1. A highly specific and sensitive serological assay detects SARS-CoV-2 antibody levels in COVID-19 patients that correlate with neutralization
- Author
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P Neubert, Matthias Vogel, Viola Hähnel, Matthias Lubnow, Thomas Glück, Vivian Glück, Mara Kiessling, Maren Werner, Ralph Burkhardt, Bernd Salzberger, Franz Audebert, André Gessner, Dirk Lunz, Maria Deichner, Jürgen J. Wenzel, Stefanie Frisch, S Schmid, Frank Hanses, Veruschka Albert, Philipp Schuster, Hans Helmut Niller, Ralf Wagner, Nicole Ritter, Martina Müller, Thomas Müller, Barbara Schmidt, Leon Babl, Michael Koller, Philip Pervan, Florian Hitzenbichler, Robert Offner, Jonathan Jantsch, David Peterhoff, Anja Schütz, and Bernhard M. Graf
- Subjects
0301 basic medicine ,viruses ,Assay validation ,610 Medizin ,Antibodies, Viral ,medicine.disease_cause ,Neutralization ,Antigens, Viral ,Coronavirus ,ddc:610 ,biology ,General Medicine ,Virus neutralization ,SARS-CoV-2 · COVID-19 · Antibody test · ELISA · Serology · Virus neutralization · Assay validation · Spike protein · S protein · Receptor binding domain ,Vaccination ,Serology ,Infectious Diseases ,Ectodomain ,Antibody test ,Spike Glycoprotein, Coronavirus ,ELISA ,Antibody ,Microbiology (medical) ,030106 microbiology ,Enzyme-Linked Immunosorbent Assay ,Spike protein ,Sensitivity and Specificity ,S protein ,03 medical and health sciences ,Protein Domains ,Antigen ,Neutralization Tests ,medicine ,Humans ,Seroprevalence ,Seroconversion ,Original Paper ,SARS-CoV-2 ,business.industry ,Immune Sera ,COVID-19 ,Antibodies, Neutralizing ,Virology ,Immunoglobulin A ,Cross-Sectional Studies ,030104 developmental biology ,Immunoglobulin M ,Immunoglobulin G ,biology.protein ,business ,Receptor binding domain - Abstract
ObjectiveThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic challenges national health systems and the global economy. Monitoring of infection rates and seroprevalence can guide public health measures to combat the pandemic. This depends on reliable tests on active and former infections. Here, we set out to develop and validate a specific and sensitive enzyme linked immunosorbent assay (ELISA) for detection of anti-SARS-CoV-2 antibody levels.MethodsIn our ELISA, we used SARS-CoV-2 receptor-binding domain (RBD) and a stabilized version of the spike (S) ectodomain as antigens. We assessed sera from patients infected with seasonal coronaviruses, SARS-CoV-2 and controls. We determined and monitored IgM-, IgA- and IgG-antibody responses towards these antigens. In addition, for a panel of 22 sera, virus neutralization and ELISA parameters were measured and correlated.ResultsThe RBD-based ELISA detected SARS-CoV-2-directed antibodies, did not cross-react with seasonal coronavirus antibodies and correlated with virus neutralization (R2 = 0.89). Seroconversion started at 5 days after symptom onset and led to robust antibody levels at 10 days after symptom onset. We demonstrate high specificity (99.3%;N = 1000) and sensitivity (92% for IgA, 96% for IgG and 98% for IgM; > 10 days after PCR-proven infection;N = 53) in serum.ConclusionsWith the described RBD-based ELISA protocol, we provide a reliable test for seroepidemiological surveys. Due to high specificity and strong correlation with virus neutralization, the RBD ELISA holds great potential to become a preferred tool to assess thresholds of protective immunity after infection and vaccination.
- Published
- 2020
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