Evidence map›Paper›PMID 33766553›Full record

ArticleThe Journal of infection2021

Serological surveillance of SARS-CoV-2: Six-month trends and antibody response in a cohort of public health workers.

Ross J Harris, Heather J Whitaker, Nick J Andrews, Felicity Aiano, Zahin Amin-Chowdhury, Jessica Flood, Ray Borrow, Ezra Linley, Shazaad Ahmad, Lorraine Stapley and 9 more

Abstract read
In one paragraph

Article in The Journal of infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
–field-weighted citation impact
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

44 citing papers in PubMed.

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  12. The durability of natural infection and vaccine-induced immunity against future infection by SARS-CoV-2.Proceedings of the National Academy of Sciences of the United States of America · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Ross J HarrisStatistics, Modelling and Economics Department, Public Health England Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Heather J WhitakerStatistics, Modelling and Economics Department, Public Health England Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Nick J AndrewsStatistics, Modelling and Economics Department, Public Health England Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Felicity AianoImmunisation and Countermeasures Division, PHE Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Zahin Amin-ChowdhuryImmunisation and Countermeasures Division, PHE Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Jessica FloodImmunisation and Countermeasures Division, PHE Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Ray BorrowSero-epidemiology Unit, Public Health England, Public Health Laboratory Manchester, Manchester Medical Microbiology Partnership, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Ezra LinleySero-epidemiology Unit, Public Health England, Public Health Laboratory Manchester, Manchester Medical Microbiology Partnership, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Shazaad AhmadManchester University NHS Foundation Trust, UK.
Lorraine StapleyImmunoassay Lab, National Infection Service, Porton Down, SP4 0JG, UK.
Bassam HallisImmunoassay Lab, National Infection Service, Porton Down, SP4 0JG, UK.
Gayatri AmirthalingamImmunisation and Countermeasures Division, PHE Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Katja HöschlerVirus Reference Department, Reference Microbiology, Public Health England Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Ben ParkerNIHR Manchester Clinical Research Facility, Manchester University NHS Foundation Trust, Manchester M13 9WL, UK; Kellgren Centre for Rheumatology, NIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester M13 9WL, UK.
Alex HorsleyDivision of Infection, Inflammation and Respiratory Medicine, University of Manchester, Manchester M23 9LT, UK.
Timothy J G BrooksRare & Imported Pathogens Laboratory, Public Health England, Manor Farm Road, Porton Down, Salisbury SO4 0JG, UK.
Kevin E BrownImmunisation and Countermeasures Division, PHE Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Mary E RamsayImmunisation and Countermeasures Division, PHE Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK.
Shamez N LadhaniImmunisation and Countermeasures Division, PHE Colindale, National Infection Service, 61 Colindale Avenue, London NW9 5EQ, UK; Paediatric Infectious Diseases Research Group (PIDRG), St. Georges University of London (SGUL), London, UK. Electronic address: Shamez.Ladhani@phe.gov.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibody waning after SARS-CoV-2 infection may result in reduction in long-term immunity following natural infection and vaccination, and is therefore a major public health issue. We undertook prospective serosurveillance in a large cohort of healthy adults from the start of the epidemic in England.

methodsClinical and non-clinical healthcare workers were recruited across three English regions and tested monthly from March to November 2020 for SARS-CoV-2 spike (S) protein and nucleoprotein (N) antibodies using five different immunoassays. In positive individuals, antibody responses and long-term trends were modelled using mixed effects regression.

findingsIn total, 2246 individuals attended 12,247 visits and 264 were seropositive in ≥ 2 assays. Most seroconversions occurred between March and April 2020. The assays showed > 85% agreement for ever-positivity, although this changed markedly over time. Antibodies were detected earlier with Abbott (N) but declined rapidly thereafter. With the EuroImmun (S) and receptor-binding domain (RBD) assays, responses increased for 4 weeks then fell until week 12-16 before stabilising. For Roche (N), responses increased until 8 weeks, stabilised, then declined, but most remained above the positive threshold. For Roche (S), responses continued to climb over the full 24 weeks, with no sero-reversions. Predicted proportions sero-reverting after 52 weeks were 100% for Abbott, 59% (95% credible interval 50-68%) Euroimmun, 41% (30-52%) RBD, 10% (8-14%) Roche (N) < 2% Roche (S).

interpretationTrends in SARS-CoV-2 antibodies following infection are highly dependent on the assay used. Ongoing serosurveillance using multiple assays is critical for monitoring the course and long-term progression of SARS-CoV-2 antibodies.

Indexed as

COVID-19SARS-CoV-2AdultAntibodies, ViralAntibody FormationEnglandHealth PersonnelHumansProspective StudiesPublic HealthAntibodies, Viral

Identifiers

PMID33766553
PMCPMC7982645

What OpenQuestion holds

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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.