Inference of SARS-CoV-2 spike-binding neutralizing antibody titers in sera from hospitalized COVID-19 patients by using commercial enzyme and chemiluminescent immunoassays

ABSTRACT Background Whether antibody levels measured by commercially-available enzyme or chemiluminescent immunoassays targeting the SARS-CoV-2 spike (S) protein can act as a proxy for serum neutralizing activity remains to be established for many of these assays.Objectives To evaluate the degree of correlation between neutralizing antibodies (NtAb) binding the SARS-CoV-2 Spike (S) protein and SARS-CoV-2-S-IgG levels measured by four commercial immunoassays in sera drawn from hospitalized COVID-19 patients.Patients and Methods Ninety sera from 51 hospitalized COVID-19 patients were assayed by a pseudotyped virus neutralization assay, the LIAISON SARS-CoV-2 S1/S2 IgG, the Euroimmun SARS-CoV-2 IgG ELISA, the MAGLUMI 2019-nCoV IgG and the COVID-19 ELISA IgG assays.Results Overall, the results obtained with the COVID-19 ELISA IgG test showed the highest agreement with the NtAb assay (κ, 0.85; 95% CI, 0.63-1). The most sensitive tests were the pseudotyped virus NtAb assay and the COVID-19 ELISA IgG assay (92.2% for both). Overall, the degree correlation between antibody titers resulting in 50% virus neutralization (NtAb50) in the pseudotyped virus assay and SARS-CoV-2 IgG levels was strong for the Euroimmun SARS-CoV-2 IgG ELISA (Rho = 0.73) and moderate for the remaining assays (Rho = 0.48 to 0.59). The kinetic profile of serum NtAb50titers could not be reliably predicted by any of the SARS-CoV-2 IgG immunoassays.Conclusions The suitability of SARS-CoV-2-S-IgG commercial immunoassays for inferring neutralizing activity of sera from hospitalized COVID-19 patients varies widely across tests and is influenced by the time of sera collection after the onset of symptoms..

Medienart:

Preprint

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

bioRxiv.org - (2022) vom: 17. Nov. Zur Gesamtaufnahme - year:2022

Sprache:

Englisch

Beteiligte Personen:

Valdivia, Arantxa [VerfasserIn]
Torres, Ignacio [VerfasserIn]
Latorre, Víctor [VerfasserIn]
Francés-Gómez, Clara [VerfasserIn]
Albert, Eliseo [VerfasserIn]
Gozalbo-Rovira, Roberto [VerfasserIn]
Jesús Alcaraz, María [VerfasserIn]
Buesa, Javier [VerfasserIn]
Rodríguez-Díaz, Jesús [VerfasserIn]
Geller, Ron [VerfasserIn]
Navarro, David [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

570
Biology

doi:

10.1101/2020.09.07.20188151

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

XBI018717454