Rare SARS-CoV-2 antibody development in cancer patients

Semin Oncol. 2021 Apr;48(2):160-165. doi: 10.1053/j.seminoncol.2020.12.003. Epub 2021 Jan 2.

Abstract

SARS-CoV-2 antibody development and immunity will be crucial for the further course of the pandemic. Until now, it has been assumed that patients who are infected with SARS-CoV-2 will develop antibodies as has been the case with other coronaviruses, like MERS-CoV and SARS-CoV. In the present study, we analyzed the development of antibodies in 77 patients with an oncologic diagnosis 26 days after positive RT-qPCR testing for SARS-CoV2. RT-qPCR and anti-SARS-CoV2-antibody methods from BGI (MGIEasy Magnetic Beads Virus DNA/RNA Extraction Kit) and Roche (Elecsys Anti-SARS-CoV-2 immunoassay) were used, respectively, according to the manufacturers' specifications. Surprisingly, antibody development was detected in only 6 of 77 individuals with a confirmed history of COVID-19. Despite multiple testing, the remaining patients did not show measurable antibody concentrations in subsequent tests. These results undermine the previous hypothesis that SARS-CoV2 infections are regularly associated with antibody development and cast doubt on the provided immunity to COVID-19. Understanding the adaptive and humoral response to SARS-CoV2 will play a key role in vaccine development and gaining further knowledge on the pathogenesis.

Keywords: COVID-19; Cancer; Immunity; SARS-CoV2 antibody development.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antibodies, Viral / blood*
  • Antibodies, Viral / immunology
  • COVID-19 / complications*
  • COVID-19 / transmission
  • COVID-19 / virology
  • Child
  • Child, Preschool
  • Female
  • Germany / epidemiology
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Neoplasms / blood
  • Neoplasms / epidemiology
  • Neoplasms / immunology*
  • Neoplasms / virology
  • RNA, Viral / blood
  • RNA, Viral / genetics*
  • SARS-CoV-2 / genetics*
  • SARS-CoV-2 / isolation & purification
  • Young Adult

Substances

  • Antibodies, Viral
  • RNA, Viral