Quantitation of SARS-CoV-2 neutralizing antibodies with a virus-free, authentic test
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Abstract
Neutralizing antibodies (NAbs), and their concentration in sera of convalescents and vaccinees are a correlate of protection from COVID-19. The antibody concentrations in clinical samples that neutralize SARS-CoV-2 are difficult and very cumbersome to assess with conventional virus neutralization tests (cVNTs), which require work with the infectious virus and biosafety level 3 containment precautions. Alternative virus neutralization tests (VNTs) currently in use are mostly surrogate tests based on direct or competitive enzyme immunoassays or use viral vectors with the spike protein as the single structural component of SARS-CoV-2. To overcome these obstacles, we developed a virus-free, safe and very fast (4.5 h) in vitro diagnostic test based on engineered yet authentic SARS-CoV-2 virus-like particles (VLPs). They share all features of the original SARS-CoV-2 but lack the viral RNA genome, and thus are noninfectious. NAbs induced by infection or vaccination, but also potentially neutralizing monoclonal antibodies can be reliably quantified and assessed with ease and within hours with our test, because they interfere and block the ACE2-mediated uptake of VLPs by recipient cells. Results from the VLP neutralization test (VLPNT) showed excellent specificity and sensitivity and correlated very well with a cVNT using fully infectious SARS-CoV-2. The results also demonstrated the reduced neutralizing capacity of COVID-19 vaccinee sera against variants of concern of SARS-CoV-2 including omicron B.1.1.529, BA.1.
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SciScore for 10.1101/2021.12.29.21268487: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: Patients are part of the COVID-19 Registry of the LMU Klinikum (CORKUM, WHO trial id DRKS00021225) and the study was approved on March 23, 2020 by the ethics committee (no. 20-245) of the Faculty of Medicine of the LMU (Ethik-Kommission Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Cell Line Authentication not detected. Table 2: Resources
Antibodies Sentences Resources Membranes were incubated at 7°C overnight with primary anti-spike antibody (43A11, rat IgG, Helmholtz Zentrum Mu□nchen; 1A9, mouse IgG, GeneTex; PA5-81795, polyclonal rabbit antibody, Invitrogen) at 1:2000 dilution in 5% (w/v) non-fat milk (Carl Roth) in … SciScore for 10.1101/2021.12.29.21268487: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: Patients are part of the COVID-19 Registry of the LMU Klinikum (CORKUM, WHO trial id DRKS00021225) and the study was approved on March 23, 2020 by the ethics committee (no. 20-245) of the Faculty of Medicine of the LMU (Ethik-Kommission Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Cell Line Authentication not detected. Table 2: Resources
Antibodies Sentences Resources Membranes were incubated at 7°C overnight with primary anti-spike antibody (43A11, rat IgG, Helmholtz Zentrum Mu□nchen; 1A9, mouse IgG, GeneTex; PA5-81795, polyclonal rabbit antibody, Invitrogen) at 1:2000 dilution in 5% (w/v) non-fat milk (Carl Roth) in ddH2O, washed 3 times in TBST (Tris-buffered saline with 0.1% Tween-20) and incubated at RT for 1 h with horseradish peroxidase (HRP)-conjugated secondary antibody (1112-035-062, goat anti-rat IgG, Jackson Immuno Research Europe; 7076S anti-spikesuggested: (Imported from the IEDB Cat# 1A9, RRID:AB_2848025)First, wells of a Nunc MaxiSorp plate (Thermo Fisher Scientific) were coated at RT for 5 h with 2 µg mL-1 anti-spike capture antibody (55E10, rat IgG, Helmholtz Zentrum Mu□nchen) or isotype in PBS. anti-spike capture antibody ( 55E10suggested: NoneUpon washing via a 100 kDa cutoff Amicon ultra filter, the samples were stained with AlexaFluor488 conjugated anti-S antibody (43A11, rat IgG, Helmholtz Zentrum Mu□nchen), diluted and afterwards analyzed in the flow cytometer. anti-Ssuggested: NoneDirectly coupled AlexaFluor488 labelled antibodies were generated using commercial kits (A10235, Thermo Fisher Scientific). A10235suggested: (ABclonal Cat# A10235, RRID:AB_2757760)Experimental Models: Cell Lines Sentences Resources Cell lines and cell culture: HEK293T (CID3915); HEK293, S+ (CID4618); U251MG, hACE2+ (CID4663); U251MG, hACE2+, NM∼LgBiT+ (CID4697) and Vero, hACE2+ (CID4608) cells were maintained in DMEM medium (Gibco, Thermo Fisher Scientific), supplemented with 8% FBS (AC-SM-0143, Anprotec) and Pen/Strep (Gibco, Thermo Fisher Scientific). HEK293suggested: NoneU251MGsuggested: NoneVerosuggested: NoneSARS-CoV-2 VLPs and other engineered EVs: To generate S+ VLPs containing appropriate levels of SARS-CoV-2 spike (D614G or B.1.617.2) and control-EVs, HEK293T cells were transfected using TransIT-293 (MIR2700, Mirus) according to the manufacturers protocol with carefully adjusted ratios of codon-optimized expression vectors coding for S, VSV-G, or mock together with CD63∼HiBiT or CD63∼BlaM and, optionally, M, N and E. HEK293Tsuggested: NoneAntibodies REGN10987 and REGN10933 were purified from CHO cells transiently transfected with expression plasmids encoding the heavy and light chains. CHOsuggested: CLS Cat# 603479/p746_CHO, RRID:CVCL_0213)The mixture was incubated at 37°C and approximately 20,000 Vero C1008 cells (ATCC, Cat#CRL-1586) were added after 1 hour. Vero C1008suggested: ATCC Cat# CRL-1586, RRID:CVCL_0574)Virus stock preparation: CaCo-2 cells (American Type Culture Collection, ATCC, Virginia, USA) in cell culture medium (Dulbecco’s Modified Eagle’s Medium containing 2% FBS) were challenged for 2 h with a clinical isolate of SARS-CoV-2 (GISAID EPI ISL 2967222) previously obtained from a nasopharyngeal swab of a COVID-19 patient. CaCo-2suggested: NoneSubsequently, cell culture medium was exchanged, and three days post infection supernatants were passaged on Vero-E6 cells (ATCC, Virginia, USA). Vero-E6suggested: NoneRecombinant DNA Sentences Resources SARS-CoV-2 VLPs and other engineered EVs: To generate S+ VLPs containing appropriate levels of SARS-CoV-2 spike (D614G or B.1.617.2) and control-EVs, HEK293T cells were transfected using TransIT-293 (MIR2700, Mirus) according to the manufacturers protocol with carefully adjusted ratios of codon-optimized expression vectors coding for S, VSV-G, or mock together with CD63∼HiBiT or CD63∼BlaM and, optionally, M, N and E. VSV-Gsuggested: RRID:Addgene_138479)Software and Algorithms Sentences Resources Data analysis was performed with GraphPad Prism 9.2. GraphPad Prismsuggested: (GraphPad Prism, RRID:SCR_002798)Results from OddPub: Thank you for sharing your data.
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Our test overcomes the current limitations of quantitating SARS-CoV-2 NAbs as it is based on harmless, non-infectious VLPs engineered to be authentic morphological and functional mimics of SARS-CoV-2 virions. Firstly, we optimized conditions for in vitro generation of such S+ VLPs and characterized them together with a sample of heat-inactivated SARS-CoV-2 stock using standard approaches together with a novel nano flow technology. By cryo-EM, we confirmed the presence of intact, native S+ VLPs with the characteristics of coronaviruses in our preparations. Furthermore, the S+ VLPs contain SFL trimers, a molecular concentration of S very similar to authentic SARS-CoV-2 virions and particle number and ratio of S+ particles comparable to virus stocks. We calculated the number of S trimers per particle to be 27 and therefore well within the range of published figures which vary from 24 to 40 (Ke et al., 2020; Turonova et al., 2020; Yao et al., 2020). Secondly, we engineered S+ VLPs to carry a chimeric, membrane anchored and luminally oriented enzyme (BlaM) or an activator peptide (HiBiT) and generated hACE2+ Vero cells and a hACE2+ U251MG cell line, which carries hACE2+ together with an inactive, membrane-associated split reporter nLuc enzyme (LgBiT). In quantitative fusion experiments with S+ VLPs we showed that only ACE2+ cells take up S+ VLPs, while ACE2- cells were not susceptible as expected. Uptake strictly depended on spike, the viral entry factor and one of the three SARS-...
Results from TrialIdentifier: No clinical trial numbers were referenced.
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Results from scite Reference Check: We found no unreliable references.
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