Comparative analysis of antigen-specific anti-SARS-CoV-2 antibody isotypes in COVID-19 patients
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Abstract
Serological tests for detection of anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies in blood are expected to identify individuals who have acquired immunity against SARS-CoV-2 and indication of seroprevalence of SARS-CoV-2 infection. Many serological tests have been developed to detect antibodies against SARS-CoV-2. However, these tests have considerable variations in their specificity and sensitivity, and whether they can predict levels of neutralizing activity is yet to be determined. This study aimed to investigate the kinetics and neutralizing activity of various antigen-specific antibody isotypes against SARS-CoV-2 in serum of coronavirus disease 2019 (COVID-19) patients confirmed via polymerase chain reaction test. We developed IgG, IgM and IgA measurement assays for each antigen, including receptor-binding domain (RBD) of spike (S) protein, S1 domain, full length S protein, S trimer and nucleocapsid (N) domain, based on enzyme-linked immunosorbent assay. The assays of the S protein for all isotypes showed high specificity, while the assays for all isotypes against N protein showed lower specificity. The sensitivity of all antigen-specific antibody isotypes depended on the timing of the serum collection and all of them, except for IgM against N protein, reached more than 90% at 15-21 days post-symptom onset. The best correlation with virus neutralizing activity was found for IgG against RBD (RBD-IgG), and levels of RBD-IgG in sera from four severe COVID-19 patients increased concordantly with neutralizing activity. Our results provide valuable information regarding the selection of serological test for seroprevalence and vaccine evaluation studies.
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SciScore for 10.1101/2020.12.04.407510: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: Samples: This study was reviewed and approved by the Ethics Committee for Clinical Research of the Center for Research Promotion and Support in Fujita Health University Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable One hundred serum samples obtained from 100 healthy human volunteers (mean age, 47; males, 58 and females, 42), collected before the COVID-19 pandemic (July 2012), were used as negative controls to evaluate the specificity and cut-off values for each assay. Cell Line Authentication not detected. Table 2: Resources
Antibodies Sentences Resources The plates were washed three times with 300 μL PBST and … SciScore for 10.1101/2020.12.04.407510: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement IRB: Samples: This study was reviewed and approved by the Ethics Committee for Clinical Research of the Center for Research Promotion and Support in Fujita Health University Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable One hundred serum samples obtained from 100 healthy human volunteers (mean age, 47; males, 58 and females, 42), collected before the COVID-19 pandemic (July 2012), were used as negative controls to evaluate the specificity and cut-off values for each assay. Cell Line Authentication not detected. Table 2: Resources
Antibodies Sentences Resources The plates were washed three times with 300 μL PBST and 50 μL of peroxidase-labelled anti-human IgG, IgM or IgA antibody was added per well and incubated at RT for 60 min. anti-human IgGsuggested: NoneIgAsuggested: NoneExperimental Models: Cell Lines Sentences Resources ELISA development and assay: SARS-CoV-2 RBD, S1, S full, S trimer and N protein expressed in HEK293 cells were selected as the target antigens. HEK293suggested: CLS Cat# 300192/p777_HEK293, RRID:CVCL_0045)The mixture of diluted sera and 100 TCID50 SARS-CoV-2 JPN/TY/WK-521 strain were incubated at 37°C for 1 hour, then placed on VeroE6/TMRRSS2 cells (JCRB1819, JCRB Cell Bank) and cultured at 37°C with 5% CO2 (19). VeroE6/TMRRSS2suggested: NoneSoftware and Algorithms Sentences Resources Statistical analysis: Statistical analysis was performed using GraphPad Prism version 8.0.0 for Windows (GraphPad Software, USA) GraphPad Prismsuggested: (GraphPad Prism, RRID:SCR_002798)GraphPadsuggested: (GraphPad Prism, RRID:SCR_002798)Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:There are several limitations in this study. Importantly, there were only four severe COVID-19 patients from whom residual serum samples were available to investigate the association between serum RBD-IgG levels and neutralizing activity. Since these four severe COVID-19 patients all recovered from COVID-19, we could not investigate differences in antibody responses and neutralizing activity between patients who recovered from COVID-19 and those who did not. In summary, our results indicate that the anti-SARS-CoV-2 antibody response in COVID-19 patients varies among the antigen-specific antibody isotypes. Diagnostic performance of ELISAs for detection of anti-SARS-CoV-2 antibodies also varies among antigen-specific antibody isotypes. Among them, serum RBD-IgG levels best correlate with virus neutralizing activity and disease severity, thus may be the optimal assay to track COVID-19 seroconversion responses and use as the basis for COVID-19 serological tests.
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
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