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Seroconversion

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not detectable by standard techniques, or that individuals do not need antibodies against COVID-19 in order to recover. Individuals who recover from COVID-19 but never seroconvert tend to have lower viral loads and be of younger age than individuals who do seroconvert. This may indicate that individuals who have experienced less severe COVID-19 infections are less likely to trigger full responses from their immune systems and that these individuals manage to clear the infection despite not producing sufficient quantities of antibodies or any specific antibodies against COVID-19 at all. Significantly older patients of greater than eighty years old are more likely to have higher quantities of IgG antibodies compared to younger patients at the time of infection. This is consistent with the fact that older patients tend to have more severe COVID-19 infections and thus have higher viral loads compared to younger patients. However, this increased antibody load tends to decrease after about three months post-recovery compared to younger patients, compared to the six to seven months observed in the general population. This implies that the resistance may not last long-term in older individuals, leaving them suspectible to subsequent COVID-19 infections. Some studies have disputed the link between concentrations of antibodies of either IgM or IgG and the severity of the disease course.
389:(N). Concentrations of antibodies develop after several days and reach their maximal value approximately two to three weeks after infection. Some individuals have detectable levels of both IgG and IgM as early as within the first week after symptoms begin. Although viral infections typically have a rise in IgM that precedes a rise in IgG, some individuals infected with COVID-19 have both IgM and IgG responses at approximately the same time. After initial seroconversion for either IgM or both IgG and IgM, concentrations continue to rise and peak within one week after antibodies first become detectable. Concentration of IgM tend to fall within three weeks after symptoms first begin regardless of resolution to the COVID-19 infection. Levels of IgG plateau and remain high for at least six to seven months after the resolution of the infection in most individuals. The length of time that anti-spike IgG remains high varies greatly between different individuals. Older individuals and individuals with less robust immune systems tend to serorevert within a shorter period of time. 455:
produced by the body, first in short-term IgM (anti-HBc IgM), and subsequently in long-term IgG; while levels of IgM anti-HBc will peak around sixteen weeks after exposure and fall within about seven to eight months, IgG anti-HBc will remain detectable in the serum as a sign of chronic infection for years. IgM anti-HBc concentration will fall regardless of whether or not the individual clears the infection. The window period for HBsAg/anti-HBs testing occurs as concentration of HBsAg falls and before the body develops anti-HBs antibodies, lasting approximately six to eight weeks in most individuals. During this time, serology assays can test for total anti-HBc. Levels of anti-surface antibody (anti-HBs) generally become detectable after thirty-two weeks and peak around thirty-six to forty; the production of anti-HBs antibodies indicates imminent resolution of the HBV infection. Anti-HBs concentration falls as the infection resolves but does not serorevert completely, and anti-HBs IgG remains positive for years as a sign of immunity.
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resolved. The presence of surface antibody (anti-HBs) indicates an individual with immunity to hepatitis B, whether due to previously resolved infection or due to hepatitis B vaccination. For example, an individual who has never had any exposure to HBV, either by vaccine or by infection, would test negative for the entire serology panel. An individual who has been vaccinated and never had an infection will test seropositive for anti-HBs due to vaccination and negative for markers of infection. An individual with an acute HBV infection would test positive for HBsAg and anti-HBc (total and IgM) while negative for anti-HBs. An individual with a chronic infection would test positive for HBsAg and total anti-HBc (IgM and IgG), but negative for IgM anti-HBc and anti-HBs. An individual who has successfully resolved their HBV infection will test negative for HBsAg, positive for anti-HBc, and may test negative or positive for anti-HBs, although most will test positive..
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clinical efficacy of vaccines. This suggests that for most individuals, seroconversion does lead to resistance. Studies of the available COVID-19 vaccines have indicated that vaccination causes a stronger seroconversion with a heightened peak concentration of IgG antibodies, as well as a longer plateau of resistance compared to seroconversion from a natural infection of COVID-19. The timeline of seroconversion is similar between seroconversion from infection and seroconversion from vaccines. Antibodies first becoming detectable within approximately two to three weeks. Younger individuals tend to have more robust responses to vaccinations compared to older individuals. The difference in the robustness of the response increases with the second dose. Younger individuals tend to have much higher and more sustained peaks of anti-spike IgG antibodies following the second dose. Many otherwise ill individuals, such as those with cancer or
316:, the standard for testing, is about two weeks. However, the window periods used for the assays are based on capturing as many people as possible. More recent, fourth-generation assays that assess for both the antibody and the antigen can have a window period as short as six weeks to detect more than 99% of infections, while third-generation tests that assess only for unbound antibody tend to have a longer window period of eight to nine weeks. Third-generation tests are no longer recommended if fourth-generation tests are available. Rapid tests procurable at a consumer level often fail to detect antibody until at least three months have passed since the initial infection. It takes longer for fingerstick blood or other fluids to accumulate sufficiently high levels of antibodies compared to venous blood plasma sampling. Thus 128:
antigen molecules than antibody molecules, the majority of the antibody molecules are bound to antigen. Thus, tests at this stage are unable to detect sufficient unbound antigen. On the other hand, there may be unbound antigen that can be detectable. As seroconversion progresses, the amount of antibody in the blood gradually rises. Eventually the amount of antibody outnumbers the amount of antigen. At this time, the majority of the antigen molecules is bound to antibodies, and the antigen is undetectable. Conversely, there is a substantial amount of unbound antibodies, allowing standard techniques to detect these antibodies.
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recovery from infection alone does not guarantee resistance to COVID-19. Even for individuals who seroconverted, seropositivity is at best only as protective as a single dose of vaccine, as opposed to the more robust protection of both doses of the vaccine and subsequent boosters. Therefore, those who have recovered from COVID-19, regardless of seropositivity, are still advised by health bodies such as the CDC to seek vaccination to prevent future reinfection and to limit future potential spread of COVID-19.
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time, and boosters are also recommended for immunocompromised individuals after five years. However, those who are immunocompetent may forego testing or boosters after the five-year period. Individuals who receive vaccination for HBV should undergo serology testing to confirm seroconversion following the initial vaccine series as well as any boosters. Those who are persistent non-responders to the booster series are unlikely to benefit from additional boosters and should instead be cautioned on prevention.
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equal, each antibody molecule will be in a complex and be undetectable by standard techniques. The antigen, which is bound as well, will also be undetectable. The antibody or antigen is only detectable in the blood when there is substantially more of one than the other. Standard techniques require a high enough concentration of antibody or antigen to detect the amount of antibody or antigen; therefore, they cannot detect the small amount that is not bound during seroconversion.
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antibodies are less likely to have a severe disease course. Studies suggest that anti-spike antibodies confer greater resistance to COVID-19 than anti-nucleocapsid antibodies. A higher ratio of anti-spike antibodies to anti-nucleocapsid antibodies thus serves as a predictor of disease course and patient mortality. As a result, currently available vaccines target the production of anti-spike antibodies rather than anti-nucleocapsid antibodies.
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weeks. Some people have no symptoms at all. The symptoms of seroconversion are non-specific and can often be mistaken for a more benign illness such as the flu. Symptoms can include lymphadenopathy (swelling of the lymph glands), general fatigue and malaise, chills, low-grade fever, sore throat, body aches, night sweats, ulcers in the mouth, pain in the joints and muscles, loss of appetite, headache, and a
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testing is primarily used to detect individuals who have been infected with COVID-19 in the past who have already resolved their infections. Due to the time delay of seroconversion compared to viral load, seroconversion is not sufficiently timely to diagnose a current case of COVID-19. However, seroconversion may be helpful for individuals with suspected infections who are negative by
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infections and antigens lead to the production of antibodies for differing periods of time. Some infections may lead to antibodies that the immune system produces for years after the infection resolves. Others lead to antibodies that the immune system only produces for a few weeks following resolution. After seroreversion, tests can no longer detect antibodies in a patient's serum.
325:(PrEP) can experience extended window periods compared to the average population, leading to ambiguous testing. Thus, individuals who test negative for HIV before the window period ends for that specific test will usually need to be retested after the window period, as they may fall into the minority who take more time to develop antibodies. 341:
on the trunk of the body. Because not all individuals experience the symptoms of seroconversion, and because they are non-specific, individuals should receive testing for HIV if they are high-risk or have possibly had an exposure to HIV. Likewise, if an individual suspects exposure for HIV, a lack of
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About 70-80% of people infected with HIV will experience symptoms during the seroconversion period within about two to four weeks, primarily associated with a high viral load and the immune system's acute response to the infection. These symptoms can last for anywhere from a couple of days to several
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Seroreversion is the opposite of seroconversion. During seroreversion, the amount of antibody in the serum decreases. This decrease may occur naturally as a result of the infection resolving and the immune system slowly tamping down its response, or as a result of loss of the immune system. Different
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result when testing for the infection. The time during which the amount of antibody and antigen are sufficiently similar that standard techniques will be unable to detect the antibody or antigen is referred to as the window period. Since different antibodies are produced independently of one another,
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is a term denoting the presence or absence of particular antibodies in an individual's blood. An individual's serostatus may be positive or negative. During seroconversion, the specific antibody being tested for is generated. Therefore, before seroconversion, the serological assay will not detect any
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Seroconversion: The development of detectable antibodies in the blood that are directed against an infectious agent. Antibodies do not usually develop until some time after the initial exposure to the agent. Following seroconversion, a person tests positive for the antibody when given tests that are
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Some studies have suggested that a significant minority across all population cohorts fails to seroconvert after the standard three-dose series. For these individuals, a booster is recommended. Other studies have indicated that even for those who seroconvert, the immunity conferred may decrease over
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Not all individuals who are infected to COVID-19 seroconvert, including individuals who otherwise fully recover from COVID-19. This could suggest that the individuals are developing antibodies that standard techniques do not cover, that individuals can recover with extremely low levels of antibodies
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The immune system generates antibodies to any antigen, so seroconversion can occur as a result of either natural infection or as a result of vaccination. Detectable seroconversion and the timeline of seroconversion are among of the parameters studied in evaluating the efficacy of vaccines. A vaccine
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by replicating the antibodies that bind to them. If an antibody is already bound to an antigen, that antibody and that antigen cannot bind to the test. Antibody tests therefore cannot detect that specific antibody molecule. Due to this binding, if the amounts of antigen and antibody in the blood are
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in response. Before seroconversion, the antigen itself may or may not be detectable, but the antibody is absent. During seroconversion, the antibody is present but not yet detectable. After seroconversion, the antibody is detectable by standard techniques and remains detectable unless the individual
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Upon reinfection, levels of both IgM and IgG rise, with IgM antibodies having a more rapid but smaller and less sustained peak, and IgG antibodies having a slightly slower, but far greater peak sustained over a longer period of time compared to IgM antibodies. Subsequent infections will demonstrate
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to the human population. Epidemiologists compare archived human blood specimens taken from infected hosts before an epidemic and later specimens from infected hosts at later stages of the epidemic. In this context, seroconversion refers to the process of anti-viral antibodies becoming detectable in
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The immune system may take several days or weeks to detect antigen in tissue, begin to create antibodies, and ramp up the production of antibodies to counter the antigen. As a result, the antigen molecules outnumber the antibody molecules in the early stages of an infection. Because there are more
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result, causing the individual to appear to have seroconverted when the individual has not. False positives can occur due to the test reacting to, or detecting, an antibody that happens to be sufficiently similar in structure to the target antibody. Antibodies are generated randomly, so the immune
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or decreasing antibody concentrations over time. Seroconversion refers the production of specific antibodies against specific antigens, meaning that a single infection could cause multiple waves of seroconversion against different antigens. Similarly, a single antigen could cause multiple waves of
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On a serological assay, the presence of hepatitis B surface antigen (HBsAg) indicates an individual with a currently active hepatitis B infection, whether acute or chronic. The presence of core antibody (anti-HBc) indicates an individual with an infection in general, whether current or previously
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In the typical disease course for hepatitis B, the individual will first seroconvert for hepatitis B surface antigen (HBsAg). While some can convert within one week, most individuals take about four weeks after initial infection to convert. Anti-core antibodies (anti-HBc) are the first antibodies
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Not all people who are infected with SARS-CoV-2 become seropositive. Conversely, some individuals can become seropositive without ever experiencing symptoms of COVID-19 or knowing that they were exposed to COVID-19 at any point. Some asymptomatic individuals can still transmit COVID-19 to others.
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will begin to produce antibodies within a few weeks after their initial exposure to HIV. During the window period, the antibody assay cannot detect unbound anti-HIV antibodies and will indicate that the individual is seronegative. The length of the window period depends on the individual's immune
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infections. As in other viral infections, seropositivity indicates that an individual has a sufficiently high concentration of antibody or antigen in the blood to be detectable by standard techniques. While assays for other infections such as COVID-19 and HIV primarily test for seroconversion of
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Becoming seropositive for COVID-19 antibodies can occur due to either infection with COVID-19 itself or due to becoming vaccinated to COVID-19. Being seropositive for COVID-19 does not intrinsically confer immunity or even resistance. However, higher rates of seroconversion are linked to greater
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antibodies will retain that infection chronically unless treated with medications specific to HIV. Conversely, seroconversion in other infections may indicate resistance or immunity. For example, higher concentrations of antibodies after seroconversion in individuals vaccinated against COVID-19
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Because seroconversion refers to detectability by standard techniques, seropositivity status depends on the sensitivity and specificity of the assay. As a result, assays, like any serum test, may give false positives or false negatives and should be confirmed if used for diagnosis or treatment.
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Seroconversion rates are one of the methods used for determining the efficacy of a vaccine. The higher the rate of seroconversion, the more protective the vaccine for a greater proportion of the population. Seroconversion does not inherently confer immunity or resistance to infection. Only some
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Seroconversion does not necessarily occur at the same rate to all COVID-19 antigens. Individuals who seroconvert more rapidly to different antigens may have different disease courses. Individuals infected with COVID-19 who developed primarily anti-spike antibodies rather than anti-nucleocapsid
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As with other viruses, seroconversion in COVID-19 refers to the development of antibodies in the blood serum against COVID-19 antigens. An individual is seropositive, or has seroconverted for COVID-19, once standard techniques are able to detect COVID-19 antibodies in the blood. Seroconversion
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dose, due to this increased concentration of IgG antibodies. Some individuals who have recovered from COVID-19 may decline vaccination due to the belief that their recovery from infection has a protective effect. Nevertheless, the lack of seroconversion for all former infectees indicates that
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Hepatitis B e-antigen (HBeAg) is a sign of current infectivity. An individual who is seropositive for HBeAg can infect others. An individual who is infected with HBV and who never becomes seropositive for HBeAg can likewise be infective, because not all HBV infections produce HBeAg. For most
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Several studies have demonstrated that individuals who recovered from COVID-19 infections and are seropositive for COVID-19 at the time of vaccination produce significantly more anti-spike IgG antibodies in response to vaccination than individuals who are not seropositive for COVID-19, while
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An individual being seropositive means that the individual has antibodies to that antigen, but it does not mean that that individual has immunity or even resistance to the infection. While antibodies form an important part of the immune system's ability to fight off and resolve an infection,
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tests reliant on these sources can have even longer periods. While a reactive (seropositive) rapid point of care test may prompt an individual to undergo further testing. A non-reactive (negative) rapid point of care test should still be followed up with immunoassay testing such as by a
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can temporarily test falsely seropositive. Due to the possibility of false positives, positive test results are usually reported as "reactive." This indicates that the assay reacted to antibodies, but this does not mean that the individual has the specific antibodies tested for.
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The immune system mounts an acute effort to resolve the HIV infection during the seroconversion period. Following this period, the immune system temporarily contains the infection. The symptoms of seroconversion lessen and disappear in most people, with HIV entering a stage of
288:) sometimes does not follow the usual pattern, with IgM sometimes occurring after IgG, together with IgG, or not occurring at all. Generally, however, median IgM detection occurs 5 days after symptom onset, and IgG is detected a median 14 days after symptom onset. 148:
antibody, and the individual's serostatus is seronegative for the antibody. After seroconversion, sufficient concentration of the specific antibody exists in the blood, and the serological assay will detect the antibody. The individual is now seropositive for the antibody.
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to begin producing antibodies, and it takes further time for those antibodies to develop sufficient specificity to bind strongly to their specific antigen. In the initial (primary infection) phase of the infection, the immune system responds by generating weakly binding
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antibodies against antigens, assays for HBV also test for antigens. The standard serology panel for seroconversion include hepatitis B surface antigen, hepatitis B surface antibody for IgM and IgG, hepatitis B core antibody for IgM and IgG, and hepatitis B e-antigen.
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However, it is unclear whether all asymptomatic individuals who seroconvert to COVID-19 had transmissibility at any point (active infection), or whether an individual can seroconvert to COVID-19 without undergoing a period during which they can infect others.
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individuals who have recovered from COVID-19 infections but never seroconverted and are seronegative respond similarly to individuals who have never been exposed to COVID-19. Specifically, individuals who are seropositive for COVID-19 at the time of their
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individuals, those who seroconvert positive for HBeAg during their disease course and subsequently serorevert negative as their infection progresses are no longer infective. Seroreversion from HBeAg is thus used as one marker of resolution of infection.
350:. At this stage, the infection remains within the body without causing symptoms, and the viral load gradually increases. The body continues producing anti-HIV antibodies throughout clinical latency, and the HIV infection remains detectable. 409:, can exhibit decreased rates of seroconversion for currently available vaccines. The different vaccines currently utilized do not appear to have significant differences in seroconversion rates when compared in similar population groups. 328:
Current CDC recommendations are to begin with a test that screens for both antigen and antibody, then follow up with an immunoassay to differentiate between HIV-1 and HIV-2 antibodies. Non-reactive (negative) tests are followed up with
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Similarly, because standard techniques utilize assumptions about the specificity of antibodies and antigens and are based on chemical interactions, these tests are not completely accurate. Serological assays may give a
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Thakkar, Astha; Gonzalez-Lugo, Jesus D.; Goradia, Niyati; Gali, Radhika; Shapiro, Lauren C.; Pradhan, Kith; Rahman, Shafia; Kim, So Yeon; Ko, Brian; Sica, R. Alejandro; Kornblum, Noah (9 August 2021).
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are tests that detect specific antibodies and are used to determine whether those antibodies are in an organism's blood; such tests require a significant concentration of unbound antibody in the blood
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response and the particular parameters of the test. An individual in the window period can still infect others despite appearing seronegative on tests because the individual still carries the virus.
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Although seroconversion refers to the production of sufficient quantities of antibodies in the serum, the word seroconversion is often used more specifically in reference to blood testing for anti-
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will result in IgM-generating B-cells switching to more specific IgG-generating B-cells. Levels of IgM then gradually decline and eventually become undetectable by immunoassays, while levels of
262:(IgG) levels rise and become detectable. After the infection resolves, levels of IgM antibodies generally fall to completely undetectable levels as the immune response self-regulates, but some 254:(IgM) antibodies; although they individually bind weakly, each IgM antibody has many binding regions and can thus make for an effective initial mobilization of the immune system. Over time, 178:
does not need to have a 100% seroconversion rate to be effective. As long as a sufficient proportion of the population seroconverts, the entire population will be effectively protected by
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system has a low chance of generating an antibody capable of weakly binding to the assay by coincidence. More rarely, individuals who have recently had some vaccines or who have certain
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Individuals who have become HIV seropositive may benefit from seroconversion testing for comorbid infections for which they are suspectible. For example, positive seroconversion of
3617: 2245:"Safety and efficacy of the ChAdOx1 nCoV-19 vaccine (AZD1222) against SARS-CoV-2: an interim analysis of four randomised controlled trials in Brazil, South Africa, and the UK" 270:
similar patterns, with initial IgM peaks and significantly stronger IgG peaks, with the IgG peak occurring more rapidly during subsequent infections. Thus an elevated IgM
2294:"Robust antibody responses in 70-80-year-olds 3 weeks after the first or second doses of Pfizer/BioNTech COVID-19 vaccine, United Kingdom, January to February 2021" 151:
During seroconversion, when the amounts of antibody and antigen are very similar, it may not be possible to detect free antigen or free antibody. This may give a
1164:"The variability of the serological response to SARS-corona virus-2: Potential resolution of ambiguity through determination of avidity (functional affinity)" 342:
symptoms does not indicate that seroconversion has not occurred. 20–30% of people undergoing HIV seroconversion lack symptoms entirely or have mild symptoms.
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antibodies and seropositivity alone do not guarantee that an individual will resolve the infection. An individual who is seropositive for anti-
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will remain as memory cells to produce levels of IgG that will frequently remain detectable for months to years after the initial infection.
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indicates recent primary infection or acute reinfection, while the presence of IgG suggests past infection or
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The general stages of seroconversion for hepatitis B, where the line of detectability indicates seropositivity
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seroreverts, in a phenomenon called seroreversion, or loss of antibody detectability, which can occur due to
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Antigens include toxins, chemicals, bacteria, viruses, or other substances that come from outside the body.
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a given infection may have several window periods. Each specific antibody has its own window period.
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Most standard assays for COVID-19 seroconversion test for antibodies against the COVID-19 specific
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antibodies. In particular, "seroconverted" has been used to refer to the process of having "become
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The timecourse for an IV infection, where seroconversion occurs during the acute HIV syndrome
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290: 223: 220: 162:false positive 153:false negative 133: 130: 109:viral proteins 96: 93: 35:seroconversion 15: 9: 6: 4: 3: 2: 3677: 3666: 3663: 3661: 3658: 3656: 3653: 3651: 3648: 3647: 3645: 3624:. 8 June 2018 3623: 3619: 3613: 3598: 3594: 3588: 3573: 3569: 3563: 3561: 3552: 3548: 3543: 3538: 3534: 3530: 3525: 3520: 3516: 3512: 3508: 3504: 3500: 3493: 3485: 3481: 3476: 3471: 3467: 3463: 3458: 3453: 3449: 3445: 3441: 3434: 3426: 3422: 3417: 3412: 3408: 3404: 3400: 3396: 3392: 3388: 3384: 3377: 3375: 3366: 3362: 3358: 3354: 3349: 3344: 3340: 3336: 3332: 3325: 3317: 3313: 3308: 3303: 3299: 3295: 3291: 3284: 3276: 3272: 3268: 3264: 3259: 3258:2027.42/55941 3254: 3250: 3246: 3243:(2): 507–39. 3242: 3238: 3231: 3223: 3219: 3215: 3211: 3206: 3201: 3197: 3193: 3189: 3185: 3179: 3171: 3167: 3163: 3159: 3153: 3149: 3145: 3138: 3123: 3119: 3113: 3111: 3109: 3100: 3094: 3090: 3085: 3084: 3075: 3073: 3057: 3053: 3047: 3045: 3043: 3041: 3039: 3022: 3018: 3012: 3010: 3001: 3000: 2993: 2985: 2981: 2978:(2): 217–23. 2977: 2973: 2966: 2964: 2947: 2943: 2937: 2929: 2925: 2920: 2915: 2911: 2907: 2903: 2899: 2895: 2888: 2886: 2877: 2873: 2868: 2863: 2859: 2855: 2851: 2847: 2843: 2836: 2834: 2825: 2821: 2816: 2811: 2807: 2803: 2799: 2795: 2791: 2784: 2776: 2772: 2767: 2762: 2758: 2754: 2750: 2746: 2742: 2735: 2733: 2731: 2722: 2718: 2713: 2708: 2704: 2700: 2696: 2692: 2688: 2681: 2679: 2677: 2668: 2664: 2659: 2654: 2650: 2646: 2642: 2638: 2634: 2627: 2619: 2615: 2610: 2605: 2601: 2597: 2593: 2589: 2585: 2578: 2570: 2566: 2561: 2556: 2552: 2548: 2544: 2540: 2536: 2532: 2531:JAMA Oncology 2528: 2521: 2513: 2509: 2505: 2501: 2496: 2491: 2487: 2483: 2479: 2475: 2471: 2467: 2463: 2456: 2448: 2444: 2439: 2434: 2430: 2426: 2422: 2418: 2414: 2410: 2406: 2399: 2391: 2387: 2382: 2377: 2373: 2369: 2365: 2361: 2357: 2350: 2348: 2346: 2337: 2333: 2328: 2323: 2319: 2315: 2311: 2307: 2303: 2299: 2295: 2288: 2280: 2276: 2271: 2266: 2262: 2258: 2254: 2250: 2246: 2239: 2231: 2227: 2222: 2217: 2213: 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478: 475: 474: 468: 464: 460: 456: 452: 449: 440: 431: 428: 424: 418: 414: 410: 408: 404: 400: 396: 390: 388: 387:nucleoprotein 384: 383:spike protein 379: 375: 373: 362: 360: 356: 351: 349: 343: 340: 334: 332: 326: 324: 319: 318:point of care 315: 310: 307: 298: 289: 287: 283: 279: 277: 273: 267: 265: 261: 257: 253: 248: 243: 241: 237: 233: 230:maintains an 229: 228:immune system 219: 216: 212: 208: 203: 201: 197: 192: 189: 183: 181: 180:herd immunity 175: 171: 168: 163: 157: 154: 149: 146: 142: 138: 129: 125: 122: 118: 114: 110: 106: 103:allows it to 102: 99:The physical 92: 88: 84: 82: 78: 74: 69: 64: 60: 59:immune system 56: 52: 48: 44: 40: 36: 32: 23: 19: 3626:. Retrieved 3621: 3612: 3600:. Retrieved 3596: 3587: 3575:. Retrieved 3572:www.hepb.org 3571: 3506: 3502: 3492: 3447: 3443: 3433: 3390: 3386: 3338: 3334: 3324: 3297: 3293: 3283: 3240: 3236: 3230: 3195: 3191: 3178: 3147: 3137: 3125:. Retrieved 3121: 3082: 3059:. Retrieved 3056:www.hepb.org 3055: 3025:. Retrieved 3020: 2998: 2992: 2975: 2971: 2950:. Retrieved 2945: 2936: 2901: 2897: 2849: 2845: 2797: 2793: 2783: 2748: 2744: 2694: 2690: 2640: 2636: 2626: 2591: 2587: 2577: 2534: 2530: 2520: 2469: 2465: 2455: 2412: 2408: 2398: 2363: 2359: 2301: 2297: 2287: 2252: 2248: 2238: 2203: 2199: 2189: 2154: 2150: 2094: 2090: 2038: 2034: 2024: 1989: 1985: 1975: 1940: 1936: 1888: 1884: 1836: 1832: 1784: 1780: 1718: 1714: 1664: 1660: 1612: 1608: 1560: 1556: 1527:. Retrieved 1523: 1514: 1487: 1483: 1473: 1438: 1434: 1424: 1412:. Retrieved 1408: 1399: 1364: 1360: 1350: 1308:. Retrieved 1304: 1276:. 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Retrieved 588: 557: 554:"Chapter 24" 535: 521: 513: 505: 496: 465: 461: 457: 453: 445: 426: 422: 419: 415: 411: 391: 380: 376: 368: 352: 344: 335: 327: 311: 303: 280: 276:immunization 268: 264:plasma cells 244: 225: 207:epidemiology 204: 200:HIV positive 193: 184: 176: 172: 158: 150: 135: 126: 111:, to form a 98: 89: 85: 49:, including 47:immunization 34: 28: 18: 3628:13 November 3602:13 November 3577:13 November 3127:13 November 3061:13 November 3027:13 November 2409:Cancer Cell 1529:13 November 1409:i-base.info 1305:i-base.info 1272:www.cdc.gov 812:i-base.info 761:aidsmap.com 679:: 111–119. 649:13 November 617:aidsmap.com 589:www.who.int 448:hepatitis B 365:In COVID-19 314:p24 antigen 236:rechallenge 132:Terminology 51:vaccination 3644:Categories 3450:(1): 120. 3341:(1): 6–8. 3237:Hepatology 2952:9 November 1943:: 100861. 1721:: 595773. 1667:: e65508. 1414:7 November 1310:7 November 1278:7 November 1223:: 112454. 924:1 November 899:1 November 842:1 November 817:5 November 792:1 November 767:5 November 741:5 November 623:7 November 594:7 November 488:References 222:Background 145:Serostatus 61:begins to 39:antibodies 31:immunology 3533:1932-6203 3466:1471-2334 3407:0090-0036 3357:0009-0875 2551:2374-2437 2512:237943677 2486:1527-6473 2429:1878-3686 2318:1560-7917 2129:222147857 1915:216609402 1587:218518808 1065:236516861 95:Mechanism 43:infection 3650:Serology 3551:26716979 3503:PLOS ONE 3484:17961205 3425:14998792 3365:12001615 3316:17935720 3267:17256718 3222:25592461 3214:21041901 3170:Archived 3166:21413272 2928:33795870 2876:33646292 2824:32666092 2775:34042191 2721:34193339 2667:32783920 2637:Immunity 2618:32357808 2569:34379085 2504:34564945 2447:34133951 2390:33691060 2336:33769252 2279:33306989 2230:33301246 2181:34290390 2121:32998157 2065:33535236 2016:33017040 1967:33937733 1907:32350462 1863:33125914 1811:34494500 1747:33791320 1693:33724185 1639:32407440 1579:32374370 1465:13497760 1391:30568989 1247:32729549 1198:32633840 1146:32437513 1057:34326510 1026:34320281 975:22315717 718:57318260 532:Archived 510:Archived 508:. 2010. 471:See also 407:leukemia 286:COVID-19 55:antigens 3542:4696801 3511:Bibcode 3475:2228304 3416:1448253 3275:8713169 3184:Liaw YF 2984:3331068 2919:8205849 2867:7922233 2815:7454292 2766:8242906 2712:8386781 2658:7392190 2609:7273175 2560:8358793 2495:8662269 2438:8179248 2381:8008743 2327:7995559 2270:7723445 2221:7745181 2172:8294260 2099:Bibcode 2056:7543487 2007:7533664 1958:8079668 1854:7837315 1802:8442988 1738:8005564 1684:7963480 1630:7226282 1524:ASM.org 1506:8657239 1457:9875587 1382:6105113 1238:7368663 1189:7361859 1137:7314174 1017:8362591 966:3253031 685:3711190 247:B cells 113:complex 83:class. 73:classes 3549:  3539:  3531:  3482:  3472:  3464:  3423:  3413:  3405:  3363:  3355:  3314:  3273:  3265:  3220:  3212:  3164:  3154:  3095:  2982:  2926:  2916:  2874:  2864:  2822:  2812:  2773:  2763:  2719:  2709:  2665:  2655:  2616:  2606:  2567:  2557:  2549:  2510:  2502:  2492:  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Index


immunology
antibodies
infection
immunization
vaccination
antigens
immune system
produce antibodies
weakening of the immune system
classes
IgM
IgG
structure of an antibody
bind
viral proteins
complex
detect specific antibodies
detect specific antigens
Serological assays
serum
Serostatus
false negative
false positive
autoimmune conditions
herd immunity
HIV
HIV
HIV positive
epidemiology

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