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Peterhoff, David ; Glück, Vivian ; Vogel, Matthias ; Schuster, Philipp ; Schütz, Anja ; Neubert, Philip ; Albert, Veruschka ; Frisch, Stefanie ; Kiessling, Mara ; Pervan, Philip ; Werner, Maren ; Ritter, Nicole ; Babl, Leon ; Deichner, Maria ; Hanses, Frank ; Lubnow, Matthias ; Müller, Thomas ; Lunz, Dirk ; Hitzenbichler, Florian ; Audebert, Franz ; Hähnel, Viola ; Offner, Robert ; Müller, Martina ; Schmid, Stephan ; Burkhardt, Ralph ; Glück, Thomas ; Koller, Michael ; Niller, Hans Helmut ; Graf, Bernhard ; Salzberger, Bernd ; Wenzel, Jürgen J. ; Jantsch, Jonathan ; Gessner, André ; Schmidt, Barbara ; Wagner, Ralf

A highly specific and sensitive serological assay detects SARS‑CoV‑2 antibody levels in COVID‑19 patients that correlate with neutralization

Peterhoff, David , Glück, Vivian, Vogel, Matthias, Schuster, Philipp, Schütz, Anja, Neubert, Philip, Albert, Veruschka, Frisch, Stefanie, Kiessling, Mara, Pervan, Philip, Werner, Maren, Ritter, Nicole, Babl, Leon, Deichner, Maria, Hanses, Frank, Lubnow, Matthias, Müller, Thomas, Lunz, Dirk, Hitzenbichler, Florian, Audebert, Franz, Hähnel, Viola, Offner, Robert, Müller, Martina, Schmid, Stephan, Burkhardt, Ralph , Glück, Thomas, Koller, Michael, Niller, Hans Helmut, Graf, Bernhard, Salzberger, Bernd, Wenzel, Jürgen J. , Jantsch, Jonathan, Gessner, André , Schmidt, Barbara und Wagner, Ralf (2020) A highly specific and sensitive serological assay detects SARS‑CoV‑2 antibody levels in COVID‑19 patients that correlate with neutralization. Infection, S. 75-82.

Veröffentlichungsdatum dieses Volltextes: 02 Feb 2021 14:10
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.44662


Zusammenfassung

Objective The 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 ...

Objective The 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. Methods In 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. Results The RBD-based ELISA detected SARS-CoV-2-directed antibodies, did not cross-react with seasonal coronavirus antibodies and correlated with virus neutralization (R-2 = 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. Conclusions With 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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftInfection
Verlag:SPRINGER HEIDELBERG
Ort der Veröffentlichung:HEIDELBERG
Seitenbereich:S. 75-82
Datum21 August 2020
InstitutionenMedizin > Lehrstuhl für Anästhesiologie
Medizin > Lehrstuhl für Innere Medizin I
Medizin > Lehrstuhl für Innere Medizin II
Medizin > Lehrstuhl für Klinische Chemie und Laboratoriumsmedizin
Medizin > Lehrstuhl für Medizinische Mikrobiologie und Hygiene
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer
WertTyp
10.1007/s15010-020-01503-7DOI
Stichwörter / KeywordsSARS CORONAVIRUS; PROTEIN; SPIKE; SARS-CoV-2; COVID-19; Antibody test; ELISA; Serology; Virus neutralization; Assay validation; Spike protein; S protein; Receptor binding domain
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetUnbekannt / Keine Angabe
An der Universität Regensburg entstandenZum Teil
URN der UB Regensburgurn:nbn:de:bvb:355-epub-446629
Dokumenten-ID44662

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