Id |
Subject |
Object |
Predicate |
Lexical cue |
T163 |
0-235 |
Sentence |
denotes |
With respect to the previous positive SARS-CoV-2 PCR result considered as the reference of first choice, following a recent suggestion [19], assay sensitivities were found to be relatively high and varied from 80.8% to 96.2% (Table 1). |
T164 |
236-328 |
Sentence |
denotes |
This finding is in accordance to other studies [21,22,24,25,26] and to a meta-analysis [23]. |
T165 |
329-593 |
Sentence |
denotes |
Six (23.1%; five, 19.2%, if the positive retesting result of the initial serum from patient 4 is taken into account; for details, see below) of the 26 SARS-CoV-2-infected patients did not develop SARS-CoV-2-neutralizing antibodies, as demonstrated by a PRNT ≤1:10. |
T166 |
594-786 |
Sentence |
denotes |
Among them were two individuals who were only recognized as IgG-positive in the Abbott and Virion-Serion assays and were partially reactive in the ViraChip® and the IgG immunoblots (Figure 1). |
T167 |
787-869 |
Sentence |
denotes |
This confirms a previous report of a high sensitivity of the Abbott IgG test [27]. |
T168 |
870-1070 |
Sentence |
denotes |
The absence of neutralizing antibodies in several COVID-19 patients was also reported by others [28] and may be associated with the mild course of the infection mainly observed in outpatient patients. |
T169 |
1071-1264 |
Sentence |
denotes |
However, since no clinical data were available to us, a severe underlying disease or a serious course of the SARS-CoV-2 infection cannot be ruled out in the individuals of our study collective. |
T170 |
1265-1379 |
Sentence |
denotes |
Recently, presence of neutralizing antibodies was found to be associated with protection against reinfection [29]. |
T171 |
1380-1563 |
Sentence |
denotes |
If the PRNT was chosen as another reference (Figure S1), sensitivities varied from 88.9% to 96.3% (Table 1), which is largely comparable to the results obtained with the first method. |
T172 |
1564-1797 |
Sentence |
denotes |
These sensitivities can be even higher, as retesting of the initial serum from patient 4 in the second part of our study revealed the presence of low-level neutralizing antibodies (1:10 vs. 1:20–1:40; Figure 5 and Figures S1 and S2). |
T173 |
1798-1992 |
Sentence |
denotes |
With respect to a sample from patient 1 taken six days after the PCR, two S-based assays failed to detect SARS-CoV-2 IgG, while all assays that used the N as an epitope were reactive (Figure 1). |
T174 |
1993-2104 |
Sentence |
denotes |
Thus, usage of the latter may lead to the detection of IgG/total antibodies at an earlier stage post-infection. |
T175 |
2105-2263 |
Sentence |
denotes |
Furthermore, a lack of reactivity in some assays using the S antigen does not necessarily mean that SARS-CoV-2-neutralizing antibodies are missing (Figure 1). |
T176 |
2264-2333 |
Sentence |
denotes |
Seroconversion was clearly demonstrated in three patients (Figure 1). |
T177 |
2334-2466 |
Sentence |
denotes |
The majority of SARS-CoV-2 IgG in sera from SARS-CoV-2-infected patients were verified by both versions of an immunoblot (Figure 1). |
T178 |
2467-2572 |
Sentence |
denotes |
The latter can be used to differentiate the antibody reactivities against individual SARS-CoV-2 antigens. |
T179 |
2573-2743 |
Sentence |
denotes |
The specificities of the SARS-CoV-2 IgG/total antibody tests are at comparatively high levels between 96.0% and 100.0%, as has also been reported by others [21,22,24,26]. |
T180 |
2744-2952 |
Sentence |
denotes |
Interestingly, one sample collected in the winter 2018/2019 was found to be reactive in the Mikrogen, Roche, and Viramed assays, as well as in the prototype immunoblot, but could not be confirmed by the PRNT. |
T181 |
2953-3157 |
Sentence |
denotes |
For all other 99 archived samples, a random pattern of rare, isolated reactivity was demonstrated, and none was confirmed as possessing SARS-CoV-2-neutralizing antibodies by PRNT (Figure 2 and Figure S1). |
T182 |
3158-3266 |
Sentence |
denotes |
Potential cross-reactivity with the HCoVs responsible for common colds may therefore not be a major problem. |
T183 |
3267-3472 |
Sentence |
denotes |
The analysis of the immunoblot results shows, however, that sera from SARS-CoV-2-infected patients may simultaneously react with the antigens from HCoVs 229E, HKU-1, NL63, OC43, and SARS-CoV-2 (Figure S3). |
T184 |
3473-3663 |
Sentence |
denotes |
Due to the currently estimated low prevalence of SARS-CoV-2 IgG in the overall German population, even high specificities of 96–98% would produce a relevant number of false positive results. |
T185 |
3664-3817 |
Sentence |
denotes |
Thus, such assays, which all show an accuracy over 93%, should be preferentially used for the testing of patients with a history of a probable infection. |
T186 |
3818-3924 |
Sentence |
denotes |
In the case of doubt, the implementation of the labor-intensive and time-consuming PRNT may be considered. |