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Eur J Clin Microbiol Infect Dis . Rapid response flow cytometric assay for the detection of antibody responses to SARS-CoV-2

tetano

Editor, Senior Moderator
Eur J Clin Microbiol Infect Dis


. 2020 Oct 20.
doi: 10.1007/s10096-020-04072-7. Online ahead of print.
Rapid response flow cytometric assay for the detection of antibody responses to SARS-CoV-2


Dennis Lapuente[SUP] 1 [/SUP], Clara Maier[SUP] 1 [/SUP], Pascal Irrgang[SUP] 1 [/SUP], Julian H?bner[SUP] 1 [/SUP], Antonia Sophia Peter[SUP] 1 [/SUP], Markus Hoffmann[SUP] 2 [/SUP], Armin Ensser[SUP] 1 [/SUP], Katharina Ziegler[SUP] 3 [/SUP], Thomas H Winkler[SUP] 4 [/SUP], Torsten Birkholz[SUP] 5 [/SUP], Andreas E Kremer[SUP] 6 [/SUP], Philipp Steininger[SUP] 1 [/SUP], Klaus Korn[SUP] 1 [/SUP], Frank Neipel[SUP] 1 [/SUP], Klaus ?berla[SUP] 1 [/SUP], Matthias Tenbusch[SUP] 7 [/SUP]



Affiliations

Abstract

SARS-CoV-2 has emerged as a previously unknown zoonotic coronavirus that spread worldwide causing a serious pandemic. While reliable nucleic acid-based diagnostic assays were rapidly available, only a limited number of validated serological assays were available in the early phase of the pandemic. Here, we evaluated a novel flow cytometric approach to assess spike-specific antibody responses.HEK 293T cells expressing SARS-CoV-2 spike protein in its natural confirmation on the surface were used to detect specific IgG and IgM antibody responses in patient sera by flow cytometry. A soluble angiotensin-converting-enzyme 2 (ACE-2) variant was developed as external standard to quantify spike-specific antibody responses on different assay platforms. Analyses of 201 pre-COVID-19 sera proved a high assay specificity in comparison to commercially available CLIA and ELISA systems, while also revealing the highest sensitivity in specimens from PCR-confirmed SARS-CoV-2-infected patients. The external standard allowed robust quantification of antibody responses among different assay platforms. In conclusion, our newly established flow cytometric assay allows sensitive and quantitative detection of SARS-CoV-2-specific antibodies, which can be easily adopted in different laboratories and does not rely on external supply of assay kits. The flow cytometric assay also provides a blueprint for rapid development of serological tests to other emerging viral infections.

Keywords: Antibodies; Coronavirus; Flow cytometry; SARS-CoV-2; Serology.
 
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