
Frontiers in Immunology, Journal Year: 2023, Volume and Issue: 14
Published: Oct. 9, 2023
Introduction Infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) induces rapid production of IgM, IgA, and IgG antibodies directed to multiple viral antigens that may have impact diverse clinical outcomes. Methods We evaluated the nucleocapsid (NP), IgA Spike protein receptor-binding domain (RBD), presence neutralizing (nAb), in a cohort unvaccinated SARS-CoV-2 infected individuals, first 30 days post-symptom onset (PSO) (T1). Results This study included 193 disease 2019 (COVID-19) participants classified as mild, moderate, severe, critical, fatal 27 uninfected controls. In T1, we identified differential antibody profiles associated with distinct presentation. The mild group presented lower levels anti-NP IgG, (vs moderate severe), IgM critical fatal), anti-Spike anti-RBD severe). higher comparing group. fatal) moderate). mild), but nAb was just compared groups, moreover, no difference observed among more groups. addition, studied 82 convalescent between 31 6 months (T2) or than (T3), PSO, those: 12 26 46 plus critical. longitudinal analyzes, for showed relation T3. follow-up group, reveals anti-spike increased, while decreased along time severe/critical well several/critical Discussion summary, survival individuals admitted intensive care unit (ICU). Collectively, our data discriminate death from survival, suggesting play some deleterious effect, contrast potentially protective effect
Language: Английский