Comparative Performance of Five Commercially Available Serologic Assays To Detect Antibodies to SARS-CoV-2 and Identify Individuals with High Neutralizing Titers

Author:

Patel Eshan U.12ORCID,Bloch Evan M.1,Clarke William1,Hsieh Yu-Hsiang3,Boon Denali4,Eby Yolanda1,Fernandez Reinaldo E.5,Baker Owen R.6,Keruly Morgan5,Kirby Charles S.1,Klock Ethan5,Littlefield Kirsten7,Miller Jernelle1,Schmidt Haley A.1,Sullivan Philip1,Piwowar-Manning Estelle1,Shrestha Ruchee1,Redd Andrew D.56,Rothman Richard E.3,Sullivan David7,Shoham Shmuel5,Casadevall Arturo7ORCID,Quinn Thomas C.56,Pekosz Andrew7ORCID,Tobian Aaron A. R.15,Laeyendecker Oliver56ORCID

Affiliation:

1. Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

2. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA

3. Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

4. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA

5. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

6. Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Baltimore, Maryland, USA

7. Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA

Abstract

Accurate serological assays to detect antibodies to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are needed to characterize the epidemiology of SARS-CoV-2 infection and identify potential candidates for coronavirus disease 2019 (COVID-19) convalescent plasma (CCP) donation. This study compared the performances of commercial enzyme immunoassays (EIAs) with respect to detection of IgG or total antibodies to SARS-CoV-2 and neutralizing antibodies (nAbs). The diagnostic accuracy of five commercially available EIAs (Abbott, Euroimmun, EDI, ImmunoDiagnostics, and Roche) for detection of IgG or total antibodies to SARS-CoV-2 was evaluated using cross-sectional samples from potential CCP donors who had prior molecular confirmation of SARS-CoV-2 infection ( n  = 214) and samples from prepandemic emergency department patients without SARS-CoV-2 infection ( n  = 1,099).

Funder

HHS | National Institutes of Health

HHS | NIH | National Institute of Allergy and Infectious Diseases

HHS | NIH | National Institute on Drug Abuse

U.S. Department of Defense

Division of Intramural Research, National Institute of Allergy and Infectious Diseases

HHS | NIH | National Heart, Lung, and Blood Institute

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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