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10.3390/diagnostics11010102

http://scihub22266oqcxt.onion/10.3390/diagnostics11010102
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33440690!7827312!33440690
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suck abstract from ncbi


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pmid33440690      Diagnostics+(Basel) 2021 ; 11 (1): ä
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  • Dual-Antigen System Allows Elimination of False Positive Results in COVID-19 Serological Testing #MMPMID33440690
  • Komarov A; Kaznadzey A; Li Y; Kireeva M; Mazo I
  • Diagnostics (Basel) 2021[Jan]; 11 (1): ä PMID33440690show ga
  • Determining the presence of antibodies in serum is important for epidemiological studies, to be able to confirm whether a person has been infected, predicting risks of them getting sick and spreading the disease. During the ongoing pandemic of COVID-19, a positive serological test result can suggest if it is safe to return to work and re-engage in social activities. Despite a multitude of emerging tests, the quality of respective data often remains ambiguous, yielding a significant fraction of false positive results. The human organism produces polyclonal antibodies specific to multiple viral proteins, so testing simultaneously for multiple antibodies appeared a practical approach for increasing test specificity. We analyzed immune response and testing potential for a spectrum of antigens derived from the spike and nucleocapsid proteins of SARS-CoV-2, developed a dual-antigen testing system in the ELISA format and designed a robust algorithm for data processing. Combining nucleocapsid protein and receptor-binding domain for analysis allowed us to completely eliminate false positive results in the tested cohort (achieving specificity within a 95% confidence interval of 97.2-100%). We also tested samples collected from different households, and demonstrated differences in the immune response of COVID-19 patients and their family members; identifying, in particular, asymptomatic cases showing strong presence of studied antibodies, and cases showing none despite confirmed close contacts with the infected individuals.
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