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10.1093/infdis/jiab222

http://scihub22266oqcxt.onion/10.1093/infdis/jiab222
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33905505!8135300!33905505
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suck abstract from ncbi


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pmid33905505      J+Infect+Dis 2021 ; 224 (2): 218-228
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  • A Combination of N and S Antigens With IgA and IgG Measurement Strengthens the Accuracy of SARS-CoV-2 Serodiagnostics #MMPMID33905505
  • Jalkanen P; Pasternack A; Maljanen S; Melen K; Kolehmainen P; Huttunen M; Lundberg R; Tripathi L; Khan H; Ritvos MA; Naves R; Haveri A; Osterlund P; Kuivanen S; Jaaskelainen AJ; Kurkela S; Lappalainen M; Rantasarkka K; Vuorinen T; Hytonen J; Waris M; Tauriainen S; Ritvos O; Kakkola L; Julkunen I
  • J Infect Dis 2021[Jul]; 224 (2): 218-228 PMID33905505show ga
  • BACKGROUND: Primary diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is based on detection of virus RNA in nasopharyngeal swab samples. In addition, analysis of humoral immunity against SARS-CoV-2 has an important role in viral diagnostics and seroprevalence estimates. METHODS: We developed and optimized an enzyme immunoassays (EIA) using SARS-CoV-2 nucleoprotein (N), S1 and receptor binding domain (RBD) of the viral spike protein, and N proteins from SARS, Middle East respiratory syndrome (MERS), and 4 low-pathogenic human CoVs. Neutralizing antibody activity was compared with SARS-CoV-2 IgG, IgA, and IgM EIA results. RESULTS: The sensitivity of EIA for detecting immune response in COVID-19 patients (n = 101) was 77% in the acute phase and 100% in the convalescent phase of SARS-CoV-2 infection when N and RBD were used as antigens in IgG and IgA specific EIAs. SARS-CoV-2 infection significantly increased humoral immune responses against the 229E and NL63 N proteins. S1 and RBD-based EIA results had a strong correlation with microneutralization test results. CONCLUSIONS: The data indicate a combination of SARS-CoV-2 S1 or RBD and N proteins and analysis of IgG and IgA immunoglobulin classes in sera provide an excellent basis for specific and sensitive serological diagnostics of COVID-19.
  • |Antibodies, Neutralizing/blood/immunology[MESH]
  • |Antibodies, Viral/blood/immunology[MESH]
  • |COVID-19 Serological Testing/*methods[MESH]
  • |COVID-19/*diagnosis[MESH]
  • |Coronavirus Nucleocapsid Proteins/*immunology[MESH]
  • |Humans[MESH]
  • |Immunoenzyme Techniques[MESH]
  • |Immunoglobulin A/*blood/immunology[MESH]
  • |Immunoglobulin G/*blood/immunology[MESH]
  • |Immunoglobulin M/blood/immunology[MESH]
  • |Neutralization Tests[MESH]
  • |Phosphoproteins/immunology[MESH]
  • |SARS-CoV-2/immunology/*isolation & purification[MESH]
  • |Sensitivity and Specificity[MESH]


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