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10.1016/j.jcv.2021.104820

http://scihub22266oqcxt.onion/10.1016/j.jcv.2021.104820
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33865031!8035809!33865031
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suck abstract from ncbi


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pmid33865031      J+Clin+Virol 2021 ; 139 (ä): 104820
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  • Performance of the rapid high-throughput automated electrochemiluminescence immunoassay targeting total antibodies to the SARS-CoV-2 spike protein receptor binding domain in comparison to the neutralization assay #MMPMID33865031
  • Resman Rus K; Korva M; Knap N; Avsic Zupanc T; Poljak M
  • J Clin Virol 2021[Jun]; 139 (ä): 104820 PMID33865031show ga
  • BACKGROUND: Neutralization tests (NT) are the gold standard for detecting and quantifying anti-SARS-CoV-2 neutralizing antibodies (NAb), but their complexity restricts them to research settings or reference laboratories. Antibodies against S protein receptor binding domain (RBD) have been shown to confer a neutralizing activity against SARS-CoV-2. Assays quantitatively measuring anti-S1-RBD-SARS-CoV-2 antibodies could be of great value for NAb screening of potential donors for convalescent-phase plasma therapy, assessing natural or vaccine-induced immunity, stratifying individuals for vaccine receipt, and documenting vaccine response. METHODS: Elecsys Anti-SARS-CoV-2 S (Elecsys-S), a high-throughput automated electrochemiluminescence double-antigen sandwich immunoassay for quantitative measurement of pan-anti-S1-RBD-SARS-CoV-2 antibodies, was evaluated against NT on 357 patients with PCR-confirmed SARS-CoV-2 infection. NT was performed in a BSL-3 laboratory using a Slovenian SARS-CoV-2 isolate; the NT titer >/=1:20 was considered positive. RESULTS: Elecsys-S detected pan-anti-S1-RBD-SARS-CoV-2 antibodies in 352/357 (98.6 %) samples. NAb were identified by NT in 257/357 (72 %) samples. The Elecsys-S/NT agreement was moderate (Cohen's kappa 0.56). High NT titer antibodies (>/=1:160) were detected in 106/357 (30 %) samples. Elecsys-S's pan-anti-S1-RBD-SARS-CoV-2 antibody concentrations correlated with individual NT titer categories (the lowest concentrations were identified in NT-negative samples and the highest in samples with NT titer 1:1,280), and the Elecsys-S cutoff value for reasonable prediction of NAb generated after natural infection was established (133 BAU/mL). CONCLUSION: Although NT should remain the gold standard for assessing candidates for convalescent-phase plasma donors, selected commercial anti-SARS-CoV-2 assays with optimized cutoff, like Elecsys-S, could be used for rapid, automated, and large-scale screening of individuals with clinically relevant NAb levels as suitable donors.
  • |*Neutralization Tests[MESH]
  • |Antibodies, Viral/*blood[MESH]
  • |COVID-19 Serological Testing[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |High-Throughput Screening Assays[MESH]
  • |Humans[MESH]
  • |Immunoassay/*methods[MESH]
  • |Luminescent Measurements/*methods[MESH]


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