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SARS-COV-2 Spike protein IgG Antibodies
Bacterial/ Viral
Report in 4Hrs
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No Fasting Required
Details
Measures the level of IgG antibodies directed against the spike (S) protein of the SARS-CoV-2 virus
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SARS-CoV-2 Spike Protein IgG Antibodies - Comprehensive Test Guide
- Why is it done?
- Test Purpose: Detects IgG antibodies against the SARS-CoV-2 spike protein, indicating past or current infection or vaccine-induced immunity
- Assess Immune Response: Evaluates the body's adaptive immune response to SARS-CoV-2 exposure or vaccination
- Confirm Prior Infection: Identifies individuals with past COVID-19 infection, even in asymptomatic or mild cases
- Vaccine Response Monitoring: Determines if vaccination has generated adequate antibody response and protective immunity
- Immunocompromised Patients: Assesses antibody production in patients with weakened immune systems or on immunosuppressive therapy
- Typical Timing: Performed 2-4 weeks after infection symptoms resolve or 2-4 weeks post-vaccination; may be repeated to monitor antibody persistence
- Normal Range
- Negative Result: < 0.8 S/CO (Signal-to-Cutoff ratio) or < 1.0 AU/mL (Arbitrary Units/milliliter) Indicates: No detectable antibodies; no prior infection or inadequate immune response to vaccination
- Borderline/Inconclusive: 0.8-1.0 S/CO or 1.0-1.5 AU/mL Indicates: Uncertain immunity status; repeat testing recommended in 1-2 weeks
- Positive Result: > 1.0 S/CO or > 1.5 AU/mL Indicates: Detectable antibodies present; evidence of prior infection or vaccine response
- Units of Measurement: S/CO (Signal-to-Cutoff), AU/mL (Arbitrary Units per milliliter), or BAU/mL (Binding Antibody Units) depending on laboratory methodology
- High Values (>10 S/CO): Strong antibody response; likely recent infection or recent vaccination
- Low Positive Values (1.0-3.0 S/CO): Mild antibody response; remote infection or waning immunity over time
- Interpretation
- Positive IgG Antibodies: Indicates prior SARS-CoV-2 exposure (infection) or successful vaccination response. IgG appears 1-3 weeks after infection and persists long-term. Does not indicate current infection (IgM would be present for acute infection)
- Negative IgG Antibodies: No detectable antibodies to spike protein. May indicate: no prior infection/vaccination, very recent infection (before antibodies develop), or immunocompromised state with poor antibody production
- Serial Testing Patterns: Rising titers suggest recent infection; stable or declining titers indicate remote infection or waning vaccine immunity
- Factors Affecting Results: Immunosuppression (reduced response), age (elderly may have lower titers), timing of test relative to infection/vaccination, variant strain exposure, medication use (corticosteroids, biologics)
- Distinguishing Infection vs. Vaccination: This test cannot differentiate between antibodies from natural infection vs. vaccination. Combined serology (spike vs. nucleocapsid antibodies) may be used; nucleocapsid antibodies indicate natural infection only
- Clinical Significance: Positive results suggest some level of immunity; however, antibody levels do not perfectly correlate with protection. Neutralizing antibody testing provides more specific immunity assessment
- False Negatives: Can occur in severe immunosuppression, early infection (<2 weeks), or due to analytical sensitivity of assay
- False Positives: Rare; may occur with cross-reactive antibodies from other coronavirus infections or technical assay issues
- Associated Organs
- Primary Organ System - Immune System: The adaptive immune response produces IgG antibodies in response to SARS-CoV-2 spike protein antigen
- Secondary Organ Systems - Respiratory Tract: Site of SARS-CoV-2 replication and initial infection
- Cardiovascular System: Endothelial cells express ACE2 receptors; SARS-CoV-2 can cause cardiac complications
- Gastrointestinal System: ACE2 receptors present; can contribute to GI symptoms during infection
- Neurological System: SARS-CoV-2 can affect central nervous system; antibodies may reflect neurological involvement
- Associated Conditions with Abnormal Results: COVID-19 infection (acute/resolved), vaccine-induced immunity, long COVID syndrome
- Complications Associated with Positive Results: Post-acute sequelae (long COVID), myocarditis, pulmonary fibrosis, thrombotic complications, multisystem inflammatory response
- Risk in Immunocompromised Patients: Negative results despite infection or vaccination may indicate persistent viral replication or failed immune priming, requiring alternative management strategies
- Follow-up Tests
- SARS-CoV-2 IgM Antibodies: If acute infection is suspected; indicates recent or active infection (IgM present for 5-10 days post-infection)
- SARS-CoV-2 Nucleocapsid Antibodies: Differentiates natural infection from vaccination; present in infection only, not vaccination
- SARS-CoV-2 Neutralizing Antibody Testing: Assesses functional immunity and ability to neutralize virus; more specific for protective immunity than binding antibodies
- SARS-CoV-2 PCR/Antigen Test: If active infection is suspected despite negative/borderline antibody results; detects current viral presence
- Complete Blood Count (CBC): If immunocompromised status is suspected; assess immune cell populations
- T-cell Response Testing (CD4/CD8 Count, Flow Cytometry): In immunocompromised patients with poor antibody response; evaluates cellular immunity
- Immunoglobulin Panel: If primary immunodeficiency is suspected; measures total immunoglobulin production capacity
- Repeat Spike IgG Testing: Recommended at 2-4 week intervals if borderline results obtained; helps confirm seroconversion
- Serial Monitoring Post-Vaccination: May be repeated 6-12 months post-vaccination or after booster doses to track antibody persistence and assess need for revaccination
- Imaging Studies (if clinically indicated): Chest X-ray, CT scan for persistent respiratory symptoms; Echocardiography for cardiac complications
- Fasting Required?
- Fasting Required: NO
- Special Preparation: None required. No fasting needed; food and fluid intake do not affect antibody detection
- Specimen Collection: Serum or plasma sample obtained via venipuncture; standard blood draw procedure
- Medications - No Restrictions: Continue all routine medications as prescribed. Note: Immunosuppressive medications (biologics, corticosteroids, antirejection drugs) may affect antibody response but should not be withheld
- Timing Considerations: Test should be performed at least 14 days post-infection or post-vaccination to allow adequate IgG antibody development For vaccine response assessment: 2-4 weeks post-final vaccine dose (or after booster)
- Appointment Instructions: Can schedule test any time of day without dietary restrictions. Inform healthcare provider of any immunosuppressive conditions or medications for proper result interpretation
- Post-Test Activity: No restrictions; normal activities can resume immediately after blood draw
How our test process works!

