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Similar Risk of Severe Acute Respiratory Syndrome Coronavirus 2 Infection and Similar Nucleocapsid Antibody Levels in People with Well-Controlled Human Immunodeficiency Virus (HIV) and a Comparable Cohort of People Without HIV. / Verburgh, Myrthe L.; Boyd, Anders; Wit, Ferdinand W. N. M. et al.
In: Journal of infectious diseases, Vol. 225, No. 11, 01.06.2022, p. 1937-1947.Research output: Contribution to journal › Article › Academic › peer-review
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TY - JOUR
T1 - Similar Risk of Severe Acute Respiratory Syndrome Coronavirus 2 Infection and Similar Nucleocapsid Antibody Levels in People with Well-Controlled Human Immunodeficiency Virus (HIV) and a Comparable Cohort of People Without HIV
AU - Verburgh, Myrthe L.
AU - Boyd, Anders
AU - Wit, Ferdinand W. N. M.
AU - Schim van der Loeff, Maarten F.
AU - van der Valk, Marc
AU - Bakker, Margreet
AU - Kootstra, Neeltje A.
AU - van der Hoek, Lia
AU - Reiss, Peter
N1 - Publisher Copyright: © 2021 The Author(s). Published by Oxford University Press for the Infectious Diseases Society of America.
PY - 2022/6/1
Y1 - 2022/6/1
N2 - Background: Within the ongoing AGEhIV Cohort Study in Amsterdam, we prospectively compared the incidence of and risk factors for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection between human immunodeficiency virus (HIV)-positive and HIV-negative participants. Moreover, we compared SARS-CoV-2 nucleocapsid antibody levels between participants with incident infection from both groups. Methods: Starting in September 2020, consenting HIV-positive and HIV-negative participants were assessed every 6 months for incident SARS-CoV-2 infection, using combined immunoglobulin (Ig) A/IgM/IgG SARS-CoV-2 nucleocapsid antibody assay. Cumulative incidence of SARS-CoV-2 infection and associated risk factors were assessed from 27 February 2020 through 30 April 2021, using complementary log-log regression. In those with incident SARS-CoV-2 infection, nucleocapsid (N) antibody levels were compared between groups using linear regression. Results: The study included 241 HIV-positive (99.2% virally suppressed) and 326 HIV-negative AGEhIV participants. The cumulative SARS-CoV-2 incidence by April 2021 was 13.4% and 11.6% in HIV-positive and HIV-negative participants, respectively (P=.61). Younger age and African origin were independently associated with incident infection. In those with incident infection, only self-reported fever, but not HIV status, was associated with higher N antibody levels. Conclusions: HIV-positive individuals with suppressed viremia and adequate CD4 cell counts had similar risk of SARS-CoV-2 acquisition and similar SARS-CoV-2 N antibody levels after infection compared with a comparable HIV-negative cohort. Clinical Trial Registration: NCT01466582.
AB - Background: Within the ongoing AGEhIV Cohort Study in Amsterdam, we prospectively compared the incidence of and risk factors for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection between human immunodeficiency virus (HIV)-positive and HIV-negative participants. Moreover, we compared SARS-CoV-2 nucleocapsid antibody levels between participants with incident infection from both groups. Methods: Starting in September 2020, consenting HIV-positive and HIV-negative participants were assessed every 6 months for incident SARS-CoV-2 infection, using combined immunoglobulin (Ig) A/IgM/IgG SARS-CoV-2 nucleocapsid antibody assay. Cumulative incidence of SARS-CoV-2 infection and associated risk factors were assessed from 27 February 2020 through 30 April 2021, using complementary log-log regression. In those with incident SARS-CoV-2 infection, nucleocapsid (N) antibody levels were compared between groups using linear regression. Results: The study included 241 HIV-positive (99.2% virally suppressed) and 326 HIV-negative AGEhIV participants. The cumulative SARS-CoV-2 incidence by April 2021 was 13.4% and 11.6% in HIV-positive and HIV-negative participants, respectively (P=.61). Younger age and African origin were independently associated with incident infection. In those with incident infection, only self-reported fever, but not HIV status, was associated with higher N antibody levels. Conclusions: HIV-positive individuals with suppressed viremia and adequate CD4 cell counts had similar risk of SARS-CoV-2 acquisition and similar SARS-CoV-2 N antibody levels after infection compared with a comparable HIV-negative cohort. Clinical Trial Registration: NCT01466582.
KW - COVID-19
KW - HIV
KW - SARS-CoV-2
KW - incidence
KW - serology
UR - http://www.scopus.com/inward/record.url?scp=85126704100&partnerID=8YFLogxK
U2 - 10.1093/infdis/jiab616
DO - 10.1093/infdis/jiab616
M3 - Article
C2 - 34929034
VL - 225
SP - 1937
EP - 1947
JO - Journal of infectious diseases
JF - Journal of infectious diseases
SN - 0022-1899
IS - 11
ER -
ID: 20989497