Time course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan

Abstract The accurate and prompt diagnosis of SARS-CoV-2 infection is required for the control and treatment of the coronavirus infection disease 2019 (COVID-19). In this study, we aimed to investigate the time courses of the anti-severe acute corona respiratory syndrome coronavirus 2 (SARS-CoV-2) I...

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Autores principales: Yuki Nakano, Makoto Kurano, Yoshifumi Morita, Takuya Shimura, Rin Yokoyama, Chungen Qian, Fuzhen Xia, Fan He, Yoshiro Kishi, Jun Okada, Naoyuki Yoshikawa, Yutaka Nagura, Hitoshi Okazaki, Kyoji Moriya, Yasuyuki Seto, Tatsuhiko Kodama, Yutaka Yatomi
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:19da7f61f2594cf98ae23a55b99295442021-12-02T10:44:08ZTime course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan10.1038/s41598-021-82428-52045-2322https://doaj.org/article/19da7f61f2594cf98ae23a55b99295442021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82428-5https://doaj.org/toc/2045-2322Abstract The accurate and prompt diagnosis of SARS-CoV-2 infection is required for the control and treatment of the coronavirus infection disease 2019 (COVID-19). In this study, we aimed to investigate the time courses of the anti-severe acute corona respiratory syndrome coronavirus 2 (SARS-CoV-2) IgM and IgG titers and to evaluate the sensitivity and specificity of such tests according to the specific day after the onset of COVID-19 among a patient population in Japan. We measured the titers of SARS-CoV-2 IgM and IgG in sera from 105 subjects, including 26 symptomatic COVID-19 patients, using chemiluminescent immunoassay (CLIA) methods utilizing magnetic beads coated with SARS-CoV-2 nucleocapsid protein and spike protein. The results of a ROC analysis suggested the possibility that the cutoff values in Japan might be lower than the manufacturer’s reported cutoff (10 AU/mL): 1  AU/mL for IgM and 5  AU/mL for IgG. The sensitivity of the test before Day 8 after symptom onset was less than 50%; at Days 9–10, however, we obtained a much higher sensitivity of 81.8% for both IgM and IgG. At 15 days or later after symptom onset, the SARS-CoV-2 IgG test had a sensitivity of 100%. These results suggest that if the number of days since disease onset is taken into consideration, these antibody tests could be very useful for the diagnosis of COVID-19 and similar diseases.Yuki NakanoMakoto KuranoYoshifumi MoritaTakuya ShimuraRin YokoyamaChungen QianFuzhen XiaFan HeYoshiro KishiJun OkadaNaoyuki YoshikawaYutaka NaguraHitoshi OkazakiKyoji MoriyaYasuyuki SetoTatsuhiko KodamaYutaka YatomiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yuki Nakano
Makoto Kurano
Yoshifumi Morita
Takuya Shimura
Rin Yokoyama
Chungen Qian
Fuzhen Xia
Fan He
Yoshiro Kishi
Jun Okada
Naoyuki Yoshikawa
Yutaka Nagura
Hitoshi Okazaki
Kyoji Moriya
Yasuyuki Seto
Tatsuhiko Kodama
Yutaka Yatomi
Time course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan
description Abstract The accurate and prompt diagnosis of SARS-CoV-2 infection is required for the control and treatment of the coronavirus infection disease 2019 (COVID-19). In this study, we aimed to investigate the time courses of the anti-severe acute corona respiratory syndrome coronavirus 2 (SARS-CoV-2) IgM and IgG titers and to evaluate the sensitivity and specificity of such tests according to the specific day after the onset of COVID-19 among a patient population in Japan. We measured the titers of SARS-CoV-2 IgM and IgG in sera from 105 subjects, including 26 symptomatic COVID-19 patients, using chemiluminescent immunoassay (CLIA) methods utilizing magnetic beads coated with SARS-CoV-2 nucleocapsid protein and spike protein. The results of a ROC analysis suggested the possibility that the cutoff values in Japan might be lower than the manufacturer’s reported cutoff (10 AU/mL): 1  AU/mL for IgM and 5  AU/mL for IgG. The sensitivity of the test before Day 8 after symptom onset was less than 50%; at Days 9–10, however, we obtained a much higher sensitivity of 81.8% for both IgM and IgG. At 15 days or later after symptom onset, the SARS-CoV-2 IgG test had a sensitivity of 100%. These results suggest that if the number of days since disease onset is taken into consideration, these antibody tests could be very useful for the diagnosis of COVID-19 and similar diseases.
format article
author Yuki Nakano
Makoto Kurano
Yoshifumi Morita
Takuya Shimura
Rin Yokoyama
Chungen Qian
Fuzhen Xia
Fan He
Yoshiro Kishi
Jun Okada
Naoyuki Yoshikawa
Yutaka Nagura
Hitoshi Okazaki
Kyoji Moriya
Yasuyuki Seto
Tatsuhiko Kodama
Yutaka Yatomi
author_facet Yuki Nakano
Makoto Kurano
Yoshifumi Morita
Takuya Shimura
Rin Yokoyama
Chungen Qian
Fuzhen Xia
Fan He
Yoshiro Kishi
Jun Okada
Naoyuki Yoshikawa
Yutaka Nagura
Hitoshi Okazaki
Kyoji Moriya
Yasuyuki Seto
Tatsuhiko Kodama
Yutaka Yatomi
author_sort Yuki Nakano
title Time course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan
title_short Time course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan
title_full Time course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan
title_fullStr Time course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan
title_full_unstemmed Time course of the sensitivity and specificity of anti-SARS-CoV-2 IgM and IgG antibodies for symptomatic COVID-19 in Japan
title_sort time course of the sensitivity and specificity of anti-sars-cov-2 igm and igg antibodies for symptomatic covid-19 in japan
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/19da7f61f2594cf98ae23a55b9929544
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