Evidence map›Paper›PMID 40246813›Full record

ArticleNature communications2025

Anti-nucleocapsid and anti-spike antibody trajectories in people with post-covid condition versus acute-only infections: a nested longitudinal case-control study within the Virus Watch prospective cohort.

Sarah Beale, Alexei Yavlinsky, Gemma Moncunill, Wing Lam Erica Fong, Vincent Grigori Nguyen, Jana Kovar, Andrew C Hayward, Ibrahim Abubakar, Robert W Aldridge

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

9 authors.

Sarah BealeInstitute of Health Informatics, University College London, London, UK. sarah.beale@ucl.ac.uk.ORCID http://orcid.org/0000-0002-4038-7460
Alexei YavlinskyInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0002-4100-4257
Gemma MoncunillISGlobal, Barcelona, Spain.ORCID http://orcid.org/0000-0001-5105-9836
Wing Lam Erica FongInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0001-5097-2228
Vincent Grigori NguyenInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0002-9776-6242
Jana KovarInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0002-0477-2767
Andrew C HaywardInstitute of Epidemiology and Health Care, University College London, London, UK.
Ibrahim AbubakarFaculty of Population Health Sciences, University College London, London, UK.ORCID http://orcid.org/0000-0002-0370-1430
Robert W AldridgeInstitute of Health Informatics, University College London, London, UK.ORCID http://orcid.org/0000-0003-0542-0816

Funding

EC | Directorate-General for Employment, Social Affairs and Inclusion | European Social Fund (Fondo Social Europeo) RYC 2020-029886-I/ AEI/10.13039/501100011033RCUK | Medical Research Council (MRC) MR/V028375/1Wellcome TrustWellcome Trust 206602
6 · The paper itself

Abstract

People with Post-Covid Condition (PCC) may demonstrate aberrant immune responses post-infection; however, serological follow-up studies are limited. We aim to compare SARS-CoV-2 serological responses to infection and vaccination in people who develop PCC versus those with an acute infection only. Participants (n = 2010) are a sub-cohort of the Virus Watch community cohort in England who provided monthly finger-prick serological samples. We compare the likelihood of post-infection seroconversion using logistic mixed models and the trajectories of anti-nucleocapsid (anti-N) and anti-spike (anti-S) antibodies using linear mixed models. Participants who developed PCC (n = 394) have 1.8x the odds of post-infection seroconversion for anti-N antibodies compared to those with an acute infection only (n = 1616) (odds ratio= 1.81 (95% confidence interval (CI) 1.16-2.90); however, these results are moderated by vaccination status and variant - with differences observed in pre-Omicron, unvaccinated participants. Anti-N levels, however, were elevated within 200 days post-infection in people with PCC compared to those without, after accounting for variant and vaccination status. Vaccination response (anti-S) pre- or post-infection did not systematically differ between groups. People with PCC demonstrate persistently higher anti-N antibody levels following primary infection compared to those with an acute infection only. These findings extend emerging evidence around infection-related immune activation and PCC.

Indexed as

Antibodies, ViralCOVID-19SARS-CoV-2Spike Glycoprotein, CoronavirusAcute DiseaseAdultAgedCase-Control StudiesEnglandFemaleHumansLongitudinal StudiesMaleMiddle AgedPost-Acute COVID-19 SyndromeProspective StudiesAntibodies, ViralSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID40246813
PMCPMC12006544

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.