Evidence map›Paper›PMID 40275382›Full record

ArticleVirology journal2025

Long-term persistence of serum IgM antibodies against chikungunya virus in patients with chronic arthralgia.

Leile Camila Jacob-Nascimento, Rosângela O Anjos, Moyra M Portilho, Viviane M Cavalcanti, Adriane S Paz, Lorena G Santos, Moisés S Sousa, Julia G Costa, Mariane R Silva, Patrícia S S Moreira and 5 more

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Article in Virology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Leile Camila Jacob-NascimentoFundação Oswaldo Cruz, Salvador, Brazil.
Rosângela O AnjosFundação Oswaldo Cruz, Salvador, Brazil.
Moyra M PortilhoFundação Oswaldo Cruz, Salvador, Brazil.
Viviane M CavalcantiEscola Bahiana de Medicina e Saúde Pública, Salvador, Brazil.
Adriane S PazEscola Bahiana de Medicina e Saúde Pública, Salvador, Brazil.
Lorena G SantosFundação Oswaldo Cruz, Salvador, Brazil.
Moisés S SousaFundação Oswaldo Cruz, Salvador, Brazil.
Julia G CostaFundação Oswaldo Cruz, Salvador, Brazil.
Mariane R SilvaFundação Oswaldo Cruz, Salvador, Brazil.
Patrícia S S MoreiraFundação Oswaldo Cruz, Salvador, Brazil.
Uriel KitronEmory University, Atlanta, USA.
Scott C WeaverWorld Reference Center for Emerging Viruses and Arboviruses, University of Texas Medical Branch, Galveston, USA.
Mittermayer B SantiagoEscola Bahiana de Medicina e Saúde Pública, Salvador, Brazil.
Mitermayer G ReisFundação Oswaldo Cruz, Salvador, Brazil.
Guilherme S RibeiroFundação Oswaldo Cruz, Salvador, Brazil. guilherme.ribeiro@fiocruz.br.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 440891/2016-7, 311365/2021-3 to G.S.RCoordenação de Aperfeiçoamento de Pessoal de Nível Superior 88881.130749/2016-01 to G.S.RFundação de Amparo à Pesquisa do Estado da Bahia PET0022/2016 to G.S.R
6 · The paper itself

Abstract

backgroundAnti-Chikungunya virus (CHIKV) IgM antibodies may persist for months after infection in some individuals, but the evidence is limited, and their exact duration remains unknown.

objectiveThis study aimed to determine the duration for which anti-CHIKV IgM antibodies remain detectable following acute infection.

methodsA commercial ELISA was used to assess the frequency of anti-CHIKV IgM antibody detection over time in 145 longitudinal serum samples obtained from 45 laboratory-confirmed chikungunya patients in Brazil (two to six samples per patient).

resultsAmong samples obtained within seven days post-symptom onset (DPSO), 13% (6/45) were IgM-positive. Between 10 and 120 DPSO, 100% (62/62) of samples were positive. Positivity rates for samples collected between 121 - 720, 721-900, 901-1,080, 1,081-1,260, and > 1,260 DPSO were 62% (5/8), 35% (6/17), 12% (1/8), 33% (1/3) and 50% (1/2), respectively. Notably, among 21 patients who developed chronic arthralgia and had at least one sample collected > 720 DPSO, 7 (33%) still had detectable anti-CHIKV IgM. This suggests that approximately one-third of chikungunya patients with chronic arthralgia may maintain anti-CHIKV IgM for over two years following acute disease.

conclusionsOur findings indicate that anti-CHIKV IgM antibodies can persist substantially longer than typically observed for acute RNA virus infections. This has significant implications for chikungunya diagnosis and surveillance. Further research is needed to determine whether long-term IgM persistence also occurs in patients without chronic chikungunya symptoms.

Indexed as

Antibodies, ViralArthralgiaChikungunya FeverChikungunya virusImmunoglobulin MAdolescentAdultAgedBrazilChronic DiseaseEnzyme-Linked Immunosorbent AssayFemaleHumansLongitudinal StudiesMaleMiddle AgedAntibodies, ViralImmunoglobulin MChikungunyaDiagnosisIgM antibodySerologySurveillance

Identifiers

PMID40275382
PMCPMC12020198

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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.