Dynamics of neutralizing antibody titers in the months after SARS-CoV-2 infection

K. H. Crawford, A. Dingens, R. Eguia, C. Wolf, N. Wilcox, J. Logue, K. Shuey, A. Casto, B. Fiala, S. Wrenn, D. Pettie, N. King, H. Chu, J. Bloom

medRxiv, 2020

Most individuals infected with SARS-CoV-2 develop neutralizing antibodies that target the viral spike protein. Here we quantify how levels of these antibodies change in the months following SARS-CoV-2 infection by examining longitudinal samples collected between {approx}30 and 152 days post-symptom onset from a prospective cohort of 34 recovered individuals with asymptomatic, mild, or moderate-severe disease. Neutralizing antibody titers declined an average of about four-fold from one to four months post-symptom onset. Importantly, our data are consistent with the expected early immune response to viral infection, where an initial peak in antibody levels is followed by a decline to a lower plateau. Additional studies of long-lived B-cells and antibody titers over longer time frames are necessary to determine the durability of immunity to SARS-CoV-2.

Cited by 89 publications.

Field of study: Medicine

10.1101/2020.08.06.20169367