1. A Combination of N and S Antigens With IgA and IgG Measurement Strengthens the Accuracy of SARS-CoV-2 Serodiagnostics
- Author
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Anne J. Jääskeläinen, Pinja Jalkanen, Suvi Kuivanen, Ilkka Julkunen, Pekka Kolehmainen, Jukka Hytönen, Mikael A. Ritvos, Moona Huttunen, Maija Lappalainen, Rickard Lundberg, Lav Tripathi, Arja Pasternack, Sisko Tauriainen, Matti Waris, Tytti Vuorinen, Pamela Österlund, Anu Haveri, Laura Kakkola, Olli Ritvos, Satu Kurkela, Hira Khan, Rauno Naves, Krister Melén, Sari Maljanen, Kaisa Rantasarkka, Medicum, Department of Physiology, Faculty of Medicine, Viral Zoonosis Research Unit, Department of Virology, HUSLAB, Staff Services, Olli Pekka Vapalahti / Principal Investigator, Clinicum, and Growth factor physiology
- Subjects
Immunoglobulin A ,viruses ,serology ,Antibodies, Viral ,medicine.disease_cause ,Immunoglobulin G ,Immunoenzyme Techniques ,respiratory infection ,coronavirus proteins ,INFECTION ,antibodies ,Immunology and Allergy ,Medicine ,skin and connective tissue diseases ,Coronavirus ,11832 Microbiology and virology ,0303 health sciences ,biology ,Respiratory infection ,enzyme immunoassay ,3. Good health ,AcademicSubjects/MED00290 ,Infectious Diseases ,CROSS-REACTIVITY ,Spike Glycoprotein, Coronavirus ,Antibody ,Sensitivity and Specificity ,COVID-19 Serological Testing ,03 medical and health sciences ,Antigen ,Neutralization Tests ,Major Article ,Coronavirus Nucleocapsid Proteins ,Humans ,neutralizing antibodies ,HUMAN CORONAVIRUSES 229E ,030304 developmental biology ,SARS-CoV-2 ,030306 microbiology ,business.industry ,fungi ,COVID-19 ,biochemical phenomena, metabolism, and nutrition ,Phosphoproteins ,Antibodies, Neutralizing ,Virology ,body regions ,Immunoglobulin M ,3121 General medicine, internal medicine and other clinical medicine ,Humoral immunity ,biology.protein ,3111 Biomedicine ,business ,RESPONSES - Abstract
Background Primary diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is based on detection of virus RNA in nasopharyngeal swab samples. In addition, analysis of humoral immunity against SARS-CoV-2 has an important role in viral diagnostics and seroprevalence estimates. Methods We developed and optimized an enzyme immunoassays (EIA) using SARS-CoV-2 nucleoprotein (N), S1 and receptor binding domain (RBD) of the viral spike protein, and N proteins from SARS, Middle East respiratory syndrome (MERS), and 4 low-pathogenic human CoVs. Neutralizing antibody activity was compared with SARS-CoV-2 IgG, IgA, and IgM EIA results. Results The sensitivity of EIA for detecting immune response in COVID-19 patients (n = 101) was 77% in the acute phase and 100% in the convalescent phase of SARS-CoV-2 infection when N and RBD were used as antigens in IgG and IgA specific EIAs. SARS-CoV-2 infection significantly increased humoral immune responses against the 229E and NL63 N proteins. S1 and RBD-based EIA results had a strong correlation with microneutralization test results. Conclusions The data indicate a combination of SARS-CoV-2 S1 or RBD and N proteins and analysis of IgG and IgA immunoglobulin classes in sera provide an excellent basis for specific and sensitive serological diagnostics of COVID-19.
- Published
- 2021