Anti-Spike Protein Assays to Determine SARS-CoV-2 Antibody Levels: a Head-to-Head Comparison of Five Quantitative Assays

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Abstract

Reliable quantification of the antibody response to SARS-CoV-2 is highly relevant, e.g., for identifying possible vaccine failure and estimating the time of protection. We compared the performance of five CE marked tests that quantify antibodies against the viral spike protein.

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  1. SciScore for 10.1101/2021.03.05.21252977: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIRB: The study protocol was reviewed and approved by the Ethics Committee of the Medical University of Vienna (EK1066/2021).
    Consent: All participants provided written informed consent to donate blood for the evaluation of diagnostic test systems (EK404/2012).
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    IgG (DiaSorin TriS IgG) chemiluminescence immunoassay (CLIA) quantifies IgG antibodies against a trimeric S-protein antigen on a DiaSorin LIAISON (DiaSorin, Stillwater, USA).
    a trimeric S-protein
    suggested: None
    The Virion\Serion ELISA (enzyme-linked immunosorbent assay) agile SARS-CoV-2 IgG (Serion IgG) (Institut Virion-Serion, Wuerzburg, Germany) was analyzed on a FilterMax F5 Multiplate Reader (Molecular Devices, San José, USA) and quantifies IgG antibodies against total S-protein between 3 and 250 U/mL.
    Serion IgG
    suggested: None
    total S-protein between 3
    suggested: None
    If applicable, binding antibody units per milliliter (BAU/mL), which are traceable to the WHO International Standard for anti-SARS-CoV-2 immunoglobulin, were calculated by applying the following conversion factors, as suggested by the manufacturers: Roche , Abbott S , DiaSorin TriS , Serion .
    anti-SARS-CoV-2 immunoglobulin,
    suggested: None
    We excluded prior SARS-CoV-2 infection by using the Roche Elecsys® SARS-CoV-2 ECLIA on the cobas® e801 analyzer (Roche), which detects total antibodies to the viral nucleocapsid antigen.
    viral nucleocapsid antigen.
    suggested: None
    Software and Algorithms
    SentencesResources
    It quantifies IgG-type antibodies against the RBD of the viral S-protein on an Abbott ARCHITECT platform (Abbott, Abbott Park, USA) between 21.0 and 40,000.0 AU/mL.
    Abbott
    suggested: (Abbott, RRID:SCR_010477)
    All analyses were performed using MedCalc 19.6 (MedCalc, Ostend, Belgium), and graphs were drawn using GraphPad 9 (GraphPad, La Jolla, USA).
    MedCalc
    suggested: (MedCalc, RRID:SCR_015044)
    GraphPad
    suggested: (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: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    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.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.