Id |
Subject |
Object |
Predicate |
Lexical cue |
T104 |
0-10 |
Sentence |
denotes |
Discussion |
T105 |
11-139 |
Sentence |
denotes |
In the early phase of the COVID-19 outbreak, confirmed cases outside China were mostly imported among travellers from Wuhan [7]. |
T106 |
140-234 |
Sentence |
denotes |
The first case in Finland was detected on 29 January among the first imported cases in Europe. |
T107 |
235-356 |
Sentence |
denotes |
The case presented mild symptoms without pneumonia: runny nose, nausea, high fever, cough, muscular weakness and fatigue. |
T108 |
357-470 |
Sentence |
denotes |
No secondary transmission events were detected despite active follow-up by the Lapland Hospital district and THL. |
T109 |
471-576 |
Sentence |
denotes |
As at 17 March 2020, 358 additional laboratory-confirmed cases of COVID-19 have been detected in Finland. |
T110 |
577-717 |
Sentence |
denotes |
Many of them are travel-related (mostly from northern Italy and Austria) but there is also local transmission from the travel-related cases. |
T111 |
718-965 |
Sentence |
denotes |
The risk of widespread national community transmission of COVID-19 infection in the European Union, European Economic Area and the United Kingdom in the coming weeks is considered high by the European Centre for Disease Prevention and Control [8]. |
T112 |
966-1114 |
Sentence |
denotes |
The sequence of the viral genome of the patient was nearly identical to the reference strain from Wuhan, reflecting an early importation from China. |
T113 |
1115-1251 |
Sentence |
denotes |
Later sequence information in Finland (up to 2 March) showed clustering with strains circulating in Italy (see nextstrain.org/ncov) [9]. |
T114 |
1252-1526 |
Sentence |
denotes |
Current guidelines from the World Health Organization for testing COVID-19 recommend collection of both acute and convalescent serum samples from patients for serological testing, which can support the identification of the immune response to a specific viral pathogen [10]. |
T115 |
1527-1664 |
Sentence |
denotes |
The SARS-CoV-2 nucleic acid has been found also in anal swabs and blood [11], however we did not detect it in serum samples in this case. |
T116 |
1665-1763 |
Sentence |
denotes |
As yet, only limited data are available on antibody responses during SARS-CoV-2 infection [11,12]. |
T117 |
1764-1944 |
Sentence |
denotes |
Further studies are needed to better understand the seroprevalence of antibodies to different corona viruses in populations and the role of these antibodies in the risk of disease. |
T118 |
1945-2174 |
Sentence |
denotes |
In accordance with earlier findings [11], we found that both IgM and IgG titres were low or undetectable at on Day 4 (the second day after admission to hospital) yet increasing on Day 9–10, i.e. 5–6 days after the first sampling. |
T119 |
2175-2332 |
Sentence |
denotes |
Using other detection methods beyond IFA as well as recombinant antigens and analysing samples from a larger number of patients will shed more light on this. |
T120 |
2333-2480 |
Sentence |
denotes |
The time of first appearance of anti-SARS-CoV antibodies has ranged from Day 3 to 42 and Day 5 to 47 for IgM and IgG antibodies, respectively [13]. |
T121 |
2481-2670 |
Sentence |
denotes |
The WB of the serum sample collected at convalescence showed a prominent response against the N and S protein, confirming their role as main candidate diagnostic targets for antibody tests. |
T122 |
2671-2776 |
Sentence |
denotes |
However, the patient serum appeared to recognise also the E protein and the processed S1 and S2 proteins. |
T123 |
2777-2921 |
Sentence |
denotes |
Although WB detects mainly linear epitopes, the strong antibody response against the S protein correlated well with the results of the MN assay. |
T124 |
2922-3122 |
Sentence |
denotes |
Monitoring of the binding antibodies is suggested to be a more sensitive method than measuring functional neutralising antibodies for serological detection of human coronavirus (hCoV) infections [14]. |
T125 |
3123-3213 |
Sentence |
denotes |
However, hCoV OC43 and 229E samples can also cross-react with SARS-CoV ELISA testing [15]. |
T126 |
3214-3350 |
Sentence |
denotes |
The SARS-CoV-2 CPE-based MN test using live virus appeared to be very specific, while laborious to conduct requiring a BSL-3 laboratory. |
T127 |
3351-3551 |
Sentence |
denotes |
An increase of at least 4-fold in the neutralising antibodies indicating a positive response was detected at Day 9–10 after the first symptoms and at Day 20, the antibody levels were still increasing. |
T128 |
3552-3716 |
Sentence |
denotes |
Our findings indicate that the MN assay is specific for functional SARS-CoV-2 antibodies and could be applied in surveillance of population immunity for this virus. |
T129 |
3717-3895 |
Sentence |
denotes |
The assay can be used as confirmatory tool for SARS-CoV-2 specificity in the development of more accessible diagnostic tools such as assays based on detecting binding antibodies. |
T130 |
3896-4079 |
Sentence |
denotes |
Previous studies on patients with SARS-CoV infection indicated that the median time for seroconversion was 20 days, by which time 60–75% of patients had IgG against the virus [13,16]. |
T131 |
4080-4273 |
Sentence |
denotes |
That IgM and IgG antibodies were present within 2 weeks from the onset of symptoms in our study suggests that early convalescent patients may be suitable sources of therapeutic antibodies [17]. |
T132 |
4274-4521 |
Sentence |
denotes |
In accordance with our finding, a recent preprint report on patients admitted to hospital with confirmed SARS-CoV-2 infection in China indicated that the median time to seroconversion was 11–14 days, depending on the immunological assay used [18]. |
T133 |
4522-4667 |
Sentence |
denotes |
No neutralising SARS-CoV-2 antibodies were detected in the close contacts nor in the control population samples collected during 2019 in Finland. |
T134 |
4668-4813 |
Sentence |
denotes |
A low prevalence (0.21%) of antibodies against Middle East respiratory syndrome coronavirus was reported in the general population of Qatar [19]. |
T135 |
4814-5063 |
Sentence |
denotes |
A meta-analysis of seroprevalence to SARS-CoV among different human populations yielded an overall low seroprevalence (0.10%), although it was slightly higher (0.23%) among healthcare workers and others who had close contact with SARS patients [20]. |
T136 |
5064-5150 |
Sentence |
denotes |
Binding and neutralising HCoV antibodies were found to be higher in older adults [14]. |
T137 |
5151-5412 |
Sentence |
denotes |
In total 97% and 99% of serum samples from healthy adults had antibodies to HCoV-229E and HCoV-OC43, respectively [21], and 75% and 65% of the children in the age group 2.5–3.5 years were found to be seropositive for, respectively, HCoV-NL63 and HCoV-229E [22]. |
T138 |
5413-5672 |
Sentence |
denotes |
While it has been suggested that the late seroconversion in most SARS patients reduces the value of serological assays during the incubation and initial phases of SARS [13], serological testing is suggested for the confirmation of a SARS CoV-2 infection [11]. |
T139 |
5673-5900 |
Sentence |
denotes |
After understanding better the kinetics, specificity and sensitivity of the assays in development, the serological testing may help contact tracing of clusters and have a role in diagnosing acute and past SARS-CoV-2 infections. |