Dynamics of the content of immunoglobulin G to severe acute respiratory syndrome-2 in convalescents who have had a new coronavirus infection

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

The study investigated the dynamics of class G immunoglobulins to severe acute respiratory syndrome-2 coronavirus in the blood serum of convalescents who had a new coronavirus infection for 6 months after the polymerase chain reaction conversion. Among the most common symptoms, 30 (73.8%) convalescents had an increase in body temperature to 38°C, 32 (83.3%) had asthenia, 21 (59.5%) had cough, 29 (73.8%) had perversion or loss of sense of smell, pain, and throat discomfort. The duration of symptoms varied from 3–4 days to 3–4 weeks. Within a month after the end of the acute disease period, 8 (20%) patients had a decrease in working capacity, 13 (33%) had difficulty breathing, 9 (22%) had a cough, and 4 (10%) had pain and sore throat. During severe acute respiratory syndrome 2 infection, the virus activates the innate and adaptive immunity, resulting in the formation of specific class G immunoglobulins to the pathogens. After leveling the clinical manifestations, class G immunoglobulins were detected in the majority of convalescents (79%–90%) during the first 6 months, starting from day 14 from disease onset with a predominantly high (> 10 conl. units) positivity coefficient. Moreover, this pattern occurred in both men and women; however, in some studies, the levels of the positivity coefficient of class G immunoglobulins began to decrease by the fifth month of follow-up and sometimes at an earlier time (2 months). Perhaps, this is due to the different functional activities of the immune system of each convalescent, infecting dose of the pathogen, and peculiarities of its interaction with the macroorganism and its immune system. Nevertheless, the class G immunoglobulins identified in the study do not yet indicate the probability of reinfection of convalescents with the same pathogen. The protective titer of antibodies has yet to be investigated further.

About the authors

Ivan V. Fateev

State Research Testing Institute of Military Medicine; Military Medical Academy of S.M. Kirov

Author for correspondence.
Email: gniiivm_2@mil.ru
ORCID iD: 0000-0003-4014-3973
SPIN-code: 5781-0083

doctor of medical sciences

Russian Federation, Saint Petersburg; Saint Petersburg

Timur V. SchÖfer

State Research Testing Institute of Military Medicine

Email: gniiivm_2@mil.ru
ORCID iD: 0000-0001-7303-0591
SPIN-code: 8739-8385

doctor of medical sciences

Russian Federation, Saint Petersburg

Sergey V. Chepur

State Research Testing Institute of Military Medicine

Email: gniiivm_2@mil.ru
ORCID iD: 0000-0002-5324-512X
SPIN-code: 3828-6730

doctor of medical sciences, professor

Russian Federation, Saint Petersburg

Evgeniy V. Ivchenko

Military Medical Academy of S.M. Kirov

Email: gniiivm_2@mil.ru
ORCID iD: 0000-0001-5582-1111
SPIN-code: 5228-1527
Scopus Author ID: 55571530400

doctor of medical sciences, associate professor

Russian Federation, Saint Petersburg

Timur I. Minnullin

State Research Testing Institute of Military Medicine

Email: gniiivm_2@mil.ru
ORCID iD: 0000-0001-8985-4878
SPIN-code: 6856-7819

candidate of medical sciences

Russian Federation, Saint Petersburg

Alla A. Shubina

State Research Testing Institute of Military Medicine

Email: gniiivm_2@mil.ru
ORCID iD: 0000-0003-0924-8654
SPIN-code: 1045-7885

Senior Researcher

Russian Federation, Saint Petersburg

Alexander V. Stepanov

State Research Testing Institute of Military Medicine

Email: gniiivm_2@mil.ru
ORCID iD: 0000-0002-1917-2895
SPIN-code: 7279-7055

doctor of medical sciences

Russian Federation, Saint Petersburg

References

  1. Phelan AL, Katz R, Gostin LO. The novel coronavirus originating in Wuhan, China: challenges for global health governance. JAMA. 2020;323(8):709–710. doi: 10.1001/jama.2020.1097
  2. Marik PE, Iglesias J, Varon J, et al. A scoping review of the pathophysiology of COVID-19. Int J Immunopathol Pharmacol. 2021;35. doi: 10.1177/20587384211048026
  3. Machhi J, Herskovitz J, Senan AM, et al. The natural history, pathobiology, and clinical manifestations of SARS-CoV-2 infections. J Neuroimmune Pharmacol. 2020;15(3):359–386. doi: 10.1007/s11481-020-09944-5
  4. Elrobaa IH, New KJ. COVID-19: Pulmonary and extra pulmonary manifestations. Front Public Health. 2021;9:711616. doi: 10.3389/fpubh.2021.711616
  5. Zaitsev AA, Golukhova EZ, Mamalyga ML, et al. Efficacy of methylprednisolone pulse therapy in patients with COVID-19. Clinical Microbiology and Antimicrobial Chemotherapy. 2020;22(2):88–91. (In Russ.). doi: 10.36488/cmac.2020.2.88-91
  6. Chen L, Xiong J, Bao L, et al. Convalescent plasma as a potential therapy for COVID-19. Lancet Infect Dis. 2020;20(4):398–400. doi: 10.1016/S1473-3099(20)30141-9
  7. Kryukov EV, Salukhov VV, Kotiv BN, et al. Factors affecting the content of IgG antibodies to SARS-CoV-2 S-protein in the blood of reconvalescents after a new coronavirus infection (COVID-19). Medical Advice. 2022;16(4):51–65. (In Russ.). doi: 10.21518/2079-701Х-2022-16-4-51-65
  8. Li Х, Zhang Y, He L, et al Immune response and potential therapeutic strategies for the SARS-CoV-2 associated with the COVID-19 pandemic. Int J Biol Sci. 2022;18(5):1865–1877. doi: 10.7150/ijbs.66369
  9. Merad M, Blish CA, Sallusto F, et al. The immunology and immunopathology of COVID-19. Science. 2022;375(6585):1122–1127. doi: 10.1126/science.abm8108
  10. Moss P. The T cell immune response against SARS-CoV-2. Nat Immunol. 2022;23(2):186–193. doi: 10.1038/s41590-021-01122-w
  11. Jamal M, Bangash HI, Habiba M, et al. Immune dysregulation and system pathology in COVID-19. Virulence. 2021;12(1):918–936. doi: 10.1080/21505594.2021.1898790
  12. Gusev E, Sarapultsev A, Solomatina L, et al. SARS-CoV-2-Specific immune response and the pathogenesis of COVID-19. Int J Mol Sci. 2022;23(3):1716. doi: 10.3390/ijms23031716
  13. Primorac D, Vrdoljak K, Brlek P, et al. Adaptive immune responses and immunity to SARS-CoV-2. Front Immunol. 2022;13:848582. doi: 10.3389/fimmu.2022.848582
  14. Rybkina K, Davis-Porada J, Farber DL. Tissue immunity to SARS-CoV-2: Role in protection and immunopathology. Immunol Rev. 2022;309(1):25–39. doi: 10.1111/imr.13112
  15. Jiang HW, Li Y, Zhang H, et al. SARS-CoV-2 proteome microarray for global profiling of COVID-19 specific IgG and IgM responses. Nat Commun. 2020;11:3581. doi: 10.1038/s41467-020-17488-8
  16. Choudhary HR, Parai D, Dash GC, et al. IgG antibody response against nucleocapsid and spike protein post-SARS-CoV-2 infection. Infection. 2021;49(5):1045–1048. doi: 10.1007/s15010-021-016514
  17. Ivanov A, Semenova E. Long-term monitoring of the development and extinction of IgA and IgG responses to SARS-CoV-2 infection. J Med Virol. 2021;93(10):5953–5960. doi: 10.1002/jmv.27166
  18. Xiao DAT, Gao DC, ZhangDS. Profile of specific antibodies to SARS-CoV-2: The first report. J Infect. 2020;81(1):147–178. doi: 10.1016/j.jinf.2020.03.012
  19. Amanat F, Stadbauer D, Strohmeier S, et al. A serological assay to detect SARS-CoV-2 seroconversion in humans. Nature Medicine. 2020;26:1033–1036. doi: 10.1101/2020.03.17.20037713
  20. Smetanina SV, Isaeva AN, Isaeva OO, et al. Change in anti-SARS-CoV-2 IgG antibodies (COVID-19) among the population of the Russian Federation regions and in convalescents in dynamics. Consilium Medicum. 2020;22(11):47–50. (In Russ.). doi: 10.26442/20751753.2020.11.200417
  21. Szymczak A, Jędruchniewicz N, Torelli A, et al. Antibodies specific to SARS-CoV-2 proteins N, S and E in COVID-19 patients in the normal population and in historical samples J Gen Virol. 2021;102(11):001692. doi: 10.1099/jgv.0.001692
  22. Barchuk A, Skougarevskiy D, Kouprianov A, et al. COVID-19 pandemic in Saint Petersburg, Russia: Combining surveillance and populationbased serological study data in May, 2020–April, 2021. Medrxiv. 2021:1–9. doi: 10.1101/2021.07.31.21261428

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Dynamics of IgG positivity coefficient to SARS-Cov-2 in the blood plasma of convalescents for 6 months: a — overall sample; b — men; c — women

Download (576KB)
3. Fig. 2. Distribution of convalescents depending on the IgG positivity coefficient value

Download (186KB)
4. Fig. 3. IgG positivity coefficient in convalescents who have had COVID-19

Download (416KB)

Copyright (c) 2022 Fateev I.V., SchÖfer T.V., Chepur S.V., Ivchenko E.V., Minnullin T.I., Shubina A.A., Stepanov A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies