Anti-spike antibody response to natural SARS-CoV-2 infection in the general population.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
29 10 2021
Historique:
received: 02 07 2021
accepted: 06 10 2021
entrez: 30 10 2021
pubmed: 31 10 2021
medline: 16 11 2021
Statut: epublish

Résumé

Understanding the trajectory, duration, and determinants of antibody responses after SARS-CoV-2 infection can inform subsequent protection and risk of reinfection, however large-scale representative studies are limited. Here we estimated antibody response after SARS-CoV-2 infection in the general population using representative data from 7,256 United Kingdom COVID-19 infection survey participants who had positive swab SARS-CoV-2 PCR tests from 26-April-2020 to 14-June-2021. A latent class model classified 24% of participants as 'non-responders' not developing anti-spike antibodies, who were older, had higher SARS-CoV-2 cycle threshold values during infection (i.e. lower viral burden), and less frequently reported any symptoms. Among those who seroconverted, using Bayesian linear mixed models, the estimated anti-spike IgG peak level was 7.3-fold higher than the level previously associated with 50% protection against reinfection, with higher peak levels in older participants and those of non-white ethnicity. The estimated anti-spike IgG half-life was 184 days, being longer in females and those of white ethnicity. We estimated antibody levels associated with protection against reinfection likely last 1.5-2 years on average, with levels associated with protection from severe infection present for several years. These estimates could inform planning for vaccination booster strategies.

Identifiants

pubmed: 34716320
doi: 10.1038/s41467-021-26479-2
pii: 10.1038/s41467-021-26479-2
pmc: PMC8556331
doi:

Substances chimiques

Antibodies, Viral 0
Immunoglobulin G 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

6250

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00008/6
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_12023/22
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/V001329/1
Pays : United Kingdom

Investigateurs

Tina Thomas (T)
Duncan Cook (D)
Daniel Ayoubkhani (D)
Russell Black (R)
Antonio Felton (A)
Megan Crees (M)
Joel Jones (J)
Lina Lloyd (L)
Esther Sutherland (E)
Emma Pritchard (E)
Karina-Doris Vihta (KD)
George Doherty (G)
James Kavanagh (J)
Kevin K Chau (KK)
Stephanie B Hatch (SB)
Daniel Ebner (D)
Lucas Martins Ferreira (LM)
Thomas Christott (T)
Wanwisa Dejnirattisai (W)
Juthathip Mongkolsapaya (J)
Sarah Cameron (S)
Phoebe Tamblin-Hopper (P)
Magda Wolna (M)
Rachael Brown (R)
Richard Cornall (R)
Gavin Screaton (G)
Katrina Lythgoe (K)
David Bonsall (D)
Tanya Golubchik (T)
Helen Fryer (H)
Stuart Cox (S)
Kevin Paddon (K)
Tim James (T)
Thomas House (T)
Julie Robotham (J)
Paul Birrell (P)
Helena Jordan (H)
Tim Sheppard (T)
Graham Athey (G)
Dan Moody (D)
Leigh Curry (L)
Pamela Brereton (P)
Ian Jarvis (I)
Anna Godsmark (A)
George Morris (G)
Bobby Mallick (B)
Phil Eeles (P)
Jodie Hay (J)
Harper VanSteenhouse (H)
Jessica Lee (J)
Sean White (S)
Tim Evans (T)
Lisa Bloemberg (L)
Katie Allison (K)
Anouska Pandya (A)
Sophie Davis (S)
David I Conway (DI)
Margaret MacLeod (M)
Chris Cunningham (C)

Informations de copyright

© 2021. The Author(s).

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Auteurs

Jia Wei (J)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Philippa C Matthews (PC)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.

Nicole Stoesser (N)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.
The National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at the University of Oxford, Oxford, UK.
The National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.

Thomas Maddox (T)

Office for National Statistics, Newport, UK.

Luke Lorenzi (L)

Office for National Statistics, Newport, UK.

Ruth Studley (R)

Office for National Statistics, Newport, UK.

John I Bell (JI)

Office of the Regius Professor of Medicine, University of Oxford, Oxford, UK.

John N Newton (JN)

Health Improvement Directorate, Public Health England, London, UK.

Jeremy Farrar (J)

Wellcome Trust, London, UK.

Ian Diamond (I)

Office for National Statistics, Newport, UK.

Emma Rourke (E)

Office for National Statistics, Newport, UK.

Alison Howarth (A)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
The National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.

Brian D Marsden (BD)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Sarah Hoosdally (S)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.

E Yvonne Jones (EY)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.

David I Stuart (DI)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Derrick W Crook (DW)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.
The National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at the University of Oxford, Oxford, UK.
The National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.

Tim E A Peto (TEA)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.
The National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at the University of Oxford, Oxford, UK.
The National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.

Koen B Pouwels (KB)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
The National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at the University of Oxford, Oxford, UK.
Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

A Sarah Walker (AS)

Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
The National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at the University of Oxford, Oxford, UK.
MRC Clinical Trials Unit at UCL, UCL, London, UK.

David W Eyre (DW)

Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK. david.eyre@bdi.ox.ac.uk.
Department of Infectious Diseases and Microbiology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK. david.eyre@bdi.ox.ac.uk.
The National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at the University of Oxford, Oxford, UK. david.eyre@bdi.ox.ac.uk.
The National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, UK. david.eyre@bdi.ox.ac.uk.

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