Spike antibody levels and risk of SARS-CoV-2 reinfection: a two-year cohort study in previously infected adults

Higher spike antibody levels were consistently associated with lower risk of SARS-CoV-2 reinfection, supporting their use as continuous markers of protection. Although assay-specific and without a single protective cutoff, antibody measurements may help monitor patient groups prone to poor vaccine responses-such as those receiving chemotherapy or immune-modulating drugs-and guide individualized revaccination once immune competence recovers.

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Publication Details

Journal
Vaccine
Published
2026-01-06
DOI
https://doi.org/10.1016/j.vaccine.2026.128194
Citations
1
Primary Topic
SARS-CoV-2 and COVID-19 Research
Type
article
Field-Weighted Citation Impact
32.78

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article

Spike antibody levels and risk of SARS-CoV-2 reinfection: a two-year cohort study in previously infected adults

Thore Hillig, Casper Roed, Zitta Barrella Harboe, Lisbeth K. Brandt et al.
1 citations
Vaccine
SARS-CoV-2 and COVID-19 Research
32.78
article

Spike antibody levels and risk of SARS-CoV-2 reinfection: a two-year cohort study in previously infected adults

Thore Hillig, Casper Roed, Zitta Barrella Harboe, Lisbeth K. Brandt, Young Bae Lee Hansen, Elias Frost Wiwe, Thea Kølsen Fischer, Mona Dates Jørgensen, Nessrin Talouzi
article en
1 citations

Abstract

Higher spike antibody levels were consistently associated with lower risk of SARS-CoV-2 reinfection, supporting their use as continuous markers of protection. Although assay-specific and without a single protective cutoff, antibody measurements may help monitor patient groups prone to poor vaccine responses-such as those receiving chemotherapy or immune-modulating drugs-and guide individualized revaccination once immune competence recovers.

VaccineVol. 74
Copenhagen University Hospital (DK), Nordsjællands Hospital (DK)
Familien Hede Nielsens Fond, Frimodt-Heineke Fonden
No poverty
Openalex Percentile: Top 2%
SARS-CoV-2 and COVID-19 Research
32.78
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