SARS-CoV-2 neutralising antibody testing in Europe: towards harmonisation of neutralising antibody titres for better use of convalescent plasma and comparability of trial data

Author:

Nguyen Dung1,Simmonds Peter1,Steenhuis Maurice2,Wouters Elise3,Desmecht Daniel4,Garigliany Mutien4,Romano Marta5,Barbezange Cyril6,Maes Piet7,Van Holm Bram7,Mendoza Joaquín8,Oyonarte Salvador9,Fomsgaard Anders10,Lassaunière Ria10,Zusinaite Eva11,Resman Rus Katarina12,Avšič-Županc Tatjana12,Reimerink Johan HJ13,Brouwer Fiona13,Hoogerwerf Marieke13,Reusken Chantal BEM13,Grodeland Gunnveig14,Le Cam Sophie15,Gallian Pierre1615,Amroun Abdennour16,Brisbarre Nadège1716,Martinaud Christophe18,Leparc Goffart Isabelle19,Schrezenmeier Hubert2021,Feys Hendrik B3,van der Schoot C Ellen2,Harvala Heli2223

Affiliation:

1. University of Oxford, Oxford, United Kingdom

2. Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Amsterdam, Netherlands

3. Transfusion Research Centre, Belgian Red Cross-Flanders, Ghent, Belgium

4. Department of Pathology, Faculty of Veterinary Medicine, Liège University, Liège, Belgium

5. Immune Response service, Sciensano, Brussels, Belgium

6. National Influenza Centre, Sciensano, Brussels, Belgium

7. KU Leuven, Rega Institute, Clinical and Epidemiological Virology, Leuven, Belgium

8. Vircell SL, Granada, Spain

9. Andalusian Network of Transfusion Medicine, Tissues and Cells, Sevilla, Spain

10. Virus and Microbiological Special Diagnostics, Statens Serum Institute, Copenhagen, Denmark

11. Tartu University Institute of Technology, Tartu, Estonia

12. Institute of Microbiology and Immunology, Ljubljana, Slovenia

13. Centre for Infectious Disease Control, WHO COVID-19 Reference Laboratory, RIVML, Bilthoven, the Netherlands

14. Dep. of Immunology, University of Oslo and Oslo University Hospital, Oslo, Norway

15. Etablissement Français du Sang, La Plaine Saint Denis, France

16. Unité des Virus Émergents (Aix-Marseille University – IRD 190 – Inserm 1207 – IHU Méditerranée Infection), Marseille, France

17. Etablissement français du Sang Provence Alpes Côte d’Azur et Corse, Marseille, France

18. Centre de Transfusion Sanguine des Armées, Clamart, France

19. Unité de Virologie, Institut de Recherche Biomédicale des Armées, Marseille, France

20. Institute for Clinical Transfusion Medicine and Immunogenetics, German Red Cross Blood Transfusion Service Baden-Wurttemberg – Hessen and University Hospital Ulm, Ulm, Germany

21. Department of Transfusion Medicine, Ulm University, Ulm, Germany

22. University College of London, London, United Kingdom

23. Microbiology Services, NHS Blood and Transplant, Colindale, United Kingdom

Abstract

We compared the performance of SARS-CoV-2 neutralising antibody testing between 12 European laboratories involved in convalescent plasma trials. Raw titres differed almost 100-fold differences between laboratories when blind-testing 15 plasma samples. Calibration of titres in relation to the reference reagent and standard curve obtained by testing a dilution series reduced the inter-laboratory variability ca 10-fold. The harmonisation of neutralising antibody quantification is a vital step towards determining the protective and therapeutic levels of neutralising antibodies.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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