2020
DOI: 10.1101/2020.05.19.20107482
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SARS-CoV-2 seroprevalence and neutralizing activity in donor and patient blood from the San Francisco Bay Area

Abstract: We report very low SARS-CoV-2 seroprevalence in two San Francisco Bay Area populations. Seropositivity was 0.26% in 387 hospitalized patients admitted for non-respiratory indications and 0.1% in 1,000 blood donors. We additionally describe the longitudinal dynamics of immunoglobulin-G, immunoglobulin-M, and in vitro neutralizing antibody titers in COVID-19 patients. Neutralizing antibodies rise in tandem with immunoglobulin levels following symptom onset, exhibiting median time to seroconversion within one day… Show more

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Cited by 67 publications
(75 citation statements)
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“…From our analysis of 1347 specimens, the sensitivity of IgG assay increased weekly to reach 99.6% at 4-5 weeks after symptom onset. The observed sensitivity of 93.6% at 15-21 days following symptom onset is consistent with previous studies [ 15 , 16 ], but lower than what is claimed in the manufacturer’s package insert. The difference may be attributed in part to the patient population used for this study, in which the majority was hospitalized with multiple comorbidities.…”
Section: Discussionsupporting
confidence: 91%
“…From our analysis of 1347 specimens, the sensitivity of IgG assay increased weekly to reach 99.6% at 4-5 weeks after symptom onset. The observed sensitivity of 93.6% at 15-21 days following symptom onset is consistent with previous studies [ 15 , 16 ], but lower than what is claimed in the manufacturer’s package insert. The difference may be attributed in part to the patient population used for this study, in which the majority was hospitalized with multiple comorbidities.…”
Section: Discussionsupporting
confidence: 91%
“…Macaque IgA antibodies were detected with the antibodies described below. IgG, IgM or IgA antibodies had to be increased 3-fold over the day 0 value to be considered significant ELISA for SARS-specific IgA and antibodies to RBD These assays were done using methods similar to those described (52) Neutralizing assay Pseudovirus neutralization assay was performed as described (53).…”
Section: While It Remains Unknown Whether Immune Responses Elicited Wmentioning
confidence: 99%
“…Numerous serological surveys conducted in affected countries at the beginning of the COVID-19 epidemic indicate that nationwide antibody prevalence varies between 1-10%, with peaks around 10-15% in heavily affected urban areas [5]. Most of the serological studies already available have been carried out in continental Europe [6][7][8][9][10][11][12] and in the United States [13][14][15][16] . Although Latin America has been heavily affected by the pandemic, only a few seroprevalence studies have been conducted across the continent, meaning the underlying level of infection remains largely unknown [5,17,18].…”
Section: Introductionmentioning
confidence: 99%