[HTML][HTML] Neutralizing antibody production in asymptomatic and mild COVID-19 patients, in comparison with pneumonic COVID-19 patients

JH Ko, EJ Joo, SJ Park, JY Baek, WD Kim… - Journal of clinical …, 2020 - mdpi.com
JH Ko, EJ Joo, SJ Park, JY Baek, WD Kim, J Jee, CJ Kim, C Jeong, YJ Kim, HJ Shon…
Journal of clinical medicine, 2020mdpi.com
Objectives: To investigate antibody production in asymptomatic and mild COVID-19 patients.
Methods: Sera from asymptomatic to severe COVID-19 patients were collected.
Microneutralization (MN), fluorescence immunoassay (FIA), and enzyme-linked
immunosorbent assay (ELISA) were performed. Results: A total of 70 laboratory-confirmed
COVID-19 patients were evaluated, including 15 asymptomatic/anosmia, 49 mild
symptomatic, and 6 pneumonia patients. The production of the neutralizing antibody was …
Objectives
To investigate antibody production in asymptomatic and mild COVID-19 patients.
Methods
Sera from asymptomatic to severe COVID-19 patients were collected. Microneutralization (MN), fluorescence immunoassay (FIA), and enzyme-linked immunosorbent assay (ELISA) were performed.
Results
A total of 70 laboratory-confirmed COVID-19 patients were evaluated, including 15 asymptomatic/anosmia, 49 mild symptomatic, and 6 pneumonia patients. The production of the neutralizing antibody was observed in 100% of pneumonia, 93.9% of mild symptomatic, and 80.0% of asymptomatic/anosmia groups. All the patients in the pneumonia group showed high MN titer (≥1:80), while 36.7% of mild symptomatic and 20.0% of asymptomatic/anosmia groups showed high titer (p < 0.001). Anti-SARS-CoV-2 antibodies could be more sensitively detected by FIA IgG (98.8%) and ELISA (97.6%) in overall. For the FIA IgG test, all patients in the pneumonia group exhibited a high COI value (≥15.0), while 89.8% of mild symptomatic and 73.3% of asymptomatic/anosmia groups showed a high value (p = 0.049). For the ELISA test, all patients in the pneumonia group showed a high optical density (OD) ratio (≥3.0), while 65.3% of mild symptomatic and 53.3% of asymptomatic/anosmia groups showed a high ratio (p = 0.006).
Conclusions
Most asymptomatic and mild COVID-19 patients produced the neutralizing antibody, although the titers were lower than pneumonia patients. ELISA and FIA sensitively detected anti-SARS-CoV-2 antibodies.
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