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10.1093/infdis/jiaa273

http://scihub22266oqcxt.onion/10.1093/infdis/jiaa273
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32427334!7313936!32427334
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suck abstract from ncbi


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pmid32427334      J+Infect+Dis 2020 ; 222 (2): 206-213
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  • Sensitivity in Detection of Antibodies to Nucleocapsid and Spike Proteins of Severe Acute Respiratory Syndrome Coronavirus 2 in Patients With Coronavirus Disease 2019 #MMPMID32427334
  • Burbelo PD; Riedo FX; Morishima C; Rawlings S; Smith D; Das S; Strich JR; Chertow DS; Davey RT; Cohen JI
  • J Infect Dis 2020[Jun]; 222 (2): 206-213 PMID32427334show ga
  • BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), is associated with respiratory-related disease and death. Assays to detect virus-specific antibodies are important to understand the prevalence of infection and the course of the immune response. METHODS: Quantitative measurements of plasma or serum antibodies to the nucleocapsid and spike proteins were analyzed using luciferase immunoprecipitation system assays in 100 cross-sectional or longitudinal samples from patients with SARS-CoV-2 infection. A subset of samples was tested both with and without heat inactivation. RESULTS: At >14 days after symptom onset, antibodies against SARS-CoV-2 nucleocapsid protein showed 100% sensitivity and 100% specificity, whereas antibodies to spike protein were detected with 91% sensitivity and 100% specificity. Neither antibody levels nor the rate of seropositivity were significantly reduced by heat inactivation of samples. Analysis of daily samples from 6 patients with COVID-19 showed anti-nucleocapsid and spike protein antibodies appearing between days 8 and 14 after initial symptoms. Immunocompromised patients generally had a delayed antibody response to SARS-CoV-2, compared with immunocompetent patients. CONCLUSIONS: Antibody to the nucleocapsid protein of SARS-CoV-2 is more sensitive than spike protein antibody for detecting early infection. Analyzing heat-inactivated samples with a luciferase immunoprecipitation system assay is a safe and sensitive method for detecting SARS-CoV-2 antibodies.
  • |*Clinical Laboratory Techniques[MESH]
  • |*Immunoprecipitation[MESH]
  • |Adult[MESH]
  • |Antibodies, Viral/*blood[MESH]
  • |Betacoronavirus/*immunology[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Coronavirus Infections/diagnosis/*immunology[MESH]
  • |Coronavirus Nucleocapsid Proteins[MESH]
  • |Female[MESH]
  • |Hot Temperature[MESH]
  • |Humans[MESH]
  • |Immunocompetence[MESH]
  • |Immunocompromised Host[MESH]
  • |Luciferases[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nucleocapsid Proteins/*immunology[MESH]
  • |Pandemics[MESH]
  • |Phosphoproteins[MESH]
  • |Pneumonia, Viral/*immunology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Spike Glycoprotein, Coronavirus/*immunology[MESH]


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