Nucleocapsid antibody positivity as a marker of past SARS-CoV-2 infection in population serosurveillance studies: impact of variant, vaccination, and choice of assay cut-off
By
Heather Whitaker,
Charlotte Gower,
Ashley David Otter,
Ruth Simmons,
Freja Kirsebom,
Louise Letley,
Catherine Quinot,
Georgina Ireland,
Ezra Linley,
Sonia Ribeiro,
Shamez Ladhani,
Jamie Lopez-Bernal,
Gayatri Amirthalingam,
Mary E Ramsay,
Kevin Brown
Posted 26 Oct 2021
medRxiv DOI: 10.1101/2021.10.25.21264964
Serological surveillance studies sometimes use presence of anti-nucleocapsid antibody as a marker of natural SARS-CoV-2 infection. We explore seroconversion rates and antibody titres following Alpha and Delta variant infections, and vaccine breakthrough infections. We find lower seroconversion rates particularly following Alpha-variant vaccine breakthrough infections. We re-evaluate assay performance with a mix of past waned infections and recent breakthrough infections, that is relevant to current serological surveillance.
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