Title Viral dynamics and antibody responses in people with asymptomatic SARS-CoV-2 infection
Authors Sui, Zhiwei
Dai, Xinhua
Lu, Qingbin
Zhang, Yulan
Huang, Min
Li, Shufen
Peng, Tao
Xie, Jie
Zhang, Yongzhuo
Wu, Chunchen
Xia, Jianbo
Dong, Lianhua
Yang, Jiayi
Huang, Wenfeng
Liu, Siyuan
Wang, Ziquan
Li, Ke
Yang, Qingfang
Zhou, Xi
Wu, Ying
Liu, Wei
Fang, Xiang
Peng, Ke
Affiliation Natl Inst Metrol, Ctr Adv Measurement Sci, Beijing, Peoples R China
Peking Univ, Sch Publ Hlth, Dept Laboratorial Sci & Technol, Beijing, Peoples R China
Chinese Acad Sci, Ctr Biosafety Mega Sci, State Key Lab Virol, Wuhan, Hubei, Peoples R China
Wuhan Inst Virol, Joint Lab Infect Dis & Hlth, Wuhan, Peoples R China
Wuhan Jinyintan Hosp, Wuhan, Peoples R China
Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Lab Med,HUST, Wuhan, Hubei, Peoples R China
Huazhong Univ Sci & Technol, Tongji Med Coll, Maternal & Child Hlth Hosp Hubei Prov, Dept Lab, Wuhan, Peoples R China
Shenzhen Mindray Biomed Elect Co Ltd, Shenzhen, Peoples R China
Univ Chinese Acad Sci, Beijing, Peoples R China
Wuhan Univ, Inst Med Virol, Sch Basic Med Sci, State Key Lab Virol, Wuhan, Peoples R China
Beijing Inst Microbiol & Epidemiol, Key Lab Pathogen & Biosecur, Beijing, Peoples R China
Keywords HERD-IMMUNITY
Issue Date 10-May-2021
Publisher SIGNAL TRANSDUCTION AND TARGETED THERAPY
Abstract Over 40% of the coronavirus disease 2019 (COVID-19) COVID-19 patients were asymptomatically infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the immune responses of these asymptomatic individuals is a critical factor for developing the strategy to contain the COVID-19 pandemic. Here, we determined the viral dynamics and antibody responses among 143 asymptomatic individuals identified in a massive screening of more than 5 million people in eight districts of Wuhan in May 2020. Asymptomatic individuals were admitted to the government-designated centralized sites in accordance with policy. The incidence rate of asymptomatic infection is similar to 2.92/100,000. These individuals had low viral copy numbers (peaked at 315 copies/mL) and short-lived antibody responses with the estimated diminish time of 69 days. The antibody responses in individuals with persistent SARS-CoV-2 infection is much longer with the estimated diminish time of 257 days. These results imply that the immune responses in the asymptomatic individuals are not potent enough for preventing SARS-CoV-2 re-infection, which has recently been reported in recovered COVID-19 patients. This casts doubt on the efficacy of forming "herd-immunity" through natural SARS-CoV-2 infection and urges for the development of safe and effective vaccines.
URI http://hdl.handle.net/20.500.11897/614561
ISSN 2095-9907
DOI 10.1038/s41392-021-00596-2
Indexed SCI(E)
Appears in Collections: 公共卫生学院

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