Evidence map›Paper›PMID 33841649›Full record

ArticleAmerican journal of translational research2021

Correlation of the ratio of IgM/IgG concentration to days after symptom onset (IgM/T or IgG/T) with disease severity and outcome in non-critical COVID-19 patients.

Yan Rong, Fei Wang, Xiaoli Li, Xinhua Liang, Yang Zhou, Dandan Zhang, Jing Liu, Huadong Zeng, Jing Wang, Yi Shi

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Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yan RongDepartment of Respiratory and Critical Care Medicine, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Fei WangDepartment of Orthopaedics, The University of Hong Kong - Shenzhen Hospital Shenzhen 518053, China.
Xiaoli LiDepartment of Respiratory and Critical Care Medicine, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Xinhua LiangDepartment of Nephrology, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Yang ZhouDepartment of Respiratory and Critical Care Medicine, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Dandan ZhangDepartment of Respiratory and Critical Care Medicine, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Jing LiuDepartment of Health Management Center, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Huadong ZengDepartment of Respiratory and Critical Care Medicine, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Jing WangDepartment of Radiology, Shenzhen Hospital, Southern Medical University Shenzhen 518100, China.
Yi ShiDepartment of Respiratory and Critical Care Medicine, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University Nanjing 210002, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCorrelation of SARS-CoV-2 serum antibodies with COVID-19 development and outcome has not been fully studied. Due to the time dynamic of antibodies, the antibody concentration of the same patient varies greatly at different times during the course of the disease. Therefore, our study used IgM/T or IgG/T (the ratio of serum antibody concentration to days after symptom onset) to reflect the patient's humoral immune status, and analyzed their correlation with COVID-19 development and outcome.

methodsClinical data of 50 non-critical COVID-19 patients were retrospectively analyzed. Time-resolved fluorescence immunochromatography was used to quantitatively detect SARS-CoV-2 IgM and IgG. Correlation analysis was performed.

resultsIgM antibody was positive on day 5 of symptom onset, increased within 2 weeks, and then gradually decreased. However, IgG antibody was positive on week 2 of symptom onset and continued to increase since. Additionally, IgM/T, but not IgG/T of recovery period (Spearman ρ=0.17; P=0.283), was negatively correlated with disease course in 2 weeks of symptom onset (Spearman ρ=-0.860; P=0.000). IgG/T of recovery period was positively correlated with clinical classification (Spearman ρ=0.432; P=0.004), number of involved lung lobes (Spearman ρ=0.343; P=0.026), and lung lesions (Spearman ρ=0.472; P=0.002).

conclusionsWithin 2 weeks of symptom onset, higher IgM/T indicates faster recovery and shorter disease course. In recovery period, higher IgG/T suggests more serious disease. IgM/T or IgG/T may predict disease severity and outcome in non-critical COVID-19 patients.

Indexed as

Correlationdisease severityIgG/TIgM/Tnon-critical COVID-19outcome

Identifiers

PMID33841649
PMCPMC8014342

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