Department of Bioengineering, Guangdong Province Engineering Research Center of Antibody Drug and Immunoassay, Jinan University, Guangzhou, 510632, PR China.
Department of Laboratory Science, Shunde Hospital of Guangzhou University of Chinese Medicine, Foshan, 528000, PR China.
Talanta. 2023 Apr 1;255:124200. doi: 10.1016/j.talanta.2022.124200. Epub 2022 Dec 21.
Vaccination is an effective strategy to fight COVID-19. However, the effectiveness of the vaccine varies among different populations in varying immune effects. Neutralizing antibody (NAb) level is an important indicator to evaluate the protective effect of immune response after vaccination. Lateral flow immunoassay (LFIA) is a rapid, safe and sensitivity detection method, which has great potential in the detection of SARS-CoV-2 NAb. In this study, a fluorescent beads-based lateral flow immunoassay (FBs-LFIA) and a latex beads-based LFIA (LBs-LFIA) using double antigen sandwich (DAS) strategy were established to detect NAbs in the serum of vaccinated people. The limit of detection (LoD) of the FBs-LFIA was 1.13 ng mL and the LBs-LFIA was 7.11 ng mL. The two LFIAs were no cross-reactive with sera infected by other pathogenic bacteria. Furthermore, the two LFIAs showed a good performance in testing clinical samples. The sensitivity of FBs-LFIA and LBs-LFIA were 97.44% (95%CI: 93.15%-99.18%) and 98.29% (95%CI: 95.84%-99.37%), and the specificity were 98.28% (95%CI: 95.37%-99.45%) and 97.70% (95%CI: 94.82%-99.06%) compared with the conventional virus neutralization test (cVNT), respectively. Notably, the LBs-LFIA was also suitable for whole blood sample, requiring only 3 μL of whole blood, which provided the possibility to detect NAbs at home. To sum up, the two LFIAs based on double antigen sandwich established by us can rapidly, safely, sensitively and accurately detect SARS-CoV-2 NAb in human serum.
疫苗接种是抗击 COVID-19 的有效策略。然而,疫苗在不同人群中的有效性因免疫效果的不同而有所差异。中和抗体(NAb)水平是评估疫苗接种后免疫反应保护效果的重要指标。侧向流动免疫分析(LFIA)是一种快速、安全、灵敏的检测方法,在检测 SARS-CoV-2 NAb 方面具有很大的潜力。本研究建立了基于荧光微球的侧向流动免疫分析(FBs-LFIA)和基于乳胶微球的侧向流动免疫分析(LBs-LFIA),均采用双抗原夹心(DAS)策略检测疫苗接种者血清中的 NAb。FBs-LFIA 的检测限(LoD)为 1.13ng/mL,LBs-LFIA 的检测限为 7.11ng/mL。两种 LFIA 均与其他致病性细菌感染的血清无交叉反应。此外,两种 LFIA 在检测临床样本时均表现出良好的性能。FBs-LFIA 和 LBs-LFIA 的灵敏度分别为 97.44%(95%CI:93.15%-99.18%)和 98.29%(95%CI:95.84%-99.37%),特异性分别为 98.28%(95%CI:95.37%-99.45%)和 97.70%(95%CI:94.82%-99.06%),与传统病毒中和试验(cVNT)相比。值得注意的是,LBs-LFIA 也适用于全血样本,仅需 3μL 全血,为在家中检测 NAb 提供了可能。综上所述,我们建立的两种基于双抗原夹心的 LFIA 可快速、安全、灵敏、准确地检测人血清中的 SARS-CoV-2 NAb。
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