Validation of high-throughput, semiquantitative solid-phase SARS coronavirus-2 serology assays in serum and dried blood spot matrices

在血清和干血斑基质中高通量、半定量固相 SARS 冠状病毒-2 血清学检测的验证

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作者:Leo Maritz, Nicholas J Woudberg, Amber C Bennett, Andreia Soares, Florian Lapierre, Justin Devine, Matti Kimberg, Patrick J Bouic

Aim

Serological assays for the detection of anti-SARS coronavirus-2 (SARS-CoV-2) antibodies are essential to the response to the global pandemic. A ligand binding-based serological assay was validated for the semiquantitative detection of IgG, IgM, IgA and neutralizing antibodies (nAb) against SARS-CoV-2 in serum.

Conclusion

The assay is applicable in efficacy studies, infection monitoring and postmarketing surveillance following vaccine rollout.

Results

The assay demonstrated high levels of diagnostic specificity and sensitivity (85-99% for all analytes). Serum IgG, IgM, IgA and nAb correlated positively (R2 = 0.937, R2 = 0.839, R2 = 0.939 and R2 = 0.501, p < 0.001, respectively) with those measured in dried blood spot samples collected using the hemaPEN® microsampling device (Trajan Scientific and Medical, Victoria, Australia). In vitro SARS-CoV-2 pseudotype neutralization correlated positively with the solid phase nAb signals in convalescent donors (R2 = 0.458, p < 0.05).

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