Title
Prevalence of neutralising antibodies against sars-cov-2 in acute infection and convalescence: a systematic review and meta-analysis
Date Issued
01 July 2021
Access level
open access
Resource Type
journal article
Author(s)
Savage H.R.
Santos V.S.
Edwards T.
Giorgi E.
Krishna S.
Planche T.D.
Staines H.M.
Fitchett J.R.A.
Atienzar A.I.C.
Clark D.J.
Adams E.R.
Cuevas L.E.
St. George’s, University of London
Publisher(s)
Public Library of Science
Abstract
Background Individuals infected with SARS-CoV-2 develop neutralising antibodies. We investigated the proportion of individuals with SARS-CoV-2 neutralising antibodies after infection and how this proportion varies with selected covariates. Methodology/Principal findings This systematic review and meta-analysis examined the proportion of individuals with SARS-CoV-2 neutralising antibodies after infection and how these proportions vary with selected covariates. Three models using the maximum likelihood method assessed these proportions by study group, covariates and individually extracted data (protocol CRD42020208913). A total of 983 reports were identified and 27 were included. The pooled (95%CI) proportion of individuals with neutralising antibodies was 85.3% (83.5–86.9) using the titre cut off >1:20 and 83.9% (82.2–85.6), 70.2% (68.1–72.5) and 54.2% (52.0–56.5) with titres >1:40, >1:80 and >1:160, respectively. These proportions were higher among patients with severe COVID-19 (e.g., titres >1:80, 84.8% [80.0–89.2], >1:160, 74.4% [67.5– 79.7]) than those with mild presentation (56.7% [49.9–62.9] and 44.1% [37.3–50.6], respectively) and lowest among asymptomatic infections (28.6% [17.9–39.2] and 10.0% [3.7– 20.1], respectively). IgG and neutralising antibody levels correlated poorly. Conclusions/Significance 85% of individuals with proven SARS-CoV-2 infection had detectable neutralising antibodies. This proportion varied with disease severity, study setting, time since infection and the method used to measure antibodies.
Volume
15
Issue
7
Language
English
OCDE Knowledge area
Epidemiología Sistema respiratorio
Scopus EID
2-s2.0-85111724876
PubMed ID
Source
PLoS Neglected Tropical Diseases
ISSN of the container
19352727
Sponsor(s)
This study received funding from the UK Research Council through a PhD scholarship from the MRC Doctoral Training Partnership to HRS. LEC and ERA were funded by the UK National Institute for Health Research Health Protection Research Unit in Emerging and Zoonotic Infections, the Centre of Excellence in Infectious Diseases Research (Liverpool) and the Alder Hey Charity. Funding was also received from Wellcome/ DFID through a grant for the development of COVID-19 diagnostics (grant number 220764/Z/ 20/Z to JRF) and Wellcome Trust Institutional Strategic Support Fund (204809/Z/16/Z to SK). The Rosetrees Trust and the John and Maureen Hendricks Charitable Foundation (grant number M959) was given to HMS, TP, SK, JRAF, DJC. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Sources of information: Directorio de Producción Científica Scopus