Title
SARS-CoV-2 enzyme-linked immunosorbent assays as proxies for plaque reduction neutralisation tests
Date Issued
01 December 2022
Access level
open access
Resource Type
journal article
Author(s)
Kay G.A.
Owen S.I.
Giorgi E.
Clark D.J.
Williams C.T.
Menzies S.
Cuevas L.E.
Davies B.M.O.
Eckersley N.M.
Hughes G.L.
Krishna S.
Patterson E.I.
Planche T.
Staines H.M.
Adams E.R.
St George’s University of London
Publisher(s)
Nature Research
Abstract
Severe acute respiratory coronavirus 2 (SARS-CoV-2) has spread globally since its emergence in 2019. Most SARS-CoV-2 infections generate immune responses leading to rising levels of immunoglobulins (Ig) M, A and G which can be detected using diagnostic tests including enzyme-linked immunosorbent assays (ELISA). Whilst implying previous SARS-CoV-2 infection, the detection of Ig by ELISA does not guarantee the presence of neutralising antibodies (NAb) that can prevent the virus infecting cells. Plaque reduction neutralisation tests (PRNT) detect NAb, but are not amenable to mass testing as they take several days and require use of SARS-CoV-2 in high biocontainment laboratories. We evaluated the ability of IgG and IgM ELISAs targeting SARS-CoV-2 spike subunit 1 receptor binding domain (S1-RBD), and spike subunit 2 (S2) and nucleocapsid protein (NP), at predicting the presence and magnitude of NAb determined by PRNT. IgG S2 + NP ELISA was 96.8% [95% CI 83.8–99.9] sensitive and 88.9% [95% CI 51.8–99.7] specific at predicting the presence of NAbs (PRNT80 > 1:40). IgG and IgM S1-RBD ELISAs correlated with PRNT titre, with higher ELISA results increasing the likelihood of a robust neutralising response. The IgM S1-RBD assay can be used as a rapid, high throughput test to approximate the magnitude of NAb titre.
Volume
12
Issue
1
Language
English
OCDE Knowledge area
Sistema respiratorio
Enfermedades infecciosas
Scopus EID
2-s2.0-85125592860
PubMed ID
Source
Scientific Reports
ISSN of the container
20452322
Sponsor(s)
This work is supported by grants from DFID/Wellcome Trust Epidemic Preparedness coronavirus Grant (220764/Z/20/Z) to ERA and LEC and the Rosetrees Trust and the John Black Charitable Foundation (grant number M959) to HMS, TP, SK, DJC, JRAF. HMS is supported by the Wellcome Trust Institutional Strategic Support Fund (204809/Z/16/Z) awarded to St. George’s University of London. This work is also supported by the NIHR Health Protection Research Unit (HPRU) in Emerging and Zoonotic Infections at University of Liverpool in partnership with Public Health England (PHE), the Liverpool School of Tropical Medicine and the University of Oxford (Award 200907).
Sources of information:
Directorio de Producción Científica
Scopus