J Korean Med Sci.  2022 Feb;37(8):e67. 10.3346/jkms.2022.37.e67.

Kinetics of Neutralizing Antibody Responses Against SARS-CoV-2 Delta Variant in Patients Infected at the Beginning of the Pandemic

Affiliations
  • 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 2Department of Microbiology and Immunology, Seoul National University College of Medicine, Seoul, Korea

Abstract

We investigated the kinetics of the neutralizing antibody responses to the severe acute respiratory syndrome-coronavirus-2 delta variant over the course of 1 year in 16 patients infected at the beginning of the pandemic. In patients with severe disease, neutralizing responses to the delta variant were detectable, albeit at lower levels than responses to the wild type. Neutralizing responses to the delta variant were undetectable, however, in asymptomatic persons. This finding implies that the vaccination strategy for persons with past natural infection should depend on the severity of the previous infection.

Keyword

COVID-19; SARS-CoV-2; Delta Variant; FRNT

Figure

  • Fig. 1 Neutralizing antibody responses against SARS-CoV-2/wt and the SARS-CoV-2 B.1.671.2 (Delta) variant in serially collected samples from 12 symptomatic patients and four asymptomatic individuals. (A) FRNT50 titers against SARS-CoV-2/wt in asymptomatic persons. (B) FRNT50 titers against the delta variant in asymptomatic persons. (C) FRNT50 titers against SARS-CoV-2/wt in individuals who had recovered from mild COVID-19. (D) FRNT50 titers against the delta variant in individuals who had recovered from mild COVID-19. (E) FRNT50 titers against SARS-CoV-2/wt in individuals who had recovered from severe COVID-19. (F) FRNT50 titers against the delta variant in individuals who had recovered from severe COVID-19. Titers ≤ 10 were regarded as 10 and dotted lines indicate 1:40 titer.WT = wild type, FRNT = focus reduction neutralization test, SARS-CoV-2 = severe acute respiratory syndrome-coronavirus-2, COVID-19 = coronavirus disease 2019.


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