American Type Culture Collection, Manassas, VA, United States.
Front Immunol. 2023 Feb 23;14:1111644. doi: 10.3389/fimmu.2023.1111644. eCollection 2023.
Development and validation of rapid and easy-to-perform diagnostics continue to be a high priority during the current COVID-19 pandemic. Although vaccines are now widely available, early detection and consistent transmission control provide ideal means to mitigate the spread of SARS-CoV-2. Nucleic acid-based real-time PCR tests are widely acknowledged as the gold standard for reliable diagnosis of COVID-19 infection. These tests are based on detecting viable or nonviable viral nucleic acids. SARS-CoV-2 spike protein is an alternative and ideal target for SARS-CoV-2 diagnosis in the early phase of infection, but point-of-care kits to detect the SARS-CoV-2 spike protein are limited. Here we describe a rapid and convenient method based on Lateral Flow Immunoassay (LFIA) to detect SARS-CoV-2 spike proteins, including SARS-CoV-2 variants (A.23.1, B.1.1.1, 1.617.2, B.1.1.7, B.1.351, P.1, N501Y, R.1, P681H, P3, UK, and South African) within 5 to 10 minutes. We generated highly specific monoclonal antibodies (mAbs) against rationally designed SARS-CoV-2 spike protein. Matched pair mAbs were selected by epitope mapping and employed as antigen capture reagents by spotting onto a nitrocellulose membrane and as detector reagents by conjugation with colloidal gold nanoparticles. We evaluated the performance of the LFIA using recombinant spike proteins of SARS-CoV-2 and several SARS-CoV-2 variants. The specificity of the LFIA was assessed using heat-inactivated SARS-CoV-2 and related human coronaviruses (HCoV-OC43, HCoV-229E, HCoV-HKU1, and HCoV-NL63) and an FDA-approved respiratory pathogens (RP) panel. The assay exhibited 98% specificity and acceptable performance with respect to the minimum limit of detection (25 ng/test) in validation tests. This new LFIA provides improved performance for the early diagnosis of SARS-CoV-2, particularly for home monitoring and in situations with limited access to molecular methods.
在当前的 COVID-19 大流行期间,开发和验证快速且易于执行的诊断方法仍然是当务之急。虽然疫苗现在已经广泛可用,但早期检测和持续的传播控制是减轻 SARS-CoV-2 传播的理想手段。基于核酸的实时 PCR 检测被广泛认为是 COVID-19 感染可靠诊断的金标准。这些测试基于检测有活力或无活力的病毒核酸。SARS-CoV-2 刺突蛋白是感染早期 SARS-CoV-2 诊断的另一种理想靶标,但用于检测 SARS-CoV-2 刺突蛋白的即时检测试剂盒有限。在这里,我们描述了一种基于侧向流动免疫分析(LFIA)的快速简便的方法,用于检测 SARS-CoV-2 刺突蛋白,包括 SARS-CoV-2 变体(A.23.1、B.1.1.1、1.617.2、B.1.1.7、B.1.351、P.1、N501Y、R.1、P681H、P3、UK 和南非),在 5 到 10 分钟内完成。我们针对合理设计的 SARS-CoV-2 刺突蛋白生成了高度特异性的单克隆抗体(mAb)。通过表位作图选择配对的 mAb,并将其作为抗原捕获试剂点样在硝酸纤维素膜上,作为检测试剂与胶体金纳米颗粒偶联。我们使用 SARS-CoV-2 的重组刺突蛋白和几种 SARS-CoV-2 变体来评估 LFIA 的性能。通过热灭活 SARS-CoV-2 和相关的人类冠状病毒(HCoV-OC43、HCoV-229E、HCoV-HKU1 和 HCoV-NL63)和 FDA 批准的呼吸道病原体(RP)面板评估 LFIA 的特异性。该测定在验证测试中具有 98%的特异性和可接受的最低检测限(25ng/test)性能。这种新的 LFIA 为 SARS-CoV-2 的早期诊断提供了更好的性能,特别是在家庭监测和分子方法获取受限的情况下。
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