Evidence map›Paper›PMID 40610519›Full record

ArticleScientific reports2025

Protective role of anti-SARS-CoV-2 antibody responses against vital organ related long COVID symptoms.

Jhosiene Yukari Magawa, Lucas Cauê Jacintho, Marcelo Alves Ferreira, Jamille Ramos Oliveira, Rafael Rahal Guaragna Machado, Andreia Kuramoto Takara, Renata Moreno Lima de Oliveira, Ariane Cesario Lima, Greyce Luri Sasahara, Flávia Lopes Adami and 12 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

22 authors.

Jhosiene Yukari MagawaDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Lucas Cauê JacinthoDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Marcelo Alves FerreiraLaboratório de Biologia Celular, LIM59, Departamento de Patologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Jamille Ramos OliveiraDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Rafael Rahal Guaragna MachadoDepartamento de Microbiologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil.
Andreia Kuramoto TakaraLaboratório de Imunologia, LIM19, Instituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, (HCFMUSP), São Paulo, SP, Brazil.
Renata Moreno Lima de OliveiraLaboratório de Imunologia, LIM19, Instituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, (HCFMUSP), São Paulo, SP, Brazil.
Ariane Cesario LimaDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Greyce Luri SasaharaLaboratório de Imunologia, LIM19, Instituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, (HCFMUSP), São Paulo, SP, Brazil.
Flávia Lopes AdamiDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Giuliana Xavier MedeirosLaboratório de Imunologia, LIM19, Instituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, (HCFMUSP), São Paulo, SP, Brazil.
Juliana de Souza ApostolicoDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, SP, Brazil.
Edgar Ruz FernandesDepartamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, SP, Brazil.
Danielle Bruna Leal de OliveiraHospital Israelita Albert Einstein, São Paulo, Brazil.
Edison Luiz DurigonDepartamento de Microbiologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil.
Pedro Giavina BianchiDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Silvia Beatriz BoscardinDepartamento de Parasitologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil.
Daniela Santoro RosaInstituto de Investigação em Imunologia - Instituto Nacional de Ciências e Tecnologia - iii- INCT, São Paulo, Brazil.
Edecio Cunha-NetoDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Jorge KalilDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Verônica CoelhoDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. vecoelho@usp.br.
Keity Souza SantosDepartamento de Clínica Médica, Disciplina de Alergia e Imunologia Clínica, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. keity.santos@fm.usp.br.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 408771/2022-4Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001 (JO, JM, and AU)Financiadora de Estudos e Projetos 01.20.0009.00Fundação de Amparo à Pesquisa do Estado de São Paulo 2020/05256-7, 2017/24769-2, 2016/20045-7 and 2020/06409-1
6 · The paper itself

Abstract

COVID-19 pandemic continues to challenge the world with a major public health problem, long COVID (LC), which is estimated to affect over 400 million people worldwide. Many unknowns remain regarding the mechanisms involved in LC. We investigated the impact of anti-SARS-CoV-2 antibody and IFN-γ responses on the development of LC and its various phenotypes. We studied a cohort of 137 convalescents following predominantly mild COVID-19 during the first pandemic wave (2020) and up to one-year post-infection. We found 45% of LC cases that were associated with a greater number and duration of acute-phase symptoms. Cardiovascular and/or gastrointestinal symptoms in the acute phase were associated to protection against LC development, while pulmonary, otorhinolaryngological, musculoskeletal and other symptoms were associated with increased risk of LC development. Regarding LC phenotypes, we observed risk associations and potentially deleterious effects of anti-SARS-CoV-2 antibodies for LC symptoms classified as general or other. In contrast, for vital organ-related LC symptoms, we found only protective associations, particularly for cardiovascular symptoms, which indeed had a low prevalence in LC (16%). Collectively, our data suggest that anti-SARS-CoV-2 antibodies play a protective role against vital organ-related LC symptoms, especially cardiovascular symptoms, but are insufficient in preventing or limiting other highly prevalent LC symptoms, such as neurological, psychiatric and pulmonary.

Indexed as

Antibodies, ViralCOVID-19SARS-CoV-2AdultAgedFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeAntibodies, ViralCardiovascular protectionHumoral responsesIgA anti-NP protectionLong COVID phenotypesRisk for long COVID symptoms (Min. 5–Max. 8)

Identifiers

PMID40610519
PMCPMC12229674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.