Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study

Background: At present, we did not find any articles that studied seroprevalence and its persistence several months later in lung cancer patients in the setting of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) infection. Most patients with coronavirus disease 2019 (COVID-19) go on to d...

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Autores: Provencio, M, Rodriguez-Abreu, D, Ortega, AL, Serrano, G, Aguado, C, Franco, F, Gutierrez, V, Vivanco, GL, Guirado, M, Benitez, G, Estival, A, Calvo, V, Jimenez, B, Arasanz, H, Coves, J, Majem, M, Massuti, B, Vazquez, S, Juan-Vidal, O, Collazo-Lorduy, A, Gozalvez, CL, Del Barco, E, Rosero, A, Bosch-Barrerra, J, Moreno, MA, Mielgo-Rubio, X, Villa, JC, Lopez-Martin, A, Cordoba, JF, Aparisi, FD, Zafra, M, Mosquera, J, Altozano, JP, Nadal, E, Catot, S, Balsalobre, J, De Portugal, T, Martin, P, De Juan, SC, Cobo, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p5319
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=5319
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85123687363&doi=10.21037%2ftlcr-21-504&partnerID=40&md5=eb88f627c270d009fdd89b6be6314158
Access Level:acceso abierto
Palabra clave:Immunity
lung cancer
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
seroprevalence
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spelling Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID studyProvencio, MRodriguez-Abreu, DOrtega, ALSerrano, GAguado, CFranco, FGutierrez, VVivanco, GLGuirado, MBenitez, GEstival, ACalvo, VJimenez, BArasanz, HCoves, JMajem, MMassuti, BVazquez, SJuan-Vidal, OCollazo-Lorduy, AGozalvez, CLDel Barco, ERosero, ABosch-Barrerra, JMoreno, MAMielgo-Rubio, XVilla, JCLopez-Martin, ACordoba, JFAparisi, FDZafra, MMosquera, JAltozano, JPNadal, ECatot, SBalsalobre, JDe Portugal, TMartin, PDe Juan, SCCobo, MImmunitylung cancersevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)seroprevalenceBackground: At present, we did not find any articles that studied seroprevalence and its persistence several months later in lung cancer patients in the setting of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) infection. Most patients with coronavirus disease 2019 (COVID-19) go on to develop antibodies (Abs) against viral proteins. However, it is not known how long these Abs last nor whether cancer treatments could affect the duration of immune response. Methods: This prospective, longitudinal, multicenter serological study in the setting of SARS-CoV-2 infection was carried out in 50 Spanish hospitals. Eligibility criterion was the diagnosis of any lung cancer. The determination of anti-SARS-CoV-2 IgG Abs was performed by qualitative immuno-enzymatic assay using ELISA kit from NovaLisa whose Abs target the recombinant antigen N of the nucleocapsid of SARSCoV-2. The first Ab determination was performed between April 21 and June 3, 2020. The second Ab determination was performed in all previously seropositive patients, between September 10 and November 20, 2020. Study objectives were to prospectively determine seroprevalence in unselected lung cancer patients during the first wave of the pandemic; the persistence of immunity; protection or lack thereof against reinfection; and the influence of treatments on maintenance or loss of immunity. Results: Of 1,500 patients, 128 were seropositive, overall prevalence of 8.5% seropositivity [95% confidence interval (CI): 7.2-10.1%]. Seventy-five percent were in active cancer treatment. Forty-seven point seven percent of IgG positive participants had experienced a symptomatic illness suspected of being infected with SARS-CoV-2 (95% CI: 38.8-56.6%). A second determination was performed on average 4.5 months later [interquartile range (IQR), 4.0-5.0 months] and obtained for 104 of the initially seropositive patients (81%), it could not be obtained in 24 patients, the majority due to death caused by disease progression (73%). In the second determination, IgG was not detected in 30.8% of patients. The severity of the infection, the need for hospitalization (P=0.032) and the presence of symptoms at diagnosis (P=0.02) were associated with persistence of immunity in the second determination. No variables or treatments received were associated with Abs loss. Conclusions: Immunity against SARS-CoV-2 does not appear to be compromised by treatment and persists beyond 4 months. Neither do mortality rates appear to be particularly high in this unselected population. Trial Registration: ClinicalTrials.gov identifier: NCT04407143.AME PUBL CO2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=5319https://www.scopus.com/inward/record.uri?eid=2-s2.0-85123687363&doi=10.21037%2ftlcr-21-504&partnerID=40&md5=eb88f627c270d009fdd89b6be6314158Translational Lung Cancer ResearchISSN: 22186751ISSNe: 22264477reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p53192026-06-14T12:41:47Z
dc.title.none.fl_str_mv Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
title Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
spellingShingle Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
Provencio, M
Immunity
lung cancer
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
seroprevalence
title_short Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
title_full Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
title_fullStr Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
title_full_unstemmed Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
title_sort Seroprevalence and immunological memory against SARS-CoV-2 in lung cancer patients: the SOLID study
dc.creator.none.fl_str_mv Provencio, M
Rodriguez-Abreu, D
Ortega, AL
Serrano, G
Aguado, C
Franco, F
Gutierrez, V
Vivanco, GL
Guirado, M
Benitez, G
Estival, A
Calvo, V
Jimenez, B
Arasanz, H
Coves, J
Majem, M
Massuti, B
Vazquez, S
Juan-Vidal, O
Collazo-Lorduy, A
Gozalvez, CL
Del Barco, E
Rosero, A
Bosch-Barrerra, J
Moreno, MA
Mielgo-Rubio, X
Villa, JC
Lopez-Martin, A
Cordoba, JF
Aparisi, FD
Zafra, M
Mosquera, J
Altozano, JP
Nadal, E
Catot, S
Balsalobre, J
De Portugal, T
Martin, P
De Juan, SC
Cobo, M
author Provencio, M
author_facet Provencio, M
Rodriguez-Abreu, D
Ortega, AL
Serrano, G
Aguado, C
Franco, F
Gutierrez, V
Vivanco, GL
Guirado, M
Benitez, G
Estival, A
Calvo, V
Jimenez, B
Arasanz, H
Coves, J
Majem, M
Massuti, B
Vazquez, S
Juan-Vidal, O
Collazo-Lorduy, A
Gozalvez, CL
Del Barco, E
Rosero, A
Bosch-Barrerra, J
Moreno, MA
Mielgo-Rubio, X
Villa, JC
Lopez-Martin, A
Cordoba, JF
Aparisi, FD
Zafra, M
Mosquera, J
Altozano, JP
Nadal, E
Catot, S
Balsalobre, J
De Portugal, T
Martin, P
De Juan, SC
Cobo, M
author_role author
author2 Rodriguez-Abreu, D
Ortega, AL
Serrano, G
Aguado, C
Franco, F
Gutierrez, V
Vivanco, GL
Guirado, M
Benitez, G
Estival, A
Calvo, V
Jimenez, B
Arasanz, H
Coves, J
Majem, M
Massuti, B
Vazquez, S
Juan-Vidal, O
Collazo-Lorduy, A
Gozalvez, CL
Del Barco, E
Rosero, A
Bosch-Barrerra, J
Moreno, MA
Mielgo-Rubio, X
Villa, JC
Lopez-Martin, A
Cordoba, JF
Aparisi, FD
Zafra, M
Mosquera, J
Altozano, JP
Nadal, E
Catot, S
Balsalobre, J
De Portugal, T
Martin, P
De Juan, SC
Cobo, M
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Immunity
lung cancer
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
seroprevalence
topic Immunity
lung cancer
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
seroprevalence
description Background: At present, we did not find any articles that studied seroprevalence and its persistence several months later in lung cancer patients in the setting of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) infection. Most patients with coronavirus disease 2019 (COVID-19) go on to develop antibodies (Abs) against viral proteins. However, it is not known how long these Abs last nor whether cancer treatments could affect the duration of immune response. Methods: This prospective, longitudinal, multicenter serological study in the setting of SARS-CoV-2 infection was carried out in 50 Spanish hospitals. Eligibility criterion was the diagnosis of any lung cancer. The determination of anti-SARS-CoV-2 IgG Abs was performed by qualitative immuno-enzymatic assay using ELISA kit from NovaLisa whose Abs target the recombinant antigen N of the nucleocapsid of SARSCoV-2. The first Ab determination was performed between April 21 and June 3, 2020. The second Ab determination was performed in all previously seropositive patients, between September 10 and November 20, 2020. Study objectives were to prospectively determine seroprevalence in unselected lung cancer patients during the first wave of the pandemic; the persistence of immunity; protection or lack thereof against reinfection; and the influence of treatments on maintenance or loss of immunity. Results: Of 1,500 patients, 128 were seropositive, overall prevalence of 8.5% seropositivity [95% confidence interval (CI): 7.2-10.1%]. Seventy-five percent were in active cancer treatment. Forty-seven point seven percent of IgG positive participants had experienced a symptomatic illness suspected of being infected with SARS-CoV-2 (95% CI: 38.8-56.6%). A second determination was performed on average 4.5 months later [interquartile range (IQR), 4.0-5.0 months] and obtained for 104 of the initially seropositive patients (81%), it could not be obtained in 24 patients, the majority due to death caused by disease progression (73%). In the second determination, IgG was not detected in 30.8% of patients. The severity of the infection, the need for hospitalization (P=0.032) and the presence of symptoms at diagnosis (P=0.02) were associated with persistence of immunity in the second determination. No variables or treatments received were associated with Abs loss. Conclusions: Immunity against SARS-CoV-2 does not appear to be compromised by treatment and persists beyond 4 months. Neither do mortality rates appear to be particularly high in this unselected population. Trial Registration: ClinicalTrials.gov identifier: NCT04407143.
publishDate 2022
dc.date.none.fl_str_mv 2022
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85123687363&doi=10.21037%2ftlcr-21-504&partnerID=40&md5=eb88f627c270d009fdd89b6be6314158
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=5319
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85123687363&doi=10.21037%2ftlcr-21-504&partnerID=40&md5=eb88f627c270d009fdd89b6be6314158
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv AME PUBL CO
publisher.none.fl_str_mv AME PUBL CO
dc.source.none.fl_str_mv Translational Lung Cancer Research
ISSN: 22186751
ISSNe: 22264477
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
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