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10.1128/JCM.00514-21

http://scihub22266oqcxt.onion/10.1128/JCM.00514-21
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33853839!8218747!33853839
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suck abstract from ncbi


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pmid33853839      J+Clin+Microbiol 2021 ; 59 (7): e0051421
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  • Cross-Reactivity of Two SARS-CoV-2 Serological Assays in a Setting Where Malaria Is Endemic #MMPMID33853839
  • Steinhardt LC; Ige F; Iriemenam NC; Greby SM; Hamada Y; Uwandu M; Aniedobe M; Stafford KA; Abimiku A; Mba N; Agala N; Okunoye O; Mpamugo A; Swaminathan M; Onokevbagbe E; Olaleye T; Odoh I; Marston BJ; Okoye M; Abubakar I; Rangaka MX; Rogier E; Audu R
  • J Clin Microbiol 2021[Jun]; 59 (7): e0051421 PMID33853839show ga
  • Accurate SARS-CoV-2 serological assays are critical for COVID-19 serosurveillance. However, previous studies have indicated possible cross-reactivity of these assays, including in areas where malaria is endemic. We tested 213 well-characterized prepandemic samples from Nigeria using two SARS-CoV-2 serological assays, Abbott Architect IgG and Euroimmun NCP IgG assay, both targeting SARS-CoV-2 nucleocapsid protein. To assess antibody binding strength, an avidity assay was performed on these samples and on plasma from SARS-CoV-2 PCR-positive persons. Thirteen (6.1%) of 212 samples run on the Abbott assay and 38 (17.8%) of 213 run on the Euroimmun assay were positive. Anti-Plasmodium IgG levels were significantly higher among false positives for both Abbott and Euroimmun; no association was found with active Plasmodium falciparum infection. An avidity assay using various concentrations of urea wash in the Euroimmun assay reduced loosely bound IgG: of 37 positive/borderline prepandemic samples, 46%, 86%, 89%, and 97% became negative using 2 M, 4 M, 5 M, and 8 M urea washes, respectively. The wash slightly reduced avidity of antibodies from SARS-CoV-2 patients within 28 days of PCR confirmation; thereafter, avidity increased for all urea concentrations except 8 M. This validation found moderate to substantial cross-reactivity on two SARS-CoV-2 serological assays using samples from a setting where malaria is endemic. A simple urea wash appeared to alleviate issues of cross-reactivity.
  • |*COVID-19[MESH]
  • |*Malaria/diagnosis[MESH]
  • |Antibodies, Viral[MESH]
  • |Humans[MESH]
  • |Nigeria[MESH]
  • |SARS-CoV-2[MESH]


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