Across rheumatic diseases

Dynamics of SARS-CoV-2 IgG antibodies and neutralising antibodies in rheumatic and musculoskeletal diseases patients with COVID-19

Clin Exp RheumatolPublished Longitudinal cohort study

Authors' conclusion

GC and anti-rheumatic medications can potentially alter the production of specific antibodies, especially NAb, in RMD patients post-COVID-19 infection.

Study context

Population
Rheumatic and musculoskeletal diseases (RMD) patients and healthy controls after COVID-19 infection
Participants
292 vs 104
Exposure
RMD patients vs healthy controls
  • RMDn = 292
  • Healthy controls (HC)n = 104reference
Outcome
Anti-S1/S2 IgG and NAb levels by chemiluminescent immunoassay
Follow-up
60 and 90 days post-COVID-19 infection
Methodological detailslogistic regression
  • Logistic regression

Main finding

As reported in the abstract

Anti-S1/S2 IgG and NAb levels
  • Anti-S1/S2 IgG levels relatively stable; Neutralising antibodies (NAb) levels in RMD could vary greatly between days 60 and 90
  • RMD vs HC: P < 0.001

Observational data: associations, not effects.

Further findings

Risk factors for reduced anti-S1/S2 IgG and NAb levels (logistic regression)

Prior glucocorticoids (GC), immunosuppressants and b/tsDMARDs independent risk factors, irrespective of RMD subtype

Original publication

Dynamics of SARS-CoV-2 IgG antibodies and neutralising antibodies in rheumatic and musculoskeletal diseases patients with COVID-19. Clin Exp Rheumatol. Published 12 September 2023. doi:10.55563/clinexprheumatol/fpd8tj

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