Evidence map›Paper›PMID 34563862›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2021

Dynamics of IgG-avidity and antibody levels after Covid-19.

Emma Löfström, Anna Eringfält, Arne Kötz, Fredrik Wickbom, Johan Tham, Markus Lingman, Jens M Nygren, Johan Undén

Abstract read
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

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  7. Avidity maturation of anti-spike IgG after vaccination in COVID-19 convalescent vs COVID-19 naïve patients.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
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  13. Immunological evaluation of young unvaccinated patients with Turner syndrome after COVID-19.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
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  17. Patients' Health Experiences of Post COVID-19 Condition-A Qualitative Study.International journal of environmental research and public health · 2022
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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

8 authors.

Emma LöfströmDepartment of Clinical Microbiology, Hallands hospital Halmstad, 301 85 Halmstad, Sweden; Department of Clinical Sciences, Lund University, Office DCSL, 221 84 Lund, Sweden. Electronic address: Emma.lofstrom@regionhalland.se.
Anna EringfältDepartment of Clinical Sciences, Lund University, Office DCSL, 221 84 Lund, Sweden.
Arne KötzDepartment of Operation and Intensive care, Hallands hospital Halmstad, 301 85 Halmstad, Sweden.
Fredrik WickbomDepartment of Translational Medicine, Clinical Infection Medicine, Lund University, Skåne University Hospital, 205 02 Malmö, Sweden.
Johan ThamDepartment of Translational Medicine, Clinical Infection Medicine, Lund University, Skåne University Hospital, 205 02 Malmö, Sweden.
Markus LingmanDepartment of Molecular and Clinical Medicine/Cardiology, Sahlgrenska Academy, Göteborg, Sweden; Hallands Hospital, Halland county, Sweden.
Jens M NygrenSchool of Health and Welfare, Halmstad University, 302 50 Halmstad, Sweden.
Johan UndénDepartment of Clinical Sciences, Lund University, Office DCSL, 221 84 Lund, Sweden; Department of Operation and Intensive care, Hallands hospital Halmstad, 301 85 Halmstad, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA potentially important aspect of the humoral immune response to Covid-19 is avidity, the overall binding strength between antibody and antigen. As low avidity is associated with a risk of re- infection in several viral infections, avidity might be of value to predict risk for reinfection with covid-19.

objectivesThe purpose of this study was to describe the maturation of IgG avidity and the antibody-levels over time in patients with PCR-confirmed non-severe covid-19. STUDY

designProspective longitudinal cohort study including patients with RT-PCR confirmed covid-19. Blood samples were drawn 1, 3 and 6 months after infection. Antibody levels and IgG-avidity were analysed.

resultsThe majority had detectable s- and n-antibodies (88,1%, 89,1%, N = 75). The level of total n-antibodies significantly increased from 1 to 3 months (median value 28,3 vs 39,3 s/co, p<0.001) and significantly decreased from 3 to 6 months (median value 39,3 vs 17,1 s/co, p<0.001). A significant decrease in the IgG anti-spike levels (median value 37,6, 24,1 and 18,2 RU/ml, p<0.001) as well as a significant increase in the IgG-avidity index (median values 51,6, 66,0 and 71,0%, p<0.001) were seen from 1 to 3 to 6 months.

conclusionWe found a significant ongoing increase in avidity maturation after Covid-19 whilst the levels of antibodies were declining, suggesting a possible aspect of long-term immunity.

Indexed as

COVID-19Antibodies, ViralHumansImmunoglobulin GLongitudinal StudiesProspective StudiesSARS-CoV-2Spike Glycoprotein, CoronavirusAntibodies, ViralImmunoglobulin GSpike Glycoprotein, CoronavirusAntibodyAnti-nucleocapsidAnti-spikeAvidityCovid-19SARS-CoV-2

Identifiers

PMID34563862
PMCPMC8451979

What OpenQuestion holds

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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.