Evidence map›Paper›PMID 34480056›Full record

Trial reportScientific reports2021

Assessment of avidity related to IgG subclasses in SARS-CoV-2 Brazilian infected patients.

Andrew D Moura, Hernan H M da Costa, Victor A Correa, Ana K de S Lima, José A L Lindoso, Elizabeth De Gaspari, Marisa A Hong, Jair P Cunha-Junior, Carlos R Prudencio

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

47 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Tuberculosis treatment and cytotoxic immune signatures: a longitudinal study.Journal of clinical tuberculosis and other mycobacterial diseases · 2026
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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

9 authors at 4 institutions in 2 countries.

Andrew D MouraCenter of Immunology, Institute Adolfo Lutz, São Paulo, Brazil.
Hernan H M da CostaCenter of Immunology, Institute Adolfo Lutz, São Paulo, Brazil.
Victor A CorreaCenter of Immunology, Institute Adolfo Lutz, São Paulo, Brazil.
Ana K de S LimaInstitute of Infectology Emilio Ribas, São Paulo, Brazil.
José A L LindosoInstitute of Infectology Emilio Ribas, São Paulo, Brazil.
Elizabeth De GaspariCenter of Immunology, Institute Adolfo Lutz, São Paulo, Brazil.
Marisa A HongCenter of Immunology, Institute Adolfo Lutz, São Paulo, Brazil.
Jair P Cunha-JuniorLaboratory of Immunochemistry and Immunotechnology, Department of Immunology, Federal University of Uberlândia, Uberlândia, MG, Brazil.
Carlos R PrudencioCenter of Immunology, Institute Adolfo Lutz, São Paulo, Brazil. carlos.prudencio@ial.sp.gov.br.
Instituto Adolfo Lutz · BRInstituto de Infectologia Emílio Ribas · BRInstituto de Medicina Tropical · PYUniversidade Federal de Uberlândia · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 440812/2016-0Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88881.130804/2016-01Fundação de Amparo à Pesquisa do Estado de São Paulo 17/50333-7Fundação de Amparo à Pesquisa do Estado de São Paulo 18/04202-0
6 · The paper itself

Abstract

SARS-CoV-2 is considered a global emergency, resulting in an exacerbated crisis in the health public in the world. Although there are advances in vaccine development, it is still limited for many countries. On the other hand, an immunological response that mediates protective immunity or indicates that predict disease outcome in SARS-CoV-2 infection remains undefined. This work aimed to assess the antibody levels, avidity, and subclasses of IgG to RBD protein, in symptomatic patients with severe and mild forms of COVID-19 in Brazil using an adapted in-house RBD-IgG ELISA. The RBD IgG-ELISA showed 100% of specificity and 94.3% of sensibility on detecting antibodies in the sera of hospitalized patients. Patients who presented severe COVID-19 had higher anti-RBD IgG levels compared to patients with mild disease. Additionally, most patients analyzed displayed low antibody avidity, with 64.4% of the samples of patients who recovered from the disease and 84.6% of those who died in this avidity range. Our data also reveals an increase of IgG1 and IgG3 levels since the 8th day after symptoms onset, while IgG4 levels maintained less detectable during the study period. Surprisingly, patients who died during 8-14 and 15-21 days also showed higher anti-RBD IgG4 levels in comparison with the recovered (P < 0.05), suggesting that some life-threatening patients can elicit IgG4 to RBD antibody response in the first weeks of symptoms onset. Our findings constitute the effort to clarify IgG antibodies' kinetics, avidity, and subclasses against SARS-CoV-2 RBD in symptomatic patients with COVID-19 in Brazil, highlighting the importance of IgG antibody avidity in association with IgG4 detection as tool laboratory in the follow-up of hospitalized patients with more significant potential for life-threatening.

Indexed as

Antibodies, ViralAntibody AffinityCOVID-19Immunoglobulin GSARS-CoV-2AdultAgedAged, 80 and overBrazilFemaleHumansMaleMiddle AgedAntibodies, ViralImmunoglobulin G

Identifiers

PMID34480056
PMCPMC8417219
OpenAlexW3196309614

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.