Author:
Nakano Yuki,Kurano Makoto,Morita Yoshifumi,Shimura Takuya,Yokoyama Rin,Qian Chungen,Xia Fuzhen,He Fan,Kishi Yoshiro,Okada Jun,Yoshikawa Naoyuki,Nagura Yutaka,Okazaki Hitoshi,Moriya Kyoji,Seto Yasuyuki,Kodama Tatsuhiko,Yatomi Yutaka
Abstract
AbstractThe accurate and prompt diagnosis of SARS-CoV-2 infection is required for the control and treatment of the coronavirus infection disease 2019 (COVID-19). In this study, we aimed to investigate the time courses of the anti-severe acute corona respiratory syndrome coronavirus 2 (SARS-CoV-2) IgM and IgG titers and to evaluate the sensitivity and specificity of such tests according to the specific day after the onset of COVID-19 among a patient population in Japan. We measured the titers of SARS-CoV-2 IgM and IgG in sera from 105 subjects, including 26 symptomatic COVID-19 patients, using chemiluminescent immunoassay (CLIA) methods utilizing magnetic beads coated with SARS-CoV-2 nucleocapsid protein and spike protein. The results of a ROC analysis suggested the possibility that the cutoff values in Japan might be lower than the manufacturer’s reported cutoff (10 AU/mL): 1 AU/mL for IgM and 5 AU/mL for IgG. The sensitivity of the test before Day 8 after symptom onset was less than 50%; at Days 9–10, however, we obtained a much higher sensitivity of 81.8% for both IgM and IgG. At 15 days or later after symptom onset, the SARS-CoV-2 IgG test had a sensitivity of 100%. These results suggest that if the number of days since disease onset is taken into consideration, these antibody tests could be very useful for the diagnosis of COVID-19 and similar diseases.
Funder
The Mitsubishi Foundation
Publisher
Springer Science and Business Media LLC
Cited by
43 articles.
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