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Delayed specific IgM antibody responses observed among COVID-19 patients with severe progression
Liang Shen
Chunhua Wang
Jianzhong Zhao
Xiaoyong Tang
Ying Shen
Mingqing Lu
Zhe Ding
Canping Huang
Ji Zhang
Shichao Li
Jiaming Lan
Gary Wong
Yufang Zhu
Novel Coronavirus
Acceso Abierto
Atribución
https://doi.org/10.1080/22221751.2020.1766382
GICA
Delayed
IgM antibody
COVID-19
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly worldwide since it was confirmed as the causative agent of COVID-19. Molecular diagnosis of the disease is typically performed via nucleic acid-based detection of the virus from swabs, sputum or bronchoalveolar lavage fluid (BALF). However, the positive rate from the commonly used specimens (swabs or sputum) was less than 75%. Immunological assays for SARS-CoV-2 are needed to accurately diagnose COVID-19. Sera were collected from patients or healthy people in a local hospital in Xiangyang, Hubei Province, China. The SARS-CoV-2 specific IgM antibodies were then detected using a SARS-CoV-2 IgM colloidal gold immunochromatographic assay (GICA). Results were analysed in combination with sera collection date and clinical information. The GICA was found to be positive with the detected 82.2% (37/45) of RT-qPCR confirmed COVID-19 cases, as well as 32.0% (8/25) of clinically confirmed, RT-qPCR negative patients (4–14 days after symptom onset). Investigation of IgM-negative, RT-qPCR-positive COVID-19 patients showed that half of them developed severe disease. The GICA was found to be a useful test to complement existing PCR-based assays for confirmation of COVID-19, and a delayed specific IgM antibody response was observed among COVID-19 patients with severe progression.
Emerging Microbes & Infections
01-06-2020
Artículo
https://www.tandfonline.com/doi/full/10.1080/22221751.2020.1766382?scroll=top&needAccess=true
Inglés
Epidemia COVID-19
Investigadores
VIRUS RESPIRATORIOS
Versión publicada
publishedVersion - Versión publicada
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