Evidence map›Paper›PMID 32221519›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Antibody Responses to SARS-CoV-2 in Patients With Novel Coronavirus Disease 2019.

Juanjuan Zhao, Quan Yuan, Haiyan Wang, Wei Liu, Xuejiao Liao, Yingying Su, Xin Wang, Jing Yuan, Tingdong Li, Jinxiu Li and 15 more

9 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 9 registered trials, which are not on this map. Cited by 1,564 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,564citing papers in PubMed, 9 pooled it
64.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04348422 completednot on this map

Evaluation of the Immune Response in Symptomatic and Asymptomatic Patients' Diagnosed Witih COVID-19

TypeobservationalSponsorAssaf-Harofeh Medical CenterRan2020 to 2022Enrolled214ConditionsCOVID-19ArmsCOVID-19 RT-PCR, COVID-19 Serology, Symptoms questionnare
NCT04353206 early_phase1terminatednot on this map

A Feasibility Study Assessing the Safety of Multiple Doses of Anti-SARS-CoV-2 Plasma in Mechanically Ventilated Intubated Patients With Respiratory Failure Due to COVID-19

TypeinterventionalSponsorNoah MerinRan2020 to 2020Enrolled6ConditionsCovid-19, Sars-CoV2ArmsMultiple Doses of Anti-SARS-CoV-2 convalescent plasma
NCT04387890 unknown statusnot on this map

Serologic Surveillance for SARS-CoV-2 (COVID-19) in a Prospective Cohort of Health Care

TypeobservationalSponsorHospital Italiano de Buenos AiresRan2020 to 2020Enrolled50ConditionsCOVID-19, SARS-CoV 2, Health PersonnelArmsSerologic SARS-CoV-2 screening
NCT04513158 phase2terminatednot on this map

Convalescent Plasma in the Early Treatment of High-Risk Patients With SARS-CoV-2 (COVID-19) Infection

TypeinterventionalSponsorJoseph M. Flynn, D.O., MPHRan2020 to 2021Enrolled2ConditionsCovid19ArmsConvalescent Plasma
NCT04595136 phase1 / phase2unknown statusnot on this map

A Two-arm Randomized Double-blind Study With COVID19-0001-USR Administered Via Nebulization to Patients With Mild and/or Moderate Severe Acute Respiratory Syndrome (SARS-COV-2) Infection to Decrease Viral Load

TypeinterventionalSponsorUnited Medical SpecialtiesRan2020 to 2021Enrolled60ConditionsSARS-CoV-2 InfectionArmsDrug COVID19-0001-USR, normal saline
NCT04596098 completednot on this map

Immune Responses to COVID-19 (SARS-CoV-2 Related Infection); Isolation of Human Neutralizing Monoclonal Antibodies for Therapeutics and Vaccine Design Approaches: a Prospective Monocentric Trial With Collaborative Sample Collection.

TypeobservationalSponsorUniversity Hospital, GrenobleRan2020 to 2022Enrolled55ConditionsSARS-CoV 2ArmsBlood sampling
NCT04627623 unknown statusnot on this map

Prevalence and Risk Factors of COVID-19 Infection in the Upper Silesian Agglomeration Population in 2020

TypeobservationalSponsorMedical University of SilesiaRan2020 to 2021Enrolled6,000ConditionsCovid19, Respiratory Tract Infections, Severe Acute Respiratory Syndrome, Corona Virus InfectionArmsIgM and IgG antibodies assay
NCT04904445 completednot on this mapstarted 2021, after this paper: background citation

COVID-19 Antibody Responses In Cystic Fibrosis

TypeobservationalSponsorErasmus Medical CenterRan2021 to 2024Enrolled40ConditionsCystic Fibrosis
NCT05507671 phase3active not recruitingnot on this mapstarted 2021, after this paper: background citation

The Role of the Bacillus Calmette-Guérin Vaccine (BCG) in the Clinical Evolution of COVID-19 and in the Efficacy of Anti-SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) Vaccines

TypeinterventionalSponsorOswaldo Cruz FoundationRan2021 to 2025Enrolled556ConditionsCOVID-19ArmsBCG (Bacillus Calmette-Guérin) vaccine, Placebo
3 · Its place in the literature

Who cites it

1,564 citing papers in PubMed, 9 syntheses or guidelines pooled it, 2,664 citations in OpenAlex.

  1. Pooled it
  2. Mucosal immune response in biology, disease prevention and treatment.Signal transduction and targeted therapy · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
    Pooled it
  6. Pooled it
  7. Convalescent plasma for people with COVID-19: a living systematic review.The Cochrane database of systematic reviews · 2023
    Pooled it
  8. Hyperimmune immunoglobulin for people with COVID-19.The Cochrane database of systematic reviews · 2023
    Pooled it
  9. Pooled it
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

1,504 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 3 institutions in 1 country.

Juanjuan ZhaoInstitute of Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, China.
Quan YuanThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Haiyan WangInstitute of Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, China.
Wei LiuThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Xuejiao LiaoInstitute of Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, China.
Yingying SuThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Xin WangInstitute of Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, China.
Jing YuanDepartment for Infectious Diseases, Shenzhen Third People's Hospital, Shenzhen, China.
Tingdong LiThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Jinxiu LiDepartment of Critical Care Medicine, Shenzhen Third People's Hospital, Shenzhen, China.
Shen QianInstitute of Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, China.
Congming HongThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Fuxiang WangDepartment for Infectious Diseases, Shenzhen Third People's Hospital, Shenzhen, China.
Yingxia LiuDepartment for Infectious Diseases, Shenzhen Third People's Hospital, Shenzhen, China.
Zhaoqin WangThe Second Affiliated Hospital, School of Medicine, Southern University of Science and Technology, Shenzhen, China.
Qing HeThe Second Affiliated Hospital, School of Medicine, Southern University of Science and Technology, Shenzhen, China.
Zhiyong LiSchool of Public Health, Xiamen University, Xiamen, China.
Bin HeThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Tianying ZhangThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Yang FuSchool of Medicine, Southern University of Science and Technology, Shenzhen, China.
Shengxiang GeThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Lei LiuInstitute of Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, China.
Jun ZhangThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Ningshao XiaThe State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Institute of Diagnostics and Vaccine Development in Infectious Diseases, Collaborative Innovation Center of Biologic Products, School of Public Health and School of Life Science, Xiamen University, Xiamen, China.
Zheng ZhangInstitute of Hepatology, National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, China.
Xiamen University · CNShenzhen Third People’s Hospital · CNSouthern University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe novel coronavirus SARS-CoV-2 is a newly emerging virus. The antibody response in infected patients remains largely unknown, and the clinical value of antibody testing has not been fully demonstrated.

methods173 patients with SARS-CoV-2 infection were enrolled. Their serial plasma samples (n = 535) collected during hospitalization were tested for total antibodies (Ab), IgM, and IgG against SARS-CoV-2. The dynamics of antibodies with disease progress were analyzed.

resultsAmong 173 patients, the seroconversion rates for Ab, IgM, and IgG were 93.1%, 82.7%, and 64.7%, respectively. The reason for the negative antibody findings in 12 patients might be due to the lack of blood samples at the later stage of illness. The median seroconversion times for Ab, IgM, and then IgG were days 11, 12, and 4, respectively. The presence of antibodies was <40% among patients within 1 week of onset, and rapidly increased to 100.0% (Ab), 94.3% (IgM), and 79.8% (IgG) by day 15 after onset. In contrast, RNA detectability decreased from 66.7% (58/87) in samples collected before day 7 to 45.5% (25/55) during days 15-39. Combining RNA and antibody detection significantly improved the sensitivity of pathogenic diagnosis for COVID-19 (P < .001), even in the early phase of 1 week from onset (P = .007). Moreover, a higher titer of Ab was independently associated with a worse clinical classification (P = .006).

conclusionsAntibody detection offers vital clinical information during the course of SARS-CoV-2 infection. The findings provide strong empirical support for the routine application of serological testing in the diagnosis and management of COVID-19 patients.

Indexed as

AdultAgedAntibodies, ViralAntibody FormationCOVID-19Enzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin GImmunoglobulin MMaleMiddle AgedPandemicsSARS-CoV-2Serologic TestsAntibodies, ViralImmunoglobulin GImmunoglobulin MantibodyCOVID-19SARS-CoV-2

Identifiers

PMID32221519
PMCPMC7184337
OpenAlexW3013985547

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 3 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.