六种用于检测感染原始毒株和一系列新冠病毒变异株患者抗体的新冠病毒血清学检测方法的比较
Comparison of six COVID-19 serology assays for detection of antibodies from patients infected with ancestral and a spectrum of SARS-CoV-2 variants.
作者信息
Lau Rachel, Senthilkumaran Chandrika, Chong Jeffrey, Qi Freda, Pulikkottil Rosmol-Stanes, Ma Jennifer, Ogbulafor Katherene, Gabe Larry, Manguiat Kathy, Robinson Alyssia, Wood Heidi, Li Angel Xinliu, Mozafarihashjin Mohammad, Campigotto Aaron, McGeer Allison J, Mubareka Samira, Gubbay Jonathan B, Kus Julianne V, Bolotin Shelly, Richard-Greenblatt Melissa, Tran Vanessa
机构信息
Public Health Ontario, Toronto, Ontario, Canada.
Public Health Agency Canada, Ottawa, Ontario, Canada.
出版信息
Access Microbiol. 2025 Jul 7;7(7). doi: 10.1099/acmi.0.000974.v3. eCollection 2025.
Serology assays against spike, receptor binding domain (RBD) and nucleocapsid proteins of the severe acute respiratory syndrome coronavirus 2 are essential for serosurveillance. We performed a comparison of four medium-to-high throughput commercial assays [Abbott Laboratories, Ortho Clinical Diagnostics, Meso Scale Diagnostics (MSD)], one point-of-care test (ZEKMED) and a laboratory-developed plaque reduction neutralization test using a reference panel and clinical specimens. Overall, the assays showed a high positive percent agreement of ≥85% and negative percent agreement of ≥90%, with the MSD anti-spike IgG assay having the best performance (100% in both). Notably, Abbott anti-nucleocapsid IgG, MSD anti-spike IgG and ZEKMED anti-spike RBD IgM/IgG combined assays were able to detect antibodies from individuals infected with all different variants tested - Alpha, Beta, Gamma, Delta and Omicron. The limit of detection (LOD) of the assays ranged from 9.9 to 62.0 BAU ml, with the Abbott anti-spike RBD having the lowest LOD. The COVID-19 serology assays will continue to be useful in determining seroprevalence from infection and vaccination.
针对严重急性呼吸综合征冠状病毒2的刺突蛋白、受体结合域(RBD)和核衣壳蛋白的血清学检测对于血清学监测至关重要。我们使用一个参考样本组和临床标本,对四种中高通量商业检测方法(雅培实验室、奥森多临床诊断公司、梅索 Scale 诊断公司(MSD))、一种即时检测(ZEKMED)以及一种实验室研发的空斑减少中和试验进行了比较。总体而言,这些检测方法显示出较高的阳性百分一致性(≥85%)和阴性百分一致性(≥90%),其中MSD抗刺突IgG检测方法表现最佳(两者均为100%)。值得注意的是,雅培抗核衣壳IgG、MSD抗刺突IgG和ZEKMED抗刺突RBD IgM/IgG联合检测方法能够检测出感染了所有测试的不同变体(阿尔法、贝塔、伽马、德尔塔和奥密克戎)的个体的抗体。这些检测方法的检测限范围为9.9至62.0 BAU/ml,其中雅培抗刺突RBD的检测限最低。新冠病毒血清学检测在确定感染和疫苗接种后的血清流行率方面将继续发挥作用。
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