Single-Cell and Plasma Proteomics Do Not Differentiate Patients With and Without SARS-CoV-2 Antigenemia in Convalescence in a Cohort of 100 Patients - Summary - MDSpire

Single-Cell and Plasma Proteomics Do Not Differentiate Patients With and Without SARS-CoV-2 Antigenemia in Convalescence in a Cohort of 100 Patients

  • By

  • Shaun Pienkos

  • Zoe Swank

  • Rebecca E Hamlin

  • Mallika Rao

  • Phillip Grant

  • Hector Bonilla

  • Karen Jacobson

  • Prasanna Jagannathan

  • Upinder Singh

  • David R Walt

  • Aruna Subramanian

  • Catherine Blish

  • August 26, 2025

  • 0 min

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Objective:

To investigate the association between SARS-CoV-2 antigen persistence in plasma and the risk of developing Long COVID (LC) symptoms, specifically examining whether detectable antigens correlate with the severity or presence of LC symptoms.

Key Findings:
  • 18% of patients had detectable antigens at 3 months; 14% at 12 months, with no significant differences in detection rates between patients with LC symptoms and those fully recovered.
  • Antigenemia was present in 26.9% of individuals at either time point, indicating a lack of correlation with LC symptoms.
  • Lower antigen detection rates were observed in hospitalized patients at 3 months.
Interpretation:

The study found no distinct immune profiles or significant differences in plasma proteins between antigenemic and non-antigenemic patients, suggesting that antigen persistence does not correlate with LC symptoms, which may guide future research directions.

Limitations:
  • Small sample size may limit generalizability.
  • Lack of vaccination prior to the 3-month assessment could influence results and the interpretation of antigenemia.
Conclusion:

The findings indicate that SARS-CoV-2 antigenemia does not serve as a reliable biomarker for distinguishing between patients with and without Long COVID during convalescence.

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