Evidence map›Paper›PMID 35214624›Full record

ArticleVaccines2022

Serum Level of Anti-Nucleocapsid, but Not Anti-Spike Antibody, Is Associated with Improvement of Long COVID Symptoms.

Reka Varnai, Tihamer Molnar, Laszlo Zavori, Margit Tőkés-Füzesi, Zsolt Illes, Andrea Kanizsai, Peter Csecsei

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  7. Review
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

7 authors at 3 institutions in 3 countries.

Reka VarnaiDepartment of Primary Health Care, Medical School, University of Pecs, 7624 Pecs, Hungary.ORCID 0000-0001-8440-3955
Tihamer MolnarDepartment of Anaesthesiology and Intensive Care, Medical School, University of Pecs, 7624 Pecs, Hungary.ORCID 0000-0002-6149-9787
Laszlo ZavoriSalisbury NHS Foundation Trust, Salisbury SP28BJ, UK.ORCID 0000-0002-1715-4167
Margit Tőkés-FüzesiDepartment of Laboratory Medicine, Medical School, University of Pecs, 7624 Pecs, Hungary.
Zsolt IllesDepartment of Neurology, Odense University Hospital, University of Southern Denmark, 5230 Odense, Denmark.
Andrea KanizsaiDepartment of Dentistry, Medical School, University of Pecs, 7624 Pecs, Hungary.
Peter CsecseiDepartment of Neurosurgery, Medical School, University of Pecs, 7624 Pecs, Hungary.ORCID 0000-0002-4982-2481
University of Pecs · HUSalisbury NHS Foundation Trust · GBUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong COVID is a condition characterized by long-term sequelae persisting after the typical convalescence period of COVID-19. Previous reports have suggested the role of an unsatisfactory immune response and impaired viral clearance in the pathogenesis of long COVID syndrome. We focused on potential associations between post-vaccination changes of antibody titers and the severity of long COVID symptoms and factors influencing the state of remission observed in patients with long COVID after vaccination.

methodsThe severity of long COVID symptoms and serum anti-SARS-CoV-2 spike (S-Ig) and nucleocapsid (NC-Ig) levels were assessed in 107 post-COVID subjects at two time points: at baseline, and 17-24 weeks later. Besides, vaccination status was also assessed. Symptoms were evaluated based on the Chalder fatigue scale (CFQ-11) and visual analogue scale (VAS).

resultsSerum level of S-Ig and NC-Ig at baseline were significantly higher in the patients with non-severe fatigue than those with severe fatigue, and this difference remained significant at follow-up in the case of NC-Ig. NC-Ig level above median was as an independent predictor for complete remission at follow-up. The difference in NC-Ig levels in subgroup analyses (severe fatigue vs. non-severe fatigue; complete remission vs. incomplete remission or progression) was found to be significant only in patients who received vaccination.

conclusionsThe immune response against the SARS-CoV-2 nucleocapsid may play a more important role than the spike in the course of long-term COVID syndrome.

Indexed as

fatiguelong COVIDnucleocapsidspikevaccination

Identifiers

PMID35214624
PMCPMC8924883
OpenAlexW4206931831

What OpenQuestion holds

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LicenceCC BY
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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.