SARS-CoV-2 infection rapidly elicits anti-Spike
antibodies whose quantity in plasma gradually declines upon resolution of symptoms. This decline is part of the evolution of an immune response leading to B cell differentiation into short-lived antibody-secreting cells or resting memory B cells. At the same time, the ongoing class switch and antibody maturation processes occurring in germinal centers lead to the selection of B cell clones secreting
antibodies with higher affinity for their cognate
antigen, thereby improving their functional activity. To determine whether the decline in SARS-CoV-2
antibodies is paralleled with an increase in avidity of the anti-
viral antibodies produced, we developed a simple assay to measure the avidity of anti-receptor binding domain (RBD)
IgG elicited by
SARS-CoV-2 infection. We longitudinally followed a cohort of 29 convalescent donors with blood samples collected between 6- and 32-weeks post-symptoms onset. We observed that, while the level of
antibodies declines over time, the anti-RBD avidity progressively increases and correlates with the B cell class switch. Additionally, we observed that anti-RBD avidity increased similarly after SARS-CoV-2
mRNA vaccination and after
SARS-CoV-2 infection. Our results suggest that anti-RBD
IgG avidity determination could be a surrogate assay for antibody affinity maturation and, thus, suitable for studying humoral responses elicited by natural
infection and/or vaccination.