Clinical and immunological assessment of asymptomatic SARS-CoV-2 infections

COVID-19;免疫/临床评估
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Quan-Xin Long #, Xiao-Jun Tang #, Qiu-Lin Shi #, Qin Li #, Hai-Jun Deng #, Jun Yuan, Jie-Li Hu, Wei Xu, Yong Zhang, Fa-Jin Lv, Kun Su, Fan Zhang, Jiang Gong, Bo Wu, Xia-Mao Liu, Jin-Jing Li, Jing-Fu Qiu, Juan Chen, Ai-Long Huang

  • Nat Med
  • 87.241
  • 26(8):1200-1204.
  • Human
  • Luminex
  • 呼吸系统
  • 新冠
  • β-NGF,CTACK/CCL27,Eotaxin/CCL11,FGF-basic,G-CSF,GM-CSF,GRO-α (Gro-a/KC/CXCL1),HGF,IFN-α2,IFN-γ,IL-1α,IL-1Rα,IL-2Rα,IL-1β,IL-2,IL-3,IL-4,IL-5,IL-6,IL-7,IL-8/CXCL8,IL-9,IL-10,IL-12(p40),IL-12(p70),IL-13,IL-15,IL-16,IL-17A,IL-18,IP-10/CXCL10,LIF,M-CSF,MCP-1/CCL2,MCP-3/CCL7,MIG,MIP-1α/CCL3,MIP-1β,MIF,PDGF-BB,RANTES,SCF,SCGF-β,SDF-1α,TRAIL,TNF-α,TNF-β,VEGF-A

相关货号

LXLBH48-1

Abstract

The clinical features and immune responses of asymptomatic individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have not been well described. We studied 37 asymptomatic individuals in the Wanzhou District who were diagnosed with RT-PCR-confirmed SARS-CoV-2 infections but without any relevant clinical symptoms in the preceding 14 d and during hospitalization. Asymptomatic individuals were admitted to the government-designated Wanzhou People's Hospital for centralized isolation in accordance with policy1. The median duration of viral shedding in the asymptomatic group was 19 d (interquartile range (IQR), 15-26 d). The asymptomatic group had a significantly longer duration of viral shedding than the symptomatic group (log-rank P = 0.028). The virus-specific IgG levels in the asymptomatic group (median S/CO, 3.4; IQR, 1.6-10.7) were significantly lower (P = 0.005) relative to the symptomatic group (median S/CO, 20.5; IQR, 5.8-38.2) in the acute phase. Of asymptomatic individuals, 93.3% (28/30) and 81.1% (30/37) had reduction in IgG and neutralizing antibody levels, respectively, during the early convalescent phase, as compared to 96.8% (30/31) and 62.2% (23/37) of symptomatic patients. Forty percent of asymptomatic individuals became seronegative and 12.9% of the symptomatic group became negative for IgG in the early convalescent phase. In addition, asymptomatic individuals exhibited lower levels of 18 pro- and anti-inflammatory cytokines. These data suggest that asymptomatic individuals had a weaker immune response to SARS-CoV-2 infection. The reduction in IgG and neutralizing antibody levels in the early convalescent phase might have implications for immunity strategy and serological surveys.
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