The development of a highly sensitive and quantitative SARS-CoV-2 rapid antigen test applying newly developed monoclonal antibodies to an automated chemiluminescent flow-through membrane immunoassay device

© 2023. The Author(s)..

BACKGROUND: Rapid and accurate diagnosis of individuals with SARS-CoV-2 infection is an effective way to prevent and control the spread of COVID-19. Although the detection of SARS-CoV-2 viral RNA by RT-qPCR is the gold standard for COVID-19 testing, the use of antigen-detecting rapid diagnostic tests (Ag-RDTs) is emerging as a complementary surveillance tool as Omicron case numbers skyrocket worldwide. However, the results from Ag-RDTs are less accurate in individuals with low viral loads.

RESULTS: To develop a highly sensitive and accurate Ag-RDT, 90 monoclonal antibodies were raised from guinea pigs immunized with SARS CoV-2 nucleocapsid protein (CoV-2-NP). By applying a capture antibody recognizing the structural epitope of the N-terminal domain of CoV-2-NP and a detection antibody recognizing the C-terminal tail of CoV-2-NP to an automated chemiluminescence flow-through membrane immunoassay device, we developed a novel Ag-RDT, CoV-2-POCube. The CoV-2-POCube exclusively recognizes CoV-2-NP variants but not the nucleocapsid proteins of other human coronaviruses. The CoV-2-POCube achieved a limit of detection sensitivity of 0.20 ~ 0.66 pg/mL of CoV-2-NPs, demonstrating more than 100 times greater sensitivity than commercially available SARS-CoV-2 Ag-RDTs.

CONCLUSIONS: CoV-2-POCube has high analytical sensitivity and can detect SARS-CoV-2 variants in 15 min without observing the high-dose hook effect, thus meeting the need for early SARS-CoV-2 diagnosis with lower viral load. CoV-2-POCube is a promising alternative to currently available diagnostic devices for faster clinical decision making in individuals with suspected COVID-19 in resource-limited settings.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC immunology - 24(2023), 1 vom: 26. Sept., Seite 34

Sprache:

Englisch

Beteiligte Personen:

Nishimura, Kengo [VerfasserIn]
Kitazawa, Hiroaki [VerfasserIn]
Kawahata, Takashi [VerfasserIn]
Yuhara, Kosuke [VerfasserIn]
Masuya, Takahiro [VerfasserIn]
Kuroita, Toshihiro [VerfasserIn]
Waki, Kentarou [VerfasserIn]
Koike, Seiichi [VerfasserIn]
Isobe, Masaharu [VerfasserIn]
Kurosawa, Nobuyuki [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Monoclonal
COVID-19
Journal Article
Lateral flow immunochromatography
Monoclonal antibody
Omicron
Point-of-care test
Rapid antigen test
Research Support, Non-U.S. Gov't
SARS-CoV-2

Anmerkungen:

Date Completed 20.11.2023

Date Revised 29.02.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12865-023-00567-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362487502