor-binding domain (RBD) of spike (S) protein, S1 domain, full-length S protein, S trimer, and nucleocapsid (N) domain, based on ELISA. The assays of the S protein for all isotypes showed high specificity, whereas the assays for all isotypes against N protein showed lower specificity. The sensitivity of all Ag-specific Ab isotypes depended on the timing of the serum collection and all of them, except for IgM against N protein, reached more than 90% at 15-21 d postsymptom onset. The best correlation with virus-neutralizing activity was found for IgG against RBD, and levels of IgG against RBD in sera from four patients with severe COVID-19 increased concordantly with neutralizing activity. Our results provide valuable information regarding the selection of serological test for seroprevalence and vaccine evaluation studies.

リンク情報
DOI
https://doi.org/10.4049/jimmunol.2001369
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33941657
ID情報
  • DOI : 10.4049/jimmunol.2001369
  • PubMed ID : 33941657

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