iScience (Jun 2021)

Comparative analysis of antibodies to SARS-CoV-2 between asymptomatic and convalescent patients

  • Connor J. Dwyer,
  • Colleen A. Cloud,
  • Cindy Wang,
  • Philip Heidt,
  • Paramita Chakraborty,
  • Tara F. Duke,
  • Shannon McGue,
  • Braxton Jeffcoat,
  • Jaclyn Dunne,
  • Logan Johnson,
  • Seungho Choi,
  • Georges J. Nahhas,
  • Amy S. Gandy,
  • Nikolina Babic,
  • Frederick S. Nolte,
  • Philip Howe,
  • Besim Ogretmen,
  • Vamsi K. Gangaraju,
  • Stephen Tomlinson,
  • Brian Madden,
  • Tracy Bridges,
  • Patrick A. Flume,
  • John Wrangle,
  • Mark P. Rubinstein,
  • Prabhakar K. Baliga,
  • Satish N. Nadig,
  • Shikhar Mehrotra

Journal volume & issue
Vol. 24, no. 6
p. 102489

Abstract

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Summary: The SARS-CoV-2 viral pandemic has induced a global health crisis, which requires more in-depth investigation into immunological responses to develop effective treatments and vaccines. To understand protective immunity against COVID-19, we screened over 60,000 asymptomatic individuals in the Southeastern United States for IgG antibody positivity against the viral Spike protein, and approximately 3% were positive. Of these 3%, individuals with the highest anti-S or anti-RBD IgG level showed a strong correlation with inhibition of ACE2 binding and cross-reactivity against non-SARS-CoV-2 coronavirus S-proteins. We also analyzed samples from 94 SARS-CoV-2 patients and compared them with those of asymptomatic individuals. SARS-CoV-2 symptomatic patients had decreased antibody responses, ACE2 binding inhibition, and antibody cross-reactivity. Our study shows that healthy individuals can mount robust immune responses against SARS-CoV-2 without symptoms. Furthermore, IgG antibody responses against S and RBD may correlate with high inhibition of ACE2 binding in individuals tested for SARS-CoV-2 infection or post vaccination.

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