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Anal Bioanal Chem . Liposome-based high-throughput and point-of-care assays toward the quick, simple, and sensitive detection of neutralizing antib

tetano

Editor, Senior Moderator
Anal Bioanal Chem


. 2023 Feb 9.
doi: 10.1007/s00216-023-04548-3. Online ahead of print.
Liposome-based high-throughput and point-of-care assays toward the quick, simple, and sensitive detection of neutralizing antibodies against SARS-CoV-2 in patient sera


Simon Streif[SUP] 1 [/SUP], Patrick Neckermann[SUP] 2 [/SUP], Clemens Spitzenberg[SUP] 1 [/SUP], Katharina Weiss[SUP] 1 [/SUP], Kilian Hoecherl[SUP] 1 [/SUP], Kacper Kulikowski[SUP] 1 [/SUP], Sonja Hahner[SUP] 3 [/SUP], Christina Noelting[SUP] 3 [/SUP], Sebastian Einhauser[SUP] 2 [/SUP], David Peterhoff[SUP] 2 4 [/SUP], Claudia Asam[SUP] 2 [/SUP], Ralf Wagner[SUP] 2 4 [/SUP], Antje J Baeumner[SUP] 5 [/SUP]



Affiliations

Abstract

The emergence of severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) in 2019 caused an increased interest in neutralizing antibody tests to determine the immune status of the population. Standard live-virus-based neutralization assays such as plaque-reduction assays or pseudovirus neutralization tests cannot be adapted to the point-of-care (POC). Accordingly, tests quantifying competitive binding inhibition of the angiotensin-converting enzyme 2 (ACE2) receptor to the receptor-binding domain (RBD) of SARS-CoV-2 by neutralizing antibodies have been developed. Here, we present a new platform using sulforhodamine B encapsulating liposomes decorated with RBD as foundation for the development of both a fluorescent, highly feasible high-throughput (HTS) and a POC-ready neutralizing antibody assay. RBD-conjugated liposomes are incubated with serum and subsequently immobilized in an ACE2-coated plate or mixed with biotinylated ACE2 and used in test strip with streptavidin test line, respectively. Polyclonal neutralizing human antibodies were shown to cause complete binding inhibition, while S309 and CR3022 human monoclonal antibodies only caused partial inhibition, proving the functionality of the assay. Both formats, the HTS and POC assay, were then tested using 20 sera containing varying titers of neutralizing antibodies, and a control panel of sera including prepandemic sera and reconvalescent sera from respiratory infections other than SARS-CoV-2. Both assays correlated well with a standard pseudovirus neutralization test (r = 0.847 for HTS and r = 0.614 for POC format). Furthermore, excellent correlation (r = 0.868) between HTS and POC formats was observed. The flexibility afforded by liposomes as signaling agents using different dyes and sizes can hence be utilized in the future for a broad range of multianalyte neutralizing antibody diagnostics.

Keywords: High-throughput screening; Liposomes; Neutralizing antibodies; Point-of-care diagnostics; SARS-CoV-2.
 
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