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10.1093/infdis/jiaa797

http://scihub22266oqcxt.onion/10.1093/infdis/jiaa797
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33367830!7798987!33367830
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suck abstract from ncbi


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pmid33367830      J+Infect+Dis 2021 ; 223 (7): 1120-1131
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  • SARS-CoV-2 Serologic Assays in Control and Unknown Populations Demonstrate the Necessity of Virus Neutralization Testing #MMPMID33367830
  • Rathe JA; Hemann EA; Eggenberger J; Li Z; Knoll ML; Stokes C; Hsiang TY; Netland J; Takehara KK; Pepper M; Gale M Jr
  • J Infect Dis 2021[Apr]; 223 (7): 1120-1131 PMID33367830show ga
  • BACKGROUND: To determine how serologic antibody testing outcome links with virus neutralization of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), we evaluated individuals for SARS-CoV-2 antibody level and viral neutralization. METHODS: We compared serum Ig levels across platforms of viral antigens and antibodies with 15 positive and 30 negative SARS-CoV-2 controls followed by viral neutralization assessment. We then applied these platforms to a clinically relevant cohort of 114 individuals with unknown histories of SARS-CoV-2 infection. RESULTS: In controls, the best-performing virus-specific antibody detection platforms were SARS-CoV-2 receptor binding domain (RBD) IgG (sensitivity 87%, specificity 100%, positive predictive value [PPV] 100%, negative predictive value [NPV] 94%), spike IgG3 (sensitivity 93%, specificity 97%, PPV 93%, NPV 97%), and nucleocapsid protein (NP) IgG (sensitivity 93%, specificity 97%, PPV 93%, NPV 97%). Neutralization of positive and negative control sera showed 100% agreement. Twenty individuals with unknown history had detectable SARS-CoV-2 antibodies with 16 demonstrating virus neutralization. Spike IgG3 provided the highest accuracy for predicting serologically positive individuals with virus neutralization activity (misidentified 1/20 unknowns compared to 2/20 for RBD and NP IgG). CONCLUSIONS: The coupling of virus neutralization analysis to a spike IgG3 antibody test is optimal to categorize patients for correlates of SARS-CoV-2 immune protection status.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Antibodies, Neutralizing/blood/immunology/isolation & purification[MESH]
  • |Antibodies, Viral/blood/immunology/isolation & purification[MESH]
  • |COVID-19 Serological Testing/*methods[MESH]
  • |COVID-19/blood/*diagnosis/epidemiology/immunology[MESH]
  • |Enzyme-Linked Immunosorbent Assay[MESH]
  • |False Positive Reactions[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunity, Humoral[MESH]
  • |Immunoglobulin G/blood/immunology/isolation & purification[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Neutralization Tests/*methods[MESH]
  • |Predictive Value of Tests[MESH]
  • |Prevalence[MESH]
  • |SARS-CoV-2/*immunology/isolation & purification[MESH]
  • |Sensitivity and Specificity[MESH]
  • |Seroepidemiologic Studies[MESH]
  • |Spike Glycoprotein, Coronavirus/immunology[MESH]


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