Evaluating the Role of SARS-CoV-2 Antibody Levels in the Care of Long COVID Patients Infected with the Omicron Variant - Summary - MDSpire

Evaluating the Role of SARS-CoV-2 Antibody Levels in the Care of Long COVID Patients Infected with the Omicron Variant

  • By

  • Marina Kawaguchi

  • Yasue Sakurada

  • Kazuki Tokumasu

  • Yuki Otsuka

  • Yasuhiro Nakano

  • Yui Matsuda

  • Hiroyuki Honda

  • Daisuke Omura

  • Nobuyoshi Matsuki

  • Masanori Furukawa

  • Akihito Higashikage

  • Fumio Otsuka

  • April 22, 2026

  • 0 min

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Objective:

To investigate whether serum S- and N-antibody titers against SARS-CoV-2 spike and nucleocapsid proteins reflect the clinical features of Long COVID.

Key Findings:
  • Median S- and N-antibody titers were significantly higher in vaccinated patients compared to unvaccinated.
  • S-antibody titers correlated with the number of vaccine doses received.
  • N-antibody titers correlated with disease severity during acute COVID-19 and were negatively correlated with time since infection in unvaccinated patients.
  • Lower S-antibody levels were associated with cognitive impairment and reduced quality of life.
Interpretation:

Serum N-antibody titers reflect immune responses to COVID-19, influenced by gender and time since infection, while lower S-antibody levels correlate with cognitive symptoms and quality of life in Long COVID patients.

Limitations:
  • Retrospective design may introduce bias.
  • Single-center study limits generalizability.
  • Lack of control group for comparison.
Conclusion:

S- and N-antibody titers may serve as biomarkers for assessing Long COVID, with implications for understanding immune responses and managing patient care.

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