PMID- 33385765 OWN - NLM STAT- MEDLINE DCOM- 20210311 LR - 20231110 IS - 1878-0334 (Electronic) IS - 1871-4021 (Print) IS - 1871-4021 (Linking) VI - 15 IP - 1 DP - 2021 Jan-Feb TI - Impaired anti-SARS-CoV-2 antibody response in non-severe COVID-19 patients with diabetes mellitus: A preliminary report. PG - 193-196 LID - S1871-4021(20)30530-0 [pii] LID - 10.1016/j.dsx.2020.12.035 [doi] AB - BACKGROUND AND AIMS: Patients with diabetes mellitus (DM) often demonstrate impaired antibody response to influenza/hepatitis B vaccines. Hence, we compared anti-SARS-CoV-2 antibody response in non-severe COVID-19 patients with and without type 2 diabetes mellitus (T2DM). METHODS: Records of non-severe COVID-19 patients admitted at our institution between April 10, 2020 and May 20, 2020 were retrieved. Qualitative detection of total (IgG + IgM) anti-SARS-CoV-2 antibody was performed using electrochemiluminescence immunoassay in plasma samples collected at least 14 days post-polymerase chain reaction (PCR) confirmation of diagnosis. RESULTS: Thirty-one non-severe COVID-19 patients were included. Nine patients (29%) had T2DM with mean HbA(1c) at admission of 8.3 +/- 1.0%. Anti-SARS-CoV-2 antibody was estimated at a median of 16 (14-17) days post-PCR confirmation of COVID-19 diagnosis. Only three patients (10%) were seronegative, and all had T2DM. Patients with T2DM were more likely to have non-detectable anti-SARS-CoV-2 antibodies than those without DM (p = 0.019). CONCLUSIONS: COVID-19 patients with T2DM may not undergo seroconversion even after two weeks of diagnosis. Impaired seroconversion could theoretically increase the risk of reinfections in patients with DM. However, the finding requires validation in large-scale studies involving serial estimations of anti-SARS-CoV-2 antibodies in patients with and without DM. CI - Copyright (c) 2020 Diabetes India. Published by Elsevier Ltd. All rights reserved. FAU - Pal, Rimesh AU - Pal R AD - Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Sachdeva, Naresh AU - Sachdeva N AD - Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. Electronic address: naresh.sachdeva@outlook.com. FAU - Mukherjee, Soham AU - Mukherjee S AD - Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Suri, Vikas AU - Suri V AD - Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Zohmangaihi, Deepy AU - Zohmangaihi D AD - Department of Biochemistry, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Ram, Sant AU - Ram S AD - Department of Biochemistry, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Puri, Goverdhan Dutt AU - Puri GD AD - Department of Anesthesiology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Bhalla, Ashish AU - Bhalla A AD - Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Soni, Shiv Lal AU - Soni SL AD - Department of Anesthesiology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Pandey, Navin AU - Pandey N AD - Department of Hospital Administration, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Bhansali, Anil AU - Bhansali A AD - Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. FAU - Bhadada, Sanjay Kumar AU - Bhadada SK AD - Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. Electronic address: bhadadask@rediffmail.com. LA - eng PT - Journal Article PT - Observational Study DEP - 20201225 PL - Netherlands TA - Diabetes Metab Syndr JT - Diabetes & metabolic syndrome JID - 101462250 RN - 0 (Antibodies, Viral) SB - IM MH - Adult MH - Aged MH - Antibodies, Viral/*blood/immunology MH - Antibody Formation/*physiology MH - COVID-19/*blood/epidemiology/immunology MH - COVID-19 Testing/*trends MH - Diabetes Mellitus, Type 2/*blood/epidemiology/immunology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - SARS-CoV-2/immunology/*metabolism MH - Young Adult PMC - PMC7762626 OTO - NOTNLM OT - Antibodies OT - COVID-19 OT - Humoral immunity OT - T2DM COIS- Declaration of competing interest The authors declare no conflicts of interest. EDAT- 2021/01/02 06:00 MHDA- 2021/03/12 06:00 PMCR- 2020/12/25 CRDT- 2021/01/01 20:11 PHST- 2020/12/15 00:00 [received] PHST- 2020/12/18 00:00 [revised] PHST- 2020/12/20 00:00 [accepted] PHST- 2021/01/02 06:00 [pubmed] PHST- 2021/03/12 06:00 [medline] PHST- 2021/01/01 20:11 [entrez] PHST- 2020/12/25 00:00 [pmc-release] AID - S1871-4021(20)30530-0 [pii] AID - 10.1016/j.dsx.2020.12.035 [doi] PST - ppublish SO - Diabetes Metab Syndr. 2021 Jan-Feb;15(1):193-196. doi: 10.1016/j.dsx.2020.12.035. Epub 2020 Dec 25.