A flow cytometry‐based assay to measure neutralizing antibodies against SARS‐CoV‐2 virus

Author:

Pscheidt Veridiane M.1ORCID,de Souza Priscila Oliveira1,Fazolo Tiago1,Modena José Luiz Proença2,Simeoni Camila2,Teixeira Daniel2,Silva Natália Brunetti2,dos Santos Karina Bispo2,Júnior Luiz Rodrigues1,Bonorino Cristina13

Affiliation:

1. Immunotherapy Laboratory – (LAIT) – Department of Basic Health Sciences of Federal University of Health Sciences of Porto Alegre UFCSPA Porto Alegre Brazil

2. Laboratory of Emerging Viruses (LEVE) – Department of Genetics, Evolution, Microbiology and Immunology University of Campinas – UNICAMP – Campinas São Paulo Brazil

3. Department of Surgery University of California at San Diego – UCSD La Jolla California USA

Abstract

AbstractThe COVID‐19 pandemic caused by the SARS‐CoV‐2 virus has highlighted the need for serological assays that can accurately evaluate the neutralizing efficiency of antibodies produced during infection or induced by vaccines. However, conventional assays often require the manipulation of live viruses on a level‐three biosafety (BSL3) facility, which presents practical and safety challenges. Here, we present a novel, alternative assay that measures neutralizing antibodies (NAbs) against SARS‐CoV‐2 in plasma using flow cytometry. This assay is based on antibody binding to the S protein and has demonstrated precision in both intra‐ and inter‐assay measurements at a dilution of 1:50. The cut‐off was determined using Receiver Operating Characteristic (ROC) analysis and the value of 36.01% has shown high sensitivity and specificity in distinguishing between pre‐pandemic sera, COVID‐19 patients, and vaccinated individuals. The efficiency significantly correlates with the gold standard test, PRNT. Our new assay offers a safe and efficient alternative to conventional assays for evaluating NAbs against SARS‐CoV‐2.

Publisher

Wiley

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