Reconsideration of Antinucleocapsid IgG Antibody as a Marker of SARS-CoV-2 Infection Postvaccination for Mild COVID-19 Patients

Open Forum Infect Dis. 2022 Dec 15;10(1):ofac677. doi: 10.1093/ofid/ofac677. eCollection 2023 Jan.

Abstract

Antinucleocapsid (anti-N) immunoglobulin G antibody responses were lower in plasma and oral fluid after severe acute respiratory syndrome coronavirus 2 infection in vaccinated patients compared with patients infected before vaccination or infected without vaccination. This raises questions about the long-term use of anti-N antibodies as a marker for natural infection for surveillance.

Keywords: COVID-19; hybrid immunity; nucleocapsid antibody; surveillance; vaccines.