1. Antibody indexes in COVID-19 convalescent plasma donors: Unanswered questions.
- Author
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Bonetti TCS, Latini FRM, Invitti AL, Fonseca MCM, Scorza FA, Saldanha MG, Bellucco FT, Bacarov NBS, Soane MM, and Girão MJBC
- Subjects
- Antibodies, Viral, Humans, Immunization, Passive, SARS-CoV-2, COVID-19 Serotherapy, COVID-19 therapy, Coronavirus Infections
- Abstract
Objective: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is characterized by high contagiousness, as well as variable clinical manifestations and immune responses. The antibody response to SARS-CoV-2 is directly related to viral clearance and the antibodies' ability to neutralize the virus and confer long-term immunity. Nevertheless, the response can also be associated with disease severity and evolution. This study correlated the clinical characteristics of convalescent COVID-19 patients with immunoglobulin A (IgA) and IgG anti-SARS-CoV-2 antibodies., Methods: This study included 51 COVID-19 health care professionals who were candidates for convalescent plasma donation from April to June 2020. The subjects had symptomatic COVID-19 with a polymerase chain reaction-confirmed diagnosis. We measured anti-SARS-CoV-2 IgA and IgG antibodies after symptom recovery, and the subjects were classified as having mild, moderate, or severe symptoms., Results: Anti-SARS-CoV-2 antibodies were positive in most patients (90.2%). The antibody indexes for IgA and IgG did not differ significantly between patients presenting with mild or moderate symptoms. However, they were significantly higher in patients with severe symptoms., Conclusions: Our study showed an association between higher antibody indexes and severe COVID-19 cases, and several hypotheses regarding the association of the antibody dynamics and severity of the disease in SARS-CoV-2 infection have been raised, although many questions remain unanswered.
- Published
- 2021
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