Evidence map›Paper›PMID 33589882›Full record

ArticleEClinicalMedicine2021

Antibody titers against SARS-CoV-2 decline, but do not disappear for several months.

Seiya Yamayoshi, Atsuhiro Yasuhara, Mutsumi Ito, Osamu Akasaka, Morio Nakamura, Ichiro Nakachi, Michiko Koga, Keiko Mitamura, Kazuma Yagi, Kenji Maeda and 25 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
9.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 168 citations in OpenAlex.

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  17. Inferring COVID-19 testing and vaccination behavior from New Jersey testing data.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  18. Article
  19. Article
  20. Wastewater-based reproduction numbers and projections of COVID-19 cases in three areas in Japan, November 2021 to December 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article

48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors at 12 institutions in 2 countries.

Seiya YamayoshiDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
Atsuhiro YasuharaDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
Mutsumi ItoDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
Osamu AkasakaEmergency Medical Center, Fujisawa City Hospital, Japan.
Morio NakamuraDepartment of Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Japan.
Ichiro NakachiPulmonary division, Department of Internal Medicine, Saiseikai Utsunomiya Hospital, Japan.
Michiko KogaDivision of Infectious Diseases, Advanced Clinical Research Center, Institute of Medical Science, University of Tokyo, Japan.
Keiko MitamuraDivision of Infection Control, Eiju General Hospital, Japan.
Kazuma YagiDepartment of Pulmonary Medicine, Department of Medicine, Keiyu Hospital, Japan.
Kenji MaedaDepartment of Refractory Viral Infections, National Center for Global Health and Medicine Research Institute, Japan.
Hideaki KatoInfection Prevention and Control Department, Yokohama City University Hospital, Japan.
Masanori NojimaCenter for Translational Research, Institute of Medical Science Hospital, University of Tokyo, Japan.
David PattinsonDepartment of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, USA.
Takayuki OguraDepartment of Emergency Medicine and Critical Care Medicine, Saiseikai Utsunomiya Hospital, Japan.
Rie BabaPulmonary division, Department of Internal Medicine, Saiseikai Utsunomiya Hospital, Japan.
Kensuke FujitaDepartment of Emergency Medicine and Critical Care Medicine, Saiseikai Utsunomiya Hospital, Japan.
Hiroyuki NagaiDepartment of Infectious Diseases and Applied Immunology, IMSUT Hospital of Institute of Medical Science, the University of Tokyo, Japan.
Shinya YamamotoDivision of Infectious Diseases, Advanced Clinical Research Center, Institute of Medical Science, University of Tokyo, Japan.
Makoto SaitoDivision of Infectious Diseases, Advanced Clinical Research Center, Institute of Medical Science, University of Tokyo, Japan.
Eisuke AdachiDepartment of Infectious Diseases and Applied Immunology, IMSUT Hospital of Institute of Medical Science, the University of Tokyo, Japan.
Junichi OchiDepartment of Respiratory Medicine, Eiju General Hospital, Japan.
Shin-Ichiro HattoriDepartment of Refractory Viral Infections, National Center for Global Health and Medicine Research Institute, Japan.
Tetsuya SuzukiDisease Control and Prevention Center, National Center for Global Health and Medicine Hospital, Japan.
Yusuke MiyazatoDisease Control and Prevention Center, National Center for Global Health and Medicine Hospital, Japan.
Shiho ChibaDepartment of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, USA.
Moe OkudaDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
Jurika MurakamiDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
Taiki HamabataDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
Kiyoko Iwatsuki-HorimotoDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
Hideaki NakajimaDepartment of Hematology and Clinical Immunology, Yokohama City University School of Medicine, Japan.
Hiroaki MitsuyaDepartment of Refractory Viral Infections, National Center for Global Health and Medicine Research Institute, Japan.
Norio OmagariDisease Control and Prevention Center, National Center for Global Health and Medicine Hospital, Japan.
Norio SugayaDepartment of Pediatrics, Keiyu Hospital, Japan.
Hiroshi YotsuyanagiDivision of Infectious Diseases, Advanced Clinical Research Center, Institute of Medical Science, University of Tokyo, Japan.
Yoshihiro KawaokaDivision of Virology, Department of Microbiology and Immunology, Institute of Medical Science, University of Tokyo, Japan.
National Center for Global Health and Medicine · JPSaiseikai Utsunomiya hospital · JPTokyo University of Science · JPUniversity of Wisconsin–Madison · USEiju General Hospital · JPkeiyu Hospital · JPUniversity of Tokyo Hospital · JPFujisawa City Hospital · JPSaiseikai Central Hospital · JPShiga University of Medical Science Hospital · JPYokohama City University · JPYokohama City University Hospital · JP

Funding

NIAID NIH HHS HHSN272201400008C
6 · The paper itself

Abstract

backgroundTo develop an effective vaccine against a novel viral pathogen, it is important to understand the longitudinal antibody responses against its first infection. Here we performed a longitudinal study of antibody responses against SARS-CoV-2 in symptomatic patients.

methodsSequential blood samples were collected from 39 individuals at various timepoints between 0 and 154 days after onset. IgG or IgM titers to the receptor binding domain (RBD) of the S protein, the ectodomain of the S protein, and the N protein were determined by using an ELISA. Neutralizing antibody titers were measured by using a plaque reduction assay.

findingsThe IgG titers to the RBD of the S protein, the ectodomain of the S protein, and the N protein peaked at about 20 days after onset, gradually decreased thereafter, and were maintained for several months after onset. Extrapolation modeling analysis suggested that the IgG antibodies were maintained for this amount of time because the rate of reduction slowed after 30 days post-onset. IgM titers to the RBD decreased rapidly and disappeared in some individuals after 90 days post-onset. All patients, except one, possessed neutralizing antibodies against authentic SARS-CoV-2, which they retained at 90 days after onset. The highest antibody titers in patients with severe infections were higher than those in patients with mild or moderate infections, but the decrease in antibody titer in the severe infection cohort was more remarkable than that in the mild or moderate infection cohort.

interpretationAlthough the number of patients is limited, our results show that the antibody response against the first SARS-CoV-2 infection in symptomatic patients is typical of that observed in an acute viral infection.

fundingThe Japan Agency for Medical Research and Development and the National Institutes of Allergy and Infectious Diseases.

Identifiers

PMID33589882
PMCPMC7877219
OpenAlexW3127409188

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.