Evidence map›Paper›PMID 34804064›Full record

ArticleFrontiers in immunology2021

Profiling Antibody Response Patterns in COVID-19: Spike S1-Reactive IgA Signature in the Evolution of SARS-CoV-2 Infection.

Gabriel Siracusano, Chiara Brombin, Claudia Pastori, Federica Cugnata, Maddalena Noviello, Elena Tassi, Denise Princi, Diego Cantoni, Mauro S Malnati, Norma Maugeri and 9 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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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

19 authors.

Gabriel SiracusanoDivision of Immunology, Transplantation and Infectious Disease, Immunobiology of HIV Group, San Raffaele Scientific Institute, Milan, Italy.
Chiara BrombinUniversity Centre of Statistics in the Biomedical Sciences, Vita-Salute San Raffaele University, Milan, Italy.
Claudia PastoriDivision of Immunology, Transplantation and Infectious Disease, Immunobiology of HIV Group, San Raffaele Scientific Institute, Milan, Italy.
Federica CugnataUniversity Centre of Statistics in the Biomedical Sciences, Vita-Salute San Raffaele University, Milan, Italy.
Maddalena NovielloExperimental Hematology Unit, San Raffaele Scientific Institute, Milan, Italy.
Elena TassiExperimental Hematology Unit, San Raffaele Scientific Institute, Milan, Italy.
Denise PrinciDivision of Immunology, Transplantation and Infectious Disease, Immunobiology of HIV Group, San Raffaele Scientific Institute, Milan, Italy.
Diego CantoniViral Pseudotype Unit, Medway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United Kingdom.
Mauro S MalnatiViral Evolution and Transmission Unit, San Raffaele Scientific Institute, Milan, Italy.
Norma MaugeriAutoimmunity and Vascular Inflammation Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Carla BozziFondazione Opera San Camillo, Milano, Italy.
Gianni SarettoFondazione Opera San Camillo, Milano, Italy.
Nicola ClementiLaboratory of Medical Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy.
Nicasio ManciniLaboratory of Medical Microbiology and Virology, Vita-Salute San Raffaele University, Milan, Italy.
Caterina Uberti-FoppaInfectious Diseases Clinic, Vita-Salute San Raffaele University, Milan, Italy.
Nigel TempertonViral Pseudotype Unit, Medway School of Pharmacy, Universities of Kent and Greenwich, Chatham, United Kingdom.
Chiara BoniniExperimental Hematology Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Clelia Di SerioUniversity Centre of Statistics in the Biomedical Sciences, Vita-Salute San Raffaele University, Milan, Italy.
Lucia LopalcoDivision of Immunology, Transplantation and Infectious Disease, Immunobiology of HIV Group, San Raffaele Scientific Institute, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This contribution explores in a new statistical perspective the antibody responses to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 141 coronavirus disease 2019 (COVID-19) patients exhibiting a broad range of clinical manifestations. This cohort accurately reflects the characteristics of the first wave of the SARS-CoV-2 pandemic in Italy. We determined the IgM, IgA, and IgG levels towards SARS-CoV-2 S1, S2, and NP antigens, evaluating their neutralizing activity and relationship with clinical signatures. Moreover, we longitudinally followed 72 patients up to 9 months postsymptoms onset to study the persistence of the levels of antibodies. Our results showed that the majority of COVID-19 patients developed an early virus-specific antibody response. The magnitude and the neutralizing properties of the response were heterogeneous regardless of the severity of the disease. Antibody levels dropped over time, even though spike reactive IgG and IgA were still detectable up to 9 months. Early baseline antibody levels were key drivers of the subsequent antibody production and the long-lasting protection against SARS-CoV-2. Importantly, we identified anti-S1 IgA as a good surrogate marker to predict the clinical course of COVID-19. Characterizing the antibody response after SARS-CoV-2 infection is relevant for the early clinical management of patients as soon as they are diagnosed and for implementing the current vaccination strategies.

Indexed as

AdultAgedAged, 80 and overAntibodies, NeutralizingAntibodies, ViralCOVID-19FemaleHEK293 CellsHospitalizationHumansImmunoglobulin AImmunoglobulin GImmunoglobulin MMaleMiddle AgedSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralImmunoglobulin AImmunoglobulin GImmunoglobulin MSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2clinical outcomeCOVID-19neutralizing antibodiesSARS-CoV-2VOC

Identifiers

PMID34804064
PMCPMC8595940

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.