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10.1007/s10096-020-04102-4

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33184753!7661101!33184753
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suck abstract from ncbi


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pmid33184753      Eur+J+Clin+Microbiol+Infect+Dis 2021 ; 40 (5): 921-928
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  • Development and evaluation of a serological test for diagnosis of COVID-19 with selected recombinant spike proteins #MMPMID33184753
  • Zhang P; Gao Q; Wang T; Ke Y; Mo F; Jia R; Liu W; Liu L; Zheng S; Liu Y; Li L; Wang Y; Xu L; Hao K; Min W; Liu X; Yang R; Li S; Lin C; Zhao Y
  • Eur J Clin Microbiol Infect Dis 2021[May]; 40 (5): 921-928 PMID33184753show ga
  • Serological test is a valuable diagnostic tool for coronavirus disease 2019 (COVID-19). However, considerable improvements to these tests are needed, especially in the detection sensitivity. In this study, six recombinant nucleocapsid and spike proteins of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were prepared and evaluated, including three prokaryotic expression nucleocapsid proteins (rN, rN1, rN2) and three eukaryotic expression spike proteins (rS1, rS-RBD, rS-RBD-mFc). The recombinant proteins with the highest ELISA titers (rS1 and rS-RBD-mFc) were selected to develop a double-antigen sandwich colloidal gold immunochromatography assay (GICA) to detect total antibodies against SARS-CoV-2. The clinical evaluation results showed that the sensitivity and specificity of GICA were 92.09% (419/455) and 99.44% (706/710), respectively. Moreover, a significant number (65.63%, 21/32) of COVID-19 patients with undetectable viral RNA were correctly diagnosed by the GICA method. In conclusion, the eukaryotic expression spike proteins (rS1 and rS-RBD-mFc) are more suitable than the prokaryotic expression nucleocapsid proteins for serological diagnosis of SARS-CoV-2. The proposed GICA for detection of total antibodies could be a powerful complement to the current RNA tests for COVID-19.
  • |Antibodies, Viral/blood[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19 Serological Testing/*methods[MESH]
  • |COVID-19/blood/*diagnosis[MESH]
  • |Coronavirus Nucleocapsid Proteins/genetics/immunology[MESH]
  • |Humans[MESH]
  • |Immunoassay[MESH]
  • |Phosphoproteins/genetics/immunology[MESH]
  • |RNA, Viral/genetics[MESH]
  • |Recombinant Proteins/genetics/immunology[MESH]
  • |SARS-CoV-2/genetics/immunology/*isolation & purification[MESH]
  • |Sensitivity and Specificity[MESH]


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