Two separate studies in Science  Immunology document the persistence of SARS-CoV-2 antibodies in COVID-19  patients at least three months after symptom onset. Both studies suggest that  longer-lasting immunoglobulin G (IgG) antibodies may hold promise as a tool to  evaluate viral immune response. One study also demonstrates a correlation  between blood and saliva antibody levels, suggesting that saliva could serve as  an easier-to-collect alternative to blood testing, according to a news report  from the Center for Infectious Disease Policy and Research (CIDRAP) at the University of Minnesota.
While the presence of  COVID-19–specific antibodies—immune molecules generated by the body in response  to a virus—has been demonstrated in infected patients, the durability of  COVID-19 antibodies is not yet fully understood. Previous studies have shown  antibodies diminishing to undetectable levels two months after infection in  asymptomatic patients. The duration of antibody response is critical for  tracking the spread of COVID-19, as well as to inform vaccine development.
In the first new study, researchers measured antibodies specific to the  SARS-CoV-2 spike protein's receptor binding domain in the blood of 343 patients  for up to 122 days after symptom onset, comparing antibody levels to those of  1,548 individuals sampled before the pandemic.
The second study found a similar duration of antibody response among 402  University of Toronto Hospital COVID-19 patients whose antibody responses were  recorded from 3 to 115 days after onset. Researchers compared their responses  with those from 339 pre-pandemic control patients.
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