Plasma samples were diluted 4000-fold, and the total IgG and IgM levels against the SARS-CoV-2 spike protein were measured using a custom Single Molecule Array (Simoa) assay as described [29 (link)] on an automated HD-X Analyzer (Quanterix, Billerica, MA, USA), to provide a quantitative reference for anti-spike antibody titers in the plasma samples. Normalized mean Average Enzymes per Bead (AEB) levels were calculated using a standard set of calibrators produced by serially diluting a large volume of plasma from seroconverted individuals. Antibody concentrations were estimated using a calibration curve of recombinant anti-SARS-CoV-2 antibodies [30 (link)].
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